Hospital Complaint and Survey Information - 2003

Faxton - St. Luke's Healthcare — Faxton Division

PFI # 0597

Revised: 2/04

Complaint Information:

Calendar Year: 2003
Complaint Investigations Completed: 0
Complaints with Statements of Deficiencies (SOD) issued: 0
% of Complaints with SODs Issued 0%
Regional % of Complaints with SODs issued: 38.9%

Areas Cited

SOD Date Regulatory Citation Areas Cited Date Plan of Correction Accepted
none

Areas Cited as a Result of Surveys:

Date of Survey Type Areas Cited Date Plan of Correction Accepted
3/7/2003 Article 28 Focused 405.2(b) - Governing Body - Organization & Operation 8/29/2003
    405.2(f) - Governing Body - Care of Patients  
    405.3(d) - Administration - Records and Reports  
    405.4(a) - Medical Staff - Medical Staff Accountability  
    405.6 - Quality Assurance  
    405.7(b) - Patients' Rights - Hospital Responsibilities  
    405.10(b) - Medical Records - Content  
    405.12 - Surgical Services  
    405.12(b) - Surgical Services - Operation & Service Delivery  
10/21/03 Article 28 Focus — Stipulation & Order 1st Followup None  

Areas Cited as a Result of Incident Investigations:

SOD Date Regulatory Citation Areas Cited Date Plan of Correction Accepted
none