Little Falls Hospital
PFI #0362
Complaints:
| Complaint Information: | 1999 |
| Complaint Investigations Completed | 0 |
| Complaints with Statements of Deficiencies (SOD) Issued | 0 |
| % of Complaints with SODs Issued | 0% |
| Regional % of Complaints with SODs Issued: | 36.5% |
Areas Cited as a Result of Complaints:
| SOD Date | Regulatory Citation | Areas Cited as a Result of Complaints: | Date Plan of Correction Accepted |
Areas Cited as a Result of Surveys:
| Date of Survey | Type | Areas Cited as a Result of Complaints: | Date Plan of Correction Accepted |
| 3/2-3/99 | Validation | 482.12(a) - Governing Body – Medical Staff | 7/1/99 |
| 482.21 - Basic Hospital Functions - Quality Assurance | |||
| 482.22(c) - Basic Hospital Functions - Medical Staff Bylaws | |||
| 482.23(c) - Nursing Services – Preparation and Administration of Drugs | |||
| 482.24(c) - Medical Record Services – Content of Record | |||
| 482.41(a) - Physical Environment - Buildings | |||
| 482.51(a) - Surgical Services – Organization and Staffing | |||
| 482.51(b) - Surgical Services – Delivery of Service | |||
| 482.55(a) - Optional Hospital Services - Emergency Services – Organization & Direction | |||
| 482.57(b) - Respiratory Care Services – Delivery of Service | |||
| NFPA 101 - Life Safety Code Standard | |||
| 7/28/99 & 8/25/99 | Article 28 Focused | 405.2(f) - Governing Body – Care of Patients | 1/24/00 |
| 405.6 - Quality Assurance | |||
Areas Cited as a Result of Incident Investigations:
| SOD Date | Regulatory Citation | Areas Cited as a Result of Complaints: | Date Plan of Correction Accepted |
| 2/26/99 | 405.2(e) | Governing Body – Medical Staff | 5/3/99 |
| 405.2(f) | Governing Body – Care of Patients | ||
| 405.4(a) | Medical Staff – Medical Staff Accountability | ||
| 405.5(b) | Nursing Services – Delivery of Services | ||
| 405.6 | Quality Assurance – QA Committee | ||
| 405.12(a) | Surgical Services – Organization & Direction | ||
| 405.12(b)) | Surgical Services – Operation/Service Delivery | ||
| 405.13(b) | Anesthesia Services – Operation/Service Delivery | ||