Nassau County Medical Center
PFI # 0528
Complaints:
| Complaint Information: | 1998 |
| Complaint Investigations Completed | 12 |
| Complaints with Statements of Deficiencies (SOD) Issued | 7 |
| % of Complaints with SODs Issued | 58% |
| Regional % of Complaints with SODs Issued: | 55.6% |
Areas Cited as a Result of Complaints:
| SOD DATE | Regulatory Citation | Areas Cited as a Result of Complaints: | Date Plan of Correction Accepted |
| 01/24/99 | 405.10 | Medical Records Gen. Requirements | 03/24/1999 |
| 01/24/99 | 405.15 | Radiologic & Nuclear Medicine Services Gen. Provisions / Records | 03/24/1999 |
| 01/25/99 | 405.2 | Governing Body Compliance with Federal, State and local laws | |
| 01/25/99 | 405.2 | Governing Body Chief Officer | |
| 01/25/99 | 405.2 | Governing Body Medical Staff | |
| 01/25/99 | 405.2 | Governing Body Physical Plant | |
| 01/25/99 | 405.3 | Administration Chief exec officer | |
| 01/25/99 | 405.5 | Nursing Services Organization and staffing | |
| 01/25/99 | 405.5 | Nursing Services Del. Of Services | |
| 01/25/99 | 405.5 | Nursing Services Administration of Drugs | |
| 01/25/99 | 405.5 | Nursing Services Quality Assurance | |
| 01/25/99 | 405.6 | Quality Assurance Program Activities of QA Program | |
| 01/25/99 | 405.7 | Patients Rights Hosp. Responsibility | |
| 01/25/99 | 405.11 | Infection Control Control of Infections | |
| 01/25/99 | 405.17 | Pharmaceutical Services Organization and Direction | |
| 01/25/99 | 405.17 | Pharmaceutical Services Operation and service delivery | |
| 01/25/99 | 711.2 | Pertinent technical standards Life Safety Code | |
| 01/25/99 | 711.2 | Pertinent technical standards Exit Passageways. (Repeat deficiency) | |
| 01/25/99 | 711.2 | Pertinent technical standards Arrangement of Means of Egress (repeat deficiency) | |
| 01/25/99 | 711.2 | Pertinent technical standards Vertical Openings | |
| 01/25/99 | 711.2 | Pertinent technical standards Hazardous Areas ( repeat deficiency) | |
| 01/25/99 | 711.2 | Pertinent technical standards Extinguishment Requirements (repeat deficiency) | |
| 01/25/99 | 711.2 | Pertinent technical standards Corridors (repeat deficiency) | |
| 01/25/99 | 711.2 | Pertinent technical standards Corridor doors. (repeat deficiency) | |
| 01/25/99 | 711.2 | Pertinent technical standards Subdivision of Building Spaces (repeat deficiencies) | |
| 01/25/99 | 711.2 | Pertinent technical standards Building Services (repeat deficiencies) | |
| 01/25/99 | 711.2 | Pertinent technical standards Operating Features (repeat deficiencies) | |
| 10/14/98 | 405.5 | Nursing Services Del. Of Services | 12/14/1998 |
| 10/14/98 | 405.7 | Patients Rights Hosp. Responsibility | 12/14/1998 |
| 10/14/98 | 405.8 | Incident Reporting Incidents to be Reported | 12/14/1998 |
| 10/14/98 | 405.10 | Medical Records Gen. Requirements | 12/14/1998 |
| 10/14/98 | 405.19 | Emergency Services Patient Care | 12/14/1998 |
| 02/10/99 | 405.5 | Nursing Services Del. Of Services | 04/20/1999 |
| 02/10/99 | 405.7 | Patients Rights Hosp. Responsibility | 04/20/1999 |
| 02/10/99 | 405.9 | Admission/Discharge Discharge | 04/20/1999 |
| 02/10/99 | 405.17 | Pharmaceutical Services | 04/20/1999 |
| 08/18/98 | 405.7 | Patients Rights Hosp. Responsibility | 10/19/1998 |
| 08/18/98 | 405.19 | Emergency Services Patient Care | 10/19/1998 |
| 07/15/98 | 405.10 | Medical Records Gen. Requirements | N/A |
| 06/29/98 | 405.6 | Quality Assurance Program Activities of Quality Assurance Committee | 09/10/1998 |
| 06/29/98 | 405.7 | Patients Rights Hosp. Responsibility | 09/10/1998 |
| 06/29/98 | 405.10 | Medical Records Gen. Requirements | 09/10/1998 |
| 06/29/98 | 405.19 | Emergency Services Patient Care | 09/10/1998 |
| 06/29/98 | 405.19 | Emergency Services Quality Assurance | 09/10/1998 |
Areas Cited as a Result of Surveys:
| Date of Survey | Type | Areas Cited as a Result of Complaints: | Date Plan of Correction Accepted |
| 08/10/98 | 405.4 | Medical Staff - Accountibility | |
| 08/10/98 | 405.2 | Governing Body Organization and Operation | |
| 08/10/98 | 405.5 | Nursing Services Del. Of Services | |
| 08/10/98 | 405.5 | Nursing Services Administration of Drugs | |
| 08/10/98 | 405.5 | Nursing Services Quality Assurance | |
| 08/10/98 | 405.6 | Quality Assurance Program | |
| 08/10/98 | 405.7 | Patients Rights Procedural Requirements | |
| 08/10/98 | 405.7 | Patients Rights Hosp. Responsibility | |
| 08/10/98 | 405.10 | Medical Records Gen. Requirements | |
| 08/10/98 | 405.11 | Infection Control Control of Infections and Communicable Disease | |
| 08/10/98 | 405.24 | Environmental Health Housekeeping | |
| 08/10/98 | 711.2 | Pertinent Technical Standards Maintenance / Life Safety Code | |
| 08/10/98 | 757.2 | Chronic Renal Dialysis Services General Requirements | |
Most Recent Routine Survey Date:
Areas Cited as a Result of Incident Investigations:
| SOD Date | Regulatory Citation | Areas Cited as a Result of Complaints: | Date Plan of Correction Accepted |