Hospital Name: SHEEHAN MEMORIAL HOSPITAL
PFI # 0211
Complaints:
| Complaint Information: | 2002 |
| Complaint Investigations Completed | 3 |
| Complaints with Statements of Deficiencies (SOD) Issued | 1 |
| % of Complaints with SODs Issued | 33% |
| Regional % of Complaints with SODs Issued | 42.3% |
Areas Cited:
| SOD Date | Regulatory Citation | Areas Cited | Date Plan of Correction Accepted |
| 9/20/2002 | 405.4 | Medical Staff Medical Staff Accountability | 1/24/03 |
| 9/20/2002 | 405.20 | Outpatient Services General Requirements | 1/24/03 |
Areas Cited as a Result of
Surveys:
| DATE OF SURVEY | TYPE | AREAS CITED | DATE PLAN OF CORRECTION ACCEPTED |
| 8/28/2002 | Article 28 | 406.6 - Quality Assurance | 2/5/03 |
| 8/28/2002 | Article 28 | 405.2 - Governing Body Organization and Operation | 2/5/03 |
| 8/28/2002 | Article 28 | 405.2 - Governing Body Compliance with Federal, State and Local Laws | 2/5/03 |
| 8/28/2002 | Article 28 | 405.3 – Administration Plans of Correction | 2/5/03 |
| 8/28/2002 | Article 28 | 405.2 - Governing Body Medical Staff | 2/5/03 |
| 8/28/2002 | Article 28 | 405.2 - Governing Body Care of Patients | 2/5/03 |
| 8/28/2002 | Article 28 | 405.3 – Administration Other Reporting Requirements | 2/5/03 |
| 8/28/2002 | Article 28 | 405.4 - Medical Staff Medical Staff Accountability | 2/5/03 |
| 8/28/2002 | Article 28 | 405.5 - Nursing Services | 2/5/03 |
| 8/28/2002 | Article 28 | 405.2 - Governing Body Legally Responsible | 2/5/03 |
| 8/28/2002 | Article 28 | 405.5 - Nursing Services Quality Assurance | 2/5/03 |
| 8/28/2002 | Article 28 | 405.6 - Quality Assurance Program QA Committee | 2/5/03 |
| 8/28/02 | Article | 405.7 – Patient Rights – Hospital Responsibilities | 2/5/03 |
| 8/28/2002 | Article 28 | 405.19 - Emergency Services | 2/5/03 |
| 8/28/2002 | Article 28 | 405.19 - Emergency Services General Policies and Procedures | 2/5/03 |
| 8/28/2002 | Article 28 | 405.19 - Emergency Services Patient Care | 2/5/03 |
| 8/28/2002 | Article 28 | 405.19 - Emergency Services Quality | 2/5/03 |
| 8/28/2002 | Article 28 | 405.5 - Nursing Services Delivery of Services | 2/5/03 |
| 10/18/2002 | Article 28 | 405.7 - Patients Rights Hospital Responsibilities | |
| 10/18/2002 | Article 28 | 405.4 - Medical Staff Medical Staff Accountability | |
| 10/18/2002 | Article 28 | 405.6 - Quality Assurance Program |
Most Recent Survey
INCIDENTS
Areas Cited:
| SOD Date | Regulatory Citation | Areas Cited | Date Plan of Correction Accepted |
| 10/17/2002 | 405.6 | Quality assurance program | 2/5/03 |
| 10/17/2002 | 405.5 | Nursing Services Delivery of Services | 2/5/03 |
| 10/17/2002 | 405.2 | Governing Body Care of Patients | 2/5/03 |
| 8/22/2002 | 405.8 | Incident Reporting | 2/5/03 |
| 8/22/2002 | 405.8 | Incident Reporting | 2/5/03 |
| 8/22/2002 | 405.8 | Incident Reporting | 2/5/03 |
| 8/22/2002 | 405.6 | Quality Assurance Program QA Committee | 2/5/03 |
| 8/22/2002 | 405.6 | Quality Assurance | 2/5/03 |
| 8/22/2002 | 405.6 | Quality Assurance | 2/5/03 |
| 8/22/2002 | 405.5 | Nursing Services Delivery of Services | 2/5/03 |
| 8/22/2002 | 405.5 | Nursing Services Delivery of Services | 2/5/03 |
| 8/22/2002 | 405.5 | Nursing Services Delivery of Services | 2/5/03 |
| 8/22/2002 | 405.5 | Nursing Services Delivery of Services | 2/5/03 |
| 8/22/2002 | 405.5 | Nursing Services Delivery of Services | 2/5/03 |
| 8/22/2002 | 405.5 | Nursing Services Administration of Drugs | 2/5/03 |
| 8/22/2002 | 405.5 | Nursing Services Delivery of Services | 2/5/03 |
| 8/22/2002 | 405.3 | Administration Other Reporting Requirements | 2/5/03 |
| 8/22/2002 | 405.3 | Administration | 2/5/03 |
| 8/22/2002 | 405.2 | Governing Body Care of Patients | 2/5/03 |
| 8/22/2002 | 405.2 | Governing Body Care of Patients | 2/5/03 |
| 6/26/2002 | 405.6 | Quality Assurance | |
| 6/26/2002 | 405.6 | Quality Assurance | |
| 5/2/2002 | 405.8 | Incident Reporting | 5/20/02 |
| 5/2/2002 | 405.6 | Quality Assurance QA Committee | 5/20/02 |
| 5/2/2002 | 405.2 | Governing Body Care of of Patients | 5/20/02 |
| 4/15/2002 | 405.8 | Incident Reporting |