Hospital Name: BROOKS MEMORIAL HOSPITAL

PFI # 0098

Complaints:

Complaint Information: 2000
Complaint Investigations Completed 2
Complaints with Statements of Deficiencies (SOD) Issued 1
% of Complaints with SODs Issued 50%
Regional % of Complaints with SODs Issued 40.6%

Areas

SOD Date Regulatory Citation Areas Cited Date Plan of Correction Accepted
9/8/00 405.9 Admission/Discharge Discharge 10/24/00
9/8/00 405.5 Nursing Services Delivery of Services 10/24/00

Areas Cited as a Result of

Surveys:

DATE OF SURVEY TYPE Areas Cited: Date Plan of Correction Accepted
10/3/00 - Title 18/Validation 482.24 - Medical Staff 10/24/00
10/3/00 - Title 18/Validation 482.21 - Quality Assurance (a) 10/24/00
10/3/00 - Title 18/Validation 482.41 - Operator (b) 10/24/00
10/3/00 - Title 18/Validation 482.21 - Quality Assurance 10/24/00
10/3/00 - Title 18/Validation 482.41 - Housekeeping 10/24/00
10/3/00 - Validation/Title 18 482.41 (c ) - Facilities Physical Environment 10/24/00
10/3/00 - Validation/Title 18 482.41(b) - Life Safety from Fire Physical Environment 10/24/00
10/3/00 - Validation/Title 18 482.24(c ) - Content of Record Medical Records 10/24/00
10/3/00 - Validation/Title 18 482.21(c ) - Implementation Quality 10/24/00
10/3/00 - Validation/Title 18 482.21(a) - Clinical Plan Quality Assurance 10/24/00