Hospital Name: WOMAN'S CHRISTIAN ASSOCIATION

PFI # 0103

Complaints:

Complaint Information 2000
Complaint Investigations Completed 5
Complaints with Statements of Deficiencies (SOD) Issued 2
% of Complaints with SODs Issued 40%
Regional % of Complaints with SODs Issued 40.6%

Areas

SOD Date Regulatory Citation Areas Cited Date Plan of Correction Accepted
7/11/00 405.6 Quality Assurance Program QA Committee 7/31/00
7/11/00 405.20 Outpatient Services General Requirements 7/31/00
7/11/00 405.2 Governing Body Care of Patients 7/31/00
4/3/00 405.9 Admission/Discharge Discharge 5/5/00

Areas Cited as a Result of

Surveys:

Date of Survey TYPE Areas Cited Date Plan of Correction Accepted
1/12/00 - Validation 482.28 - Food and dietetic services Diets 2/18/00
1/12/00 - Validation 482.41 - Physical environment Facilities 2/18/00
1/12/00 - Validation 482.24 - Medical Record Services Content 2/18/00
1/12/00 - Validation 482.22 - Medical Staff Composition of Medical Staff 2/18/00
1/12/00 - Validation 482.21 - Quality Assurance Clinical Plan 2/18/00
1/12/00 - Validation 482.41 - Physical Environment Facilities 2/18/00
1/12/00 - Validation 482.24 (b) - Medical Record Services 2/18/00
1/12/00 - Validation 482.22 - Medical Staff Composition 2/18/00
1/12/00 - Validation 482.21 - Quality Assurance Clinical Plan 2/18/00
1/12/00 - Validation 482.28 - Food and Dietetic Services Diets 2/18/00

INCIDENTS

Areas Cited:

SOD Date Regulatory Citation Areas Cited Date Plan of Correction Accepted
7/11/00 405.6 Quality Assurance QA Committee 7/31/00
7/11/00 405.20 Outpatient Services General Requirements 7/31/00
7/11/00 405.20 Outpatient Services General Requirements 7/31/00
7/11/00 405.2 Governing Body Care of Patients 7/31/00