MAIMONIDES MEDICAL CENTER
PFI # 1305
Revised: June 2001
Complaints:
| Complaint Information: | 2000 |
| Complaint Investigations Completed: | 23 |
| Complaints with Statements of Deficiencies (SOD) issued: | 7 |
| % of Complaints with SODs Issued | 30% |
| Regional % of Complaints with SODs issued: | 21.5% |
Areas Cited:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |
| 01/03/00 | 405.05 | Nursing Services - Delivery of Services | 04/04/00 |
| 01/03/00 | 405.07 | Patients' Rights - Hospital Responsibilities | 04/04/00 |
| 01/31/00 | 405.07 | Patients' Rights - Hospital Responsibilities | 08/07/00 |
| 02/24/00 | 405.02 | Governing Body - Care of Patients | 09/05/00 |
| 02/24/00 | 405.10 | Medical Records - General Requirements | 09/05/00 |
| 05/09/00 | 405.02 | Governing Body - Care of Patients | 08/21/00 |
| 05/09/00 | 405.07 | Patients' Rights - Hospital Responsibilities | 08/21/00 |
| 05/09/00 | 405.19 | Emergency Services - Organization | 08/21/00 |
| 08/14/00 | 405.02 | Governing Body - Compliance with Federal, State and Local Laws | 12/14/00 |
| 08/14/00 | 405.04 | Medical Staff - Medical Staff Accountability | 12/14/00 |
| 08/14/00 | 405.05 | Nursing Services - Organization and Staffing | 12/14/00 |
| 09/05/00 | 405.07 | Patients' Rights - Hospital Responsibilities | 11/14/00 |
| 09/05/00 | 405.15 | Radiologic and Nuclear Medicine Services | 11/14/00 |
| 09/13/00 | 405.07 | Patients' Rights | 01/17/00 |
Areas Cited as a Result of Surveys:
| Date of Survey | Type | Areas Cited: | Date Plan of Correction Accepted |
Most Recent Survey Date:
Areas Cited as a Result of Incident Investigations:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |
| 05/05/00 | 405.02 | Governing Body - Care of Patients | 06/16/00 |
| 05/05/00 | 405.04 | Medical Staff - Postgraduate Trainees | 06/16/00 |
| 05/05/00 | 405.06 | Quality Assurance Program | 06/16/00 |
| 05/05/00 | 405.08 | Incident Reporting | 06/16/00 |
| 05/05/00 | 405.12 | Surgical Services - Organization and Direction | 06/16/00 |
| 05/05/00 | 405.15 | Radiology and Nuclear Medicine Services - Genera | 06/16/00 |
| 05/05/00 | 405.19 | Emergency Services - Staffing | 06/16/00 |
| 06/08/00 | 405.08 | Incident Reporting | |
| 06/14/00 | 405.04 | Medical Staff - Postgraduate Trainees | 08/31/00 |
| 06/14/00 | 405.06 | Quality Assurance Program - QA Committee | 08/31/00 |
| 06/27/00 | 405.08 | Incident Reporting | 08/14/00 |
| 06/27/00 | 405.04 | Medical Staff - Medical Staff Accountability | 08/25/00 |
| 06/27/00 | 405.06 | Quality Assurance Program | 08/25/00 |
| 06/27/00 | 405.08 | Incident Reporting | 08/25/00 |
| 06/27/00 | 405.13 | Anesthesia Services - Operation and Service Delivery | 08/25/00 |
| 07/11/00 | 405.06 | Quality Assurance Program | 08/14/00 |
| 07/19/00 | 405.02 | Governing Body | 09/13/00 |
| 09/13/00 | 405.04 | Medical Staff - Medical Staff Accountability | 09/13/00 |
| 07/19/00 | 405.10 | Medical Records - General Requirements | 09/13/00 |
| 07/19/00 | 405.15 | Radiology and Nuclear Medicine Services - General | 09/13/00 |