St. Elizabeth Medical Center

PFI #0598

Complaints:

Complaint Information: 1999
   
Complaint Investigations Completed 6
Complaints with Statements of Deficiencies (SOD) Issued 5
% of Complaints with SODs Issued 83%
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
3/8/99 400.21(d) All Facilities - Advance Directives – Policies & Procedures 4/2/99
  405.2(b) Governing Body – Organization & Operation  
  405.2(f) Governing Body – Care of Patients  
  405.4(a) Medical Staff – Medical Staff Accountability  
  405.4(c) Medical Staff – Medical Staff Bylaws  
  405.5(b) Nursing Services – Delivery of Services  
  405.6 Quality Assurance  
  405.19(e) Emergency Services – Patient Care  
  405.43(a) Orders Not to Resuscitate - Policies & Procedures  
4/7/99 405.2(f) Governing Body – Care of Patients 5/10/99
  405.6 Quality Assurance  
8/5/99 400.21(d) All Facilities - Advance Directives – Policies & Procedures 9/20/99
  405.5(b) Nursing Services – Delivery of Services  
  405.6(b) Quality Assurance  
  405.14(b) Respiratory Care Services - Operation/Service Delivery  
9/15/99 405.6 Quality Assurance 10/20/99
  405.7(b) Patients’ Rights – Hospital Responsibilities  
12/6/99 405.2(f) Governing Body – Care of Patients 1/14/00
  405.4(a) Medical Staff – Medical Staff Accountability  
  405.5(b) Nursing Services – Delivery of Services  
  405.6 Quality Assurance  
  405.14(c) Respiratory Care Services – Operation & Delivery  
       
       
       

Areas Cited as a Result of Surveys:

Date of Survey Type Areas Cited as a Result of Complaints: Date Plan of Correction Accepted
       
       

Most Recent Routine Survey Date: 10/15/98

Areas Cited as a Result of Incident Investigations:

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