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