St. Joseph's Hospital Health Center

PFI # 0630

Complaints:

Complaint Information: 1998
   
Complaint Investigations Completed 18
Complaints with Statements of Deficiencies (SOD) Issued 7
% of Complaints with SODs Issued 39%
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
4/17/98 405.5(b) Nursing Services – Delivery of Services 4/17/98 *
  405.2(f) Governing Body – Care of Patients  
  405.6(a) Quality Assurance - QA Committee  
  405.7(b) Patients’ Rights – Hospital Responsibilities  
  405.9(f) Admission/Discharge – Discharge  
8/4/98 405.5(b) Nursing Services – Delivery of Services 8/24/98
  405.6(a) Quality Assurance - QA Committee  
  405.7(b) Patients’ Rights – Hospital Responsibilities  
  405.10(b) Medical Records – Content  
8/7/98 405.7(b) Patients’ Rights – Hospital Responsibilities 10/22/98
8/31/98 405.5(c) Nursing Services – Administration of Drugs 2/25/99
  405.6(a) Quality Assurance - QA Committee  
9/30/98 405.4(f) Medical Staff – Postgraduate Trainee 9/30/98 *
  405.5(b) Nursing Services – Delivery of Services  
10/8/98 405.9(f) Admission/Discharge – Discharge 10/8/98 *

* No POC Required

Areas Cited as a Result of Surveys:

Date of Survey Type Areas Cited as a Result of Complaints: Date Plan of Correction Accepted
5/18/98 Initial ESRD 405.2140 - Physical Environment 6/16/98
       
       
       
       

Areas Cited as a Result of Incident Investigations:

SOD Date Regulatory Citation Areas Cited as a Result of Complaints: Date Plan of Correction Accepted