St. Luke's Memorial Hospital Center
PFI # 0599
Complaints:
| Complaint Information: | 1998 |
| Complaint Investigations Completed | 6 |
| Complaints with Statements of Deficiencies (SOD) Issued | 3 |
| % of Complaints with SODs Issued | 50% |
| Regional % of Complaints with SODs Issued: | 36.7% |
Areas Cited as a Result of Complaints:
| SOD Date | Regulatory Citation | Areas Cited as a Result of Complaints: | Date Plan of Correction Accepted |
| 4/17/98 | 405.2(a) | Governing Body Legally Responsible | 6/5/98 |
| 405.5(b) | Nursing Services Delivery of Services | ||
| 405.7(b) | Patients Rights Hospital Responsibilities | ||
| 405.10 | Medical Records | ||
| 4/23/98 | 405.6(a) | Quality Assurance QA Committee | 5/29/98 |
| 405.25(a) | Request for Consent to an Anatomical Gift Definitions | ||
| 405.28(a) | Social Services Screening | ||
| 8/19/98 | 405.5(b) | Nursing Services Delivery of Services | 8/19/98 |
Areas Cited as a Result of Surveys:
| Date of Survey | Type | Areas Cited as a Result of Complaints: | Date Plan of Correction Accepted | |
| 3/11/98 | Initial ESRD Cert | 405.2136(d) - Governing Body & Management Safe Sanitary Environment | 3/23/98 | |
| 405.2136(f) - Governing Body & Management Patient Care Policies | ||||
| 405.2140(b) - Physical Environment Functional & Sanitary Environment | ||||
| 405.2140(d) - Physical Environment Emergency Preparedness | ||||
| 6/9-10/98 | Medicare ESRD Recert & Article 28 | 400.21(d) - All Facilities - Advance Directives Policies & Procedures | 8/18/98 | |
| 405.10(b) - Medical Records Content | ||||
| 405.2137(a) - Patient Long Term Program & Patient Care Plan - Written Long-Term Plan | ||||
| 405.2138(e) - Patients Rights & Responsibilities Grievance Mechanism | ||||
| 405.2139(a) - Medical Records Care Plans | ||||
| 405.2140(b) - Physical Environment Functional & Sanitary |
Areas Cited as a Result of Incident Investigations:
| SOD Date | Regulatory Citation | Areas Cited as a Result of Complaints: | Date Plan of Correction Accepted |