Hospital Complaint and Survey Information - 2003
St. Elizabeth Medical Center
PFI # 0598
Revised: 2/04
Complaint Information:
| Calendar Year: | 2003 |
|---|---|
| Complaint Investigations Completed: | 5 |
| Complaints with Statements of Deficiencies (SOD) issued: | 3 |
| % of Complaints with SODs Issued | 60% |
| Regional % of Complaints with SODs issued: | 38.9% |
Areas Cited
| SOD Date | Regulatory Citation | Areas Cited | Date Plan of Correction Accepted |
|---|---|---|---|
| 2/27/2003 | 405.5(b) | Nursing Services - Delivery of Services | 5/8/2003 |
| 405.6(a) | Quality Assurance | ||
| 405.8(a) | Incident Reporting | ||
| 405.12(b) | Surgical Services - Operation & Service Delivery | ||
| 8/11/2003 | 405.2(f) | Governing Body - Care of Patients | No POC Required |
| 405.5(b) | Nursing Services - Delivery of Services | ||
| 405.8(a) | Incident Reporting | ||
| 09/29/2003 | 405.5(c) | Nursing Services - Administration of Drugs | No POC Required |
| 405.11(b) | Infection Control - Nosocomial Surveillance, Prevention and Control |
Areas Cited as a Result of Surveys:
| Date of Survey | Type | Areas Cited | Date Plan of Correction Accepted |
|---|---|---|---|
| 2/5/2003 | Annual Compliance Review - Resident Work Hours | None |
Areas Cited as a Result of Incident Investigations:
| SOD Date | Regulatory Citation | Areas Cited | Date Plan of Correction Accepted |
|---|---|---|---|
| none | |||
