Franklin Hospital Medical Center

PFI # 0518

Revised: 3/21/03

Complaints:

Complaint Information: 2002
Complaint Investigations Completed: 13
Complaints with Statements of Deficiencies (SOD) issued: 8
% of Complaints with SODs Issued 62%
Regional % of Complaints with SODs issued: 53.9%

Areas Cited:

SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted
11/5/02 405.7 Patients’ rights (b)Hospital responsibilities NO POC REQUIRED
  405.19 Emergency services (e) Patient care  
11/18/02 405.7 Patients’ rights (b)Hospital responsibilities NO POC REQUIRED
  405.12 Surgical services (a) Organization and direction  
4/12/02 405.7 Patients’ rights (b)Hospital responsibilities 6/07/02
4/22/02 405.7 Patients’ rights (b)Hospital responsibilities 6/04/02
  405.19 Emergency services (e) Patient care  
4/03/02 405.5 Nursing services (b) Delivery of services NO POC REQUIRED
  405.7 Patients’ rights (b)Hospital responsibilities  
  405.23 Food and dietetic services (a) General  
1/24/02 405.6 Quality Assurance Program 2/20/02
  405.7 Patients’ rights (b)Hospital responsibilities  
  Part 405 Hospital-Minimum Standards  
  405.24 Environmental health

  1. Building and grounds(1)
  2. Life safety from fire(1)
 
  711.4 General structural, equipment and safety standards for existing hospital

  • Psychiatric unit
  • (z) Details and finishes(9)

     
      711.2 Pertinent technical standards (a) (1) NFPA 101-1997 Life safety code  
    6/26/02 405.6 Quality assurance program (b) activities of the quality assurance committee 9/24/02
      405.7 Patients rights (b) Hospital responsibilities  
      405.19 Emergency services (b) Organization  
    9/17/02 405.5 Nursing services (b) Delivery of services 11/15/02
      405.7 Patients rights (b) Hospital responsibilities  

    Areas Cited as a Result of Surveys:

    Date of Survey Type Areas Cited: Date Plan of Correction Accepted
    1/29/02 Resident Work Hours 405.4 Medical staff (b) Organization 5/20/02

    Most Recent Survey Date:

    Areas Cited as a Result of Incident Investigations:

    SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted