Nassau University Medical Center
PFI # 0528
Revised: 3/21/03
Complaints:
| Complaint Information: | 2002 |
| Complaint Investigations Completed: | 11 |
| Complaints with Statements of Deficiencies (SOD) issued: | 6 |
| % of Complaints with SODs Issued | 55% |
| Regional % of Complaints with SODs issued: | 53.9% |
Areas Cited:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |
| 6/25/02 | 405.7 | Patients’ rights (c) Patients' rights | 7/30/02 |
| 405.10 | Medical records (a) General requirements | ||
| 4/18/02 | 405.2 | Governing body (c) Compliance with Federal, State and local laws (f) Care of patients | 10/09/02 |
| 405.4 | Medical staff (a) Medical staff accountability | ||
| 405.5 | Nursing services (b) Delivery of services | ||
| 405.6 | Quality assurance program (a) Governing body | ||
| 405.7 | Patients’ rights (b) Hospital responsibilities | ||
| 405.9 | Admission/discharge (f) Discharge | ||
| 405.28 | Social services | ||
| 3/26/02 | 405.2 | Governing body (c) Compliance with Federal, State and local laws | 6/25/02 |
| 405.5 | Nursing services (b) Delivery of services (e) Quality assurance | ||
| 4/25/02 | Part 70 Regulated Medical Waste | 6/20/02 | |
| 70-1.3 | 70-1 Management of regulated medical waste | ||
| 70-3.4 | 70-3 Operational requirements for autoclaves used to treat regulated medical waste | ||
| Part 405 Hospitals-Minimum Standards | |||
| 405.24 | Environmental Health (e) Housekeeping | ||
| 7/10/01 | 405.2 | Governing Body (b) Organization and operation (e) Medical staff | 7/30/02 |
| 405.4 | Medical staff (a) Medical staff accountability | ||
| 405.6 | Quality assurance program (a) Governing body | ||
| 405.7 | Patients' rights (b) Hospital responsibilities | ||
| 405.16 | Laboratory services (a) Clinical laboratory services | ||
| 405.28 | Social services | ||
| 11/14/01 | 405.2 | Governing Body (a) Compliance with Federal, State and local laws | 8/07/02 |
| 405.7 | Patients' rights (a) Procedural requirements | ||
| 405.19 | Emergency services (b) Organization |
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 |