North Shore University Hospital @ Manhasset

PFI # 0541

Complaints:

Complaint Information: 1999
   
Complaint Investigations Completed 22
Complaints with Statements of Deficiencies (SOD) Issued 10
% of Complaints with SODs Issued 45 %
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
7/20/99 405.2 Governing body (f) Care of patients 11/20/99
  405.4 Medical staff (c) Medical staff bylaws 11/20/99
1/4/99 405.6 Quality assurance program (a)The governing body 7/12/99
  405.7 Patients rights (b) Hospital responsibilities 7/12/99
5/27/99 405.5 Nursing services (b) Delivery of services 7/14/99
  405.6 Quality assurance program (a) The governing body 7/14/99
  405.18 Rehabilitation services (a) Organization and staffing 7/14/99
5/14/99 405.5 Nursing services (b) Delivery of services 7/12/99
  405.6 Quality assurance program (b) Activities of the quality 7/12/99
  405.7 Patients’ rights (b) Hospital Responsibilities 7/12/99
5/13/99 405.4 Medical staff (f) Postgraduate trainees 9/17/99
  405.6 Quality assurance program (b) Quality assurance 9/17/99
  405.7 Patients rights (b) Hospital responsibilities 9/17/99
  405.16 Laboratory services (c) Personnel 9/17/99
4/28/99 405.7 Patients rights (b) Hospital responsibilities 7/12/99
6/14/99 405.4 Medical staff (a) Medical staff accountability 6/14/99
  405.5 Nursing services (b) Delivery of services 6/14/99
8/24/99 405.5 Nursing services (b) Delivery of services 8/24/99
  405.7 Patients’ rights (b) Hospital responsibilities 8/24/99
4/26/99 405.4 Medical staff (a) Medical staff accountability 7/14/99
  405.5 Nursing services (b) Delivery of services 7/14/99
  405.6 Quality assurance program (a) The governing body 7/14/99
  405.7 Patients’ rights (b) Hospital responsibilities 7/14/99
  405.9 Admission/discharge (f) Discharge 7/14/99
2/18/99 405.5 Nursing services (b) Delivery of services 2/18/99

Areas Cited as a Result of Surveys: Article 28

Date of Survey Type Areas Cited as a Result of Complaints: Date Plan of Correction Accepted
9/14/98 405.4 Medical staff
(a)Organization
(f) Postgraduate trainees
10/15/99
9/18/98 405.6 Quality assurance program 10/15/99

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