St. Peter’s Hospital
PFI # 0005
Revised: Month Year
Complaints:
| Complaint Information: | 2000 |
| Complaint Investigations Completed: | 21 |
| Complaints with Statements of Deficiencies (SOD) issued: | 6 |
| % of Complaints with SODs Issued | 29% |
| Regional % of Complaints with SODs issued: | 20.1% |
Areas Cited:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |
| 2/29/00 | 405.5 | Nursing Services | 8/31/00 |
| 2/29/00 | 405.23 | Food & Dietetic Services | 8/31/00 |
| 5/8/00 | 405.2 | Governing Body | 5/23/00 |
| 5/25/00 | 405.2 | Governing Body | 6/12/00 |
| 5/25/00 | 405.5 | Nursing Services | 6/12/00 |
| 10/18/00 | 405.2 | Governing Body | No POC Required |
| 11/6/00 | 405.4 | Medical Staff | No POC Required |
| 11/8/00 | 405.2 | Governing Body | 11/29/00 |
| 11/8/00 | 405.6 | Quality Assurance | 11/29/00 |
Areas Cited as a Result of Surveys:
| Date of Survey | Type | Areas Cited: | Date Plan of Correction Accepted |
Most Recent Survey Date:
Areas Cited as a Result of Incident Investigations:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |