Brookhaven Hospital
PFI # 0885
Revised: 3/02
Complaints:
| Complaint Information: | 2001 |
| Complaint Investigations Completed: | 15 |
| Complaints with Statements of Deficiencies (SOD) issued: | 9 |
| % of Complaints with SODs Issued | 60% |
| Regional % of Complaints with SODs issued: | 54.3% |
Areas Cited:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |
| 6/05/01 | 405.19 | Emergency services (e) Patient care | 9/10/01 |
| 7/01/01 | 405.4 | Medical staff (a) Medical staff accountability | 3/21/02 |
| 405.5 | Nursing services (b) Delivery of care | ||
| 6/11/01 | 405.5 | Nursing services (b) Delivery of care | 8/21/01 |
| 405.7 | Patients rights (a) Procedural requirements | ||
| 405.10 | Medical records (b) Content | ||
| 3/09/01 | 405.7 | Patients rights (a) Procedural requirements | 9/10/01 |
| 405.10 | Medical records (b) Content | ||
| 405.19 | Emergency services (e) Patient care | ||
| 7/11/01 | 405.7 | Patients rights (a) Procedural requirements | 8/21/01 |
| 11/23/01 | 405.4 | Medical staff (a) Medical staff accountability | 11/19/01 |
| 10/10/01 | 405.7 | Patients rights (a) Procedural requirements | 2/28/02 |
| 405.9 | Admissions/discharge (g) Hospital inpatient discharge review program | ||
| 10/06/00 | 405.4 | Medical staff (a) Medical staff accountability (c) Medical staff bylaws | No POC Needed |
| 4/20/01 | 405.2 | Governing body (c) Compliance with Federal, State, and local laws (d) Chief executive officer | 7/26/01 |
| 405.3 | Administration (a) Chief executive officer | ||
| 405.4 | Medical staff (i) Autopsies | ||
| 405.5 | Nursing services (b) Delivery of services (e) Quality assurance | ||
| 405.6 | Quality assurance program (b) Activities of the quality assurance program | ||
| 405.7 | Patients’ rights (b) Hospital responsibilities | ||
| 405.10 | Medical records (b) Content | ||
| 405.19 | Emergency services (e) Patient care (f) Quality assurance |
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 |