Nassau County Medical Center

PFI #0528

Complaints:

Complaint Information: 1999
   
Complaint Investigations Completed 9
Complaints with Statements of Deficiencies (SOD) Issued 6
% of Complaints with SODs Issued 66%
Regional % of Complaints with SODs Issued: 51.9%

Areas Cited as a Result of Complaints:

SOD DATE Regulatory Citation Areas Cited as a Result of Complaints: Date Plan of Correction Accepted
1/26/99 405.24 Environmental Health (e) Housekeeping 4/22/99
1/25/99 405.4 Medical Staff

  1. Medical Staff Accountability

(f) Post Graduate Trainees

 5/13/99
  405.5 Nursing Services (b) Delivery of Services (e) Quality Assurance 5/13/99
  405.6 Quality Assurance Program (b) Activities of the QA Program 5/13/99
  405.7 Patients Rights

  1. Procedural Requirements
  2. Hospitals Responsibilities
5/13/99
  405.11 Infection Control (b) Control of Infectious & Communicable Diseases 5/13/99
  405.19 Emergency Services (b) Organization 5/13/99
1/25/99 405.2 Governing body

  • Compliance with Federal, State, and Local Laws
  • Chief executive officer
  • Medical staff
    		• 1/25/99
    6/30/99 405.2 Governing Body

    1. Organization and Operation
    2. Compliance with Federal, State and Local Laws
    		8/12/99
      405.3 Administration (a) Chief Executive Officer 8/12/99
      405.4 Medical Staff (a)Medical Staff Accountability 8/12/99
      405.5 Nursing Services

    1. Delivery of Services

    (e) Quality Assurance

    		8/12/99
      405.7 Patients Rights

    1. Procedural Requirements
    2. Hospitals Responsibilities
    		8/12/99
      405.10 Medical Records

    1. General Requirements
    2. Content
    		8/12/99
      405.19 Emergency Services (b) Organization 8/12/99
    2/10/99 405.5 Nursing services (b) Delivery of services 4/20/99
      405.7 Patients Rights (b) Hospitals Responsibilities 4/20/99
      405.9 Admission/discharge (f) Discharge 4/20/99
      405.17 Pharmaceutical services (a) Organization and direction 4/20/99
    1/25/99 405.2 Governing body

  • Compliance with Federal, State and local laws
  • Chief Executive Officer
  • Medical staff

    • (g) Physical plant

    		 4/28/99
    1/25/99 405.3 Administration (a) Chief Executive Office 4/28/99
    1/25/99 405.5 Nursing services

    1. Organization and staffing
    2. Delivery of services
    3. Administration of drugs

    (e) Quality assurance

    		 4/28/99
    1/25/99 405.6 Quality assurance program (b) Activities of the Quality Assurance Program 4/28/99
    1/25/99 405.7 Patients’ rights Hospital responsibilities 4/28/99
    1/25/99 405.11 Infection control (b) Control of infections 4/28/99
    1/25/99 405.17 Pharmaceutical services

    1. Organization and direction
    2. Operation and service delivery
    		 4/28/99
    1/25/99 711.2 Pertinent technical standards (a) (1) NFPA 101-1997 Life Safety Code 4/28/99

    Areas Cited as a Result of Surveys:

    Date of Survey Type Areas Cited as a Result of Complaints: Date Plan of Correction Accepted
    1/20/99- 1/25/99 Article 28 405.2 Governing body

    1. Compliance with Federal, State and local laws
    2. Chief Executive Officer
    3. Medical staff

    (g) Physical plant

    		 4/28/99
    1/20/99- 1/25/99 405.3 Administration (a) Chief Executive Office 4/28/99
    1/20/99- 1/25/99 405.5 Nursing services

    1. Organization and staffing
    2. Delivery of services
    3. Administration of drugs

    (e) Quality assurance

    		 4/28/99
    1/20/99- 1/25/99 405.6 Quality assurance program (b) Activities of the Quality Assurance Program 4/28/99
    1/20/99- 1/25/99 405.7 Patients’ rights Hospital responsibilities 4/28/99
    1/20/99- 1/25/99 405.11 Infection control (b) Control of infections 4/28/99
    1/20/99- 1/25/99 405.17 Pharmaceutical services

    1. Organization and direction
    2. Operation and service delivery
    		 4/28/99
    1/20/99- 1/25/99 711.2 Pertinent technical standards (a) (1) NFPA 101-1997 Life Safety Code 4/28/99
    2/17/99 405.2 Acticle 28 Focused Survey Governing body (e) Medical staff (f) Care of patients 4/28/99
      405.4 Medical staff (a) Medical staff accountability 4/28/99
      405.5 Nursing services (b) Delivery of services 4/28/99
      405.6 Quality assurance program 4/28/99
      405.7 Patients’ rights (b) Hospital responsibilities 4/28/99
      405.8 Incident reporting 4/28/99
      405.10 Medical records 4/28/99
      405.20 Outpatient services 4/28/99

    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