Hospital Complaint and Survey Information - 2003

John T. Mather Memorial Hospital

PFI # 0895

Revised: 4/04

Complaint Information:

Calendar Year: 2003
Complaint Investigations Completed: 6
Complaints with Statements of Deficiencies (SOD) issued: 2
% of Complaints with SODs Issued 33%
Regional % of Complaints with SODs issued: 49.2%

Areas Cited

SOD Date Regulatory Citation Areas Cited Date Plan of Correction Accepted
7/17/03 405.4 Medical staff
(a) Medical staff accountability
9/19/03
  405.6 Quality assurance program
(b) Activities
 
  405.7 Patients’ right
(b) (3) Hospital responsibilities
(b) (23) Hospital responsibilities
 
6/30/03 405.5 Nursing services
(b) Delivery of services
8/14/03

Areas Cited as a Result of Surveys:

Date of Survey Type Areas Cited Date Plan of Correction Accepted
none

Most Recent Survey Date:

Areas Cited as a Result of Incident Investigations:

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