North Shore University Hospital @ Manhasset

PFI # 0541

Complaints:

Complaint Information: 1998
   
Complaint Investigations Completed 20
Complaints with Statements of Deficiencies (SOD) Issued 13
% of Complaints with SODs Issued 65%
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
01/04/99 405.6 Quality Assurance Program – Governing Body  
01/04/99 405.7 Patient’s Rights – Hosp. Responsibility  
11/11/98 405.7 Patient’s Rights – Hosp. Responsibility  
04/29/99 405.4 Medical Staff – Accountability 07/14/1999
04/29/99 405.5 Nursing Services – Del Of Services 07/14/1999
04/29/99 405.6 Quality Assurance Program – Governing Body` 07/14/1999
04/29/99 405.7 Patient’s Right’s – Hosp. Respsibility 07/14/1999
04/29/99 405.9 Admission / Discharge – Discharge 07/14/1999
04/29/99 405.23 Food & Dietetic Services – Organization 07/14/1999
12/01/98 405.7 Patient’s Rights – Hosp. Respobsibility 02/10/1999
12/01/98 405.10 Medical Records – Coontent 02/10/1999
02/18/99 405.5 Nursing Services – Del. Of Services N/A
07/03/98 405.7 Patient’s Rights – Hosp. Responsibility N/A
07/03/98 405.16 Laboratory Services – Personnel N/A
05/13/98 405.4 Medical Staff – Postgraduate Trainees 04/20/1999
05/13/98 405.12 Surgical Services 04/20/1999
07/14/98 405.7 Patient’s Rights – Hosp. Responsibility N/A
05/26/98 405.4 Medical Staff – Accountibility 11/20/1998
05/26/98 405.5 Nursing Services – Del of Services 11/20/1998
05/26/98 405.7 Patient’s Rights – Hosp. Responsibility 11/20/1998
05/26/98 405.8 Incident Reporting 11/20/1998
05/26/98 405.10 Medical Records – Content 11/20/1998
05/26/98 405.4 Medical Staff – Accountability 08/27/1998
05/26/98 405.5 Nursing Services – Del. Of Services 08/27/1998
05/26/98 405.7 Patient’s Rights – Hosp. Responsibility 08/27/1998
05/26/98 405.8 Incident Reporting 08/27/1998
05/26/98 405.10 Medical Records – Content 08/27/1998
03/25/98 405.4 Medical Staff – Accountability  
03/25/98 405.5 Nursing Services – Del. Of Services  
03/25/98 405.7 Patient’s Rights – Hosp. Responsibility  
03/25/98 405.19 Emergency Services – Organization  
06/05/98 405.7 Patient’s Rights – Hosp. Responsibility  
05/27/99 405.5 Nursing Services – Del. Of Services  
05/27/99 405.5 Nursing Services – Hosp. Policy  
05/27/99 405.6 Quality Assurance Program – Governing Body  
05/27/99 405.18 Rehab. Services – Organization and Staffing  
       

Areas Cited as a Result of Surveys:

Date of Survey Type Areas Cited as a Result of Complaints: Date Plan of Correction Accepted
09/14/98 405.4 Medical Staff – Organization 03/24/1999
08/14/98 405.4 Medical Staff – Postgraduate Trainees 03/24/1999
08/14/98 405.6 Quality Assurance Program 03/24/1999
     
       
       
       
       

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