Hospital Complaint and Survey Information - 2003

Hudson Valley Hospital Center

PFI # 1039

Revised: June 2004

Complaint Information:

Calendar Year: 2003
Complaint Investigations Completed: 7
Complaints with Statements of Deficiencies (SOD) issued: 3
% of Complaints with SODs Issued 43%
Regional % of Complaints with SODs issued: 24.5%

Areas Cited as a Result of Complaint Investigations:

SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted
1/9/03 405.5(b)(2) Nursing Services-Delivery of Services 2/25/03
1/9/03 405.9(f)(1) Admission/Discharge 2/25/03
4/25/03 405.2(f)(1) Governing Body-Care of patients Pending
4/25/03 405.4(a)(1)(i) Medical Staff-Medical Staff accountability Pending
4/25/03 405.5 Nursing Services Pending
4/25/03 405.5(b)(1)(i)(b)(3)(b)(4) Nursing Services-Delivery of Services Pending
4/25/03 405.7(b)(9) Patients' Rights-Hospital responsibilities Pending
4/25/03 405.10(c)(1) Medical Records-Authentication Pending
7/3/03 405.5(a)(1) Nursing Services-Organization and Staffing
Pending
7/3/03 405.5(b)(4) Nursing Services-Delivery of Services Pending
7/3/03 405.11(b)(iii) Infection Control Pending
7/3/03 405.19(e)(1)(e)(2) Emergency Services-Patient Care Pending

Areas Cited as a Result of Surveys:

Date of Survey Type Areas Cited: Date Plan of Correction Accepted
7/3/03 Article 28 Focused 405.2(b)(2) Governing Body-Organization and operation Pending
7/3/03 Article 28 Focused 405.7(b)(12) Patients Rights-Hospital responsibilities Pending

Most Recent Survey Date:

Areas Cited as a Result of Incident Investigations:

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