Auburn Memorial Hospital

PFI # 0085

Complaints:

Complaint Information: 2000
   
Complaint Investigations Completed 2
Complaints with Statements of Deficiencies (SOD) Issued 0
% of Complaints with SODs Issued 0%
Regional % of Complaints with SODs issued: 30.6%

Areas Cited:

SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted
       
       
       
       

Surveys:

Date of Survey Type Areas Cited: Date Plan of Correction Accepted
6/20-22/00 Validation 482.12(a) - Governing Body – Medical Staff No POC Required
    482.21(a) - Quality Assurance  
    482.22(a) - Composition Medical Staff  
    482.22(c) - Medical Staff Bylaws  
    482.24(b) - Medical Record Services – Form and Retention of Record  
    482.24(c) - Medical Record Services – Content of Record  
    482.25(a) - Pharmaceutical Services – Pharmacy Management and Administration  
    482.25(b) - Pharmaceutical Services – Delivery of Services  
    482.26(a) - Radiologic Services - Radiologic Services  
    482.27(c) - Laboratory Services – Potentially Infectious Blood and Blood Products  
    482.28(b) - Food and Dietetic Services – Diets  
    482.41(c) - Physical Environment – Facilities  
    482.42(a) - Infection Control – Organization and Policies  
    482.43(a) - Discharge Planning – Identification of Patients in Need of Discharge Planning  
    482.45 - Organ Procurement – Survey Procedures and Probes  
    482.51(b) - Surgical Services – Delivery of Service  
    482.55(a) - Emergency Services – Organization & Direction  
    482.57(b) - Respiratory Care Services – Delivery of Service  
    NFPA 101 - Life Safety Code Standard  
       

Incident Investigations:

SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted