Woman’s Christian Association
PFI # 0103
Revised: May 1999
Complaints:
| Complaint Information: | 1998 |
| Complaint Investigations Completed | 5 |
| Complaints with Statements of Deficiencies (SOD) Issued | 3 |
| % of Complaints with SODs Issued | 60% |
| Regional % of Complaints with SODs Issued: | 33.9 % |
Areas Cited:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |
| 2/6/98 | 405.24 |
Environmental Health -Housekeeping | 3/4/98 |
| 1/12/98 | 405.6 |
Quality Assurance -QA Committee | 2/23/98 |
405.19 |
Emergency Services -Patient Care | 2/23/98 |
Areas Cited as a Result of Surveys:
| Date of Survey | Type | Areas Cited: | Date Plan of Correction Accepted |
| 5/6/98 - 5/7/98 | Article 28 Focus QA |
702.4 - Infection Control | 7/27/98 |
Article 28 Focus QA |
712.19 - Renal Dialysis Unit -Patient Areas | 7/27/98 |
|
Article 28 Focus QA |
405.17 - Pharmaceutical Services | 7/27/98 |
|
Article 28 Focus QA |
405.10 - Medical Records | 7/27/98 |
|
Article 28 Focus QA |
405.5 - Nursing Services -Delivery of Services | 7/27/98 |
|
Article 28 Focus QA |
405.5 - Nursing Services -Delivery of Services |
7/27/98 |
|
Article 28 Focus QA |
405.5 - Nursing Services -Organization & Staffing |
7/27/98 |
|
Article 28 Focus QA |
405.6 - Quality Assurance -QA Committee |
7/27/98 |
|
Article 28 Focus QA |
405.2 - Governing Body -Care of Patients |
7/27/98 |
|
Article 28 Focus QA |
405.2 - Governing Body - Medical Staff |
7/27/98 |
|
Article 28 Focus QA |
405.2 - Governing Body -Organization & Operation |
7/27/98 |
Areas Cited as a Result of Incident Investigations:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |