John T. Mather Memorial Hospital

PFI # 0895

Revised: 3/21/03

Complaints:

Complaint Information: 2002
Complaint Investigations Completed: 9
Complaints with Statements of Deficiencies (SOD) issued: 5
% of Complaints with SODs Issued 56%
Regional % of Complaints with SODs issued: 53.9%

Areas Cited:

SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted
5/24/02 405.5 Nursing services (b) Delivery of services (e) Quality assurance 11/15/02
  405.7 Patients’ rights (b) Hospital responsibilities  
4/15/02 405.5 Nursing services (e) Quality assurance 5/22/02
  405.7 Patients’ rights (b) Hospital responsibilities  
5/24/02 405.4 Medical staff (a) Medical staff accountability 9/24/02
  405.5 Nursing services (b) Delivery of services (e) Quality assurance  
  405.7 Patients’ rights (b) Hospital responsibilities  
  405.15 Radiologic and nuclear medicine (a) General provisions  
9/18/02 405.4 Medical staff (e) General standards 11/15/02
  405.7 Patients’ rights (b) Hospital responsibilities  
  405.19 Emergency services (b) Organization (e) Patient care  
3/21/02 405.5 Nursing services (b) Delivery of services 5/16/02
  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
       

Most Recent Survey Date:

Areas Cited as a Result of Incident Investigations:

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