Hospital Name: viaHealth-Rochester General
PFI # 0411
Complaints:
| Complaint Information: | 2000 |
| Complaint Investigations Completed | 25 |
| Complaints with Statements of Deficiencies (SOD) Issued | 7 |
| % of Complaints with SODs Issued | 28% |
| Regional % of Complaints with SODs Issued | 25.0% |
Areas Cited:
| SOD Date | Regulatory Citation | Areas Cited | Date Plan of Correction Accepted |
| 12/6/00 | 405.5 | NURSING SERVICES | NO POC REQUIRED |
| 11/30/00 | 405.24 | ENVIRONMENTAL HEALTH LINEN & LAUNDRY | 12/28/00 |
| 11/30/00 | 405.23 | FOOD & DIETETIC SERVICES | 12/28/00 |
| 7/25/00 | 405.10 | MEDICAL RECORDS General Requirements | 8/14/00 |
| 6/9/00 | 405.19 | EMERGENCY SERVICES Patient Care | 6/26/00 |
| 5/30/00 | 405.24 | ENVIRONMENTAL HEALTH Housekeeping | 6/23/00 |
| 5/5/00 | 405.9 | ADMISSION & DISCHARGE HOSPITAL INPT D/C REVIEW PROGRAM | 6/2/00 |
| 5/5/00 | 405.9 | ADMISSION & DISCHARGE DISCHARGE | 6/2/00 |
| 5/5/00 | 405.7 | PATIENT RIGHTS PATIENTS BILL OF RIGHTS | 6/2/00 |
| 5/5/00 | 405.7 | PATIENT RIGHTS HOSPITAL RESPONSIBILITIES | 6/2/00 |
| 3/27/00 | 405.7 | PATIENT RIGHTS PATIENTS BILL OF RIGHTS | 8/16/00 |
| 3/27/00 | 405.6 | QUALITY ASSURANCE | 8/16/00 |
| 3/27/00 | 405.4 | MEDICAL STAFF Medical Staff Accountability | 8/16/00 |
| 3/27/00 | 405.19 | EMERGENCY SERVICES GENERAL POLICIES & PROCEDURES | 8/16/00 |
| 3/27/00 | 405.19 | EMERGENCY SERVICES GENERAL | 8/16/00 |
Areas Cited as a Result of Surveys:
| DATE OF SURVEY | TYPE | Areas Cited: | Date Plan of Correction Accepted |
| 8/29/00 - 8/31/00 | ARTICLE 28 | 757.1 - CHRONIC RENAL DIALYSIS SERVICES GOVERNING BODY & MANAGEMENT | 10/17/00 |
| 8/29/00 - 8/31/00 | ARTICLE 28 | 757.1 - CHRONIC RENAL DIALYSIS SERVICES MEDICAL RECORDS | 10/17/00 |
| 8/29/00 - 8/31/00 | ARTICLE 28 | 757.1 - CHRONIC RENAL DIALYSIS SERVICES PHYSICAL ENVIRONMENT | 10/17/00 |
| 8/29/00 - 8/31/00 | ARTICLE 28 | 757.1 - CHRONIC RENAL DIALYSIS SERVICES MINIMAL SERVICE REQUIREMENTS FOR A RENAL DIALYSIS | 10/17/00 |
| 8/29/00 - 8/31/00 | ARTICLE 28 | 757.1 - CHRONIC RENAL DIALYSIS SERVICES REUSE OF HEMODIALYZERS AND OTHER DIALYSIS SUPPLIES | 10/17/00 |
| 8/29/00 - 8/31/00 | TITLE 18 | V332 - LABEL INFORMATION | 10/17/00 |
| 8/29/00 - 8/31/00 | TITLE 18 | V281 - EMERGENCY ROOM DRUGS & SUPPLIES | 10/17/00 |
| 8/29/00 - 8/31/00 | TITLE 18 | V241 - MEDICAL RECORDS PROGRESS NOTES | 10/17/00 |
| 8/29/00 - 8/31/00 | TITLE 18 | V190 - LONG TERM PROGRAM PATIENT INVOLVED | 10/17/00 |
| 8/29/00 - 8/31/00 | TITLE 18 | V166 - PATIENT CARE POLICIES RX SERVICES | 10/17/00 |
| 8/29/00 - 8/31/00 | TITLE 18 | V112 - GOVERNING BODY | 10/17/00 |
| 8/29/00 - 8/31/00 | TITLE 18 | V359 - PATIENT ID CHECK | 10/17/00 |
| 8/29/00 - 8/31/00 | TITLE 18 | V371 - TEMPS PRE/POST TREATMENT | 10/17/00 |
| 8/29/00 - 8/31/00 | TITLE 18 | V447 - SOCIAL WORKER | 10/17/00 |
Most Recent Survey: 8/29/00