Hospital Name: Unity Health Systems-Genesee Street Campus

PFI # 0412

Complaints:

Complaint Information: 2000
Complaint Investigations Completed 3
Complaints with Statements of Deficiencies (SOD) Issued 1
% of Complaints with SODs Issued 33%
Regional % of Complaints with SODs Issued 25.0%

Areas Cited:

SOD Date Regulatory Citation Areas Cited Date Plan of Correction Accepted
12/1/00 711.2 PERTINENT TECHNICAL STANDARDS TRANSFERRING OF LIQUID OXYGEN 12/28/00
12/1/00 405.24 ENVIRONMENTAL HEALTH BUILDINGS & GROUNDS 12/28/00

Areas Cited as a Result of Surveys:

DATE OF SURVEY TYPE Areas Cited: Date Plan of Correction Accepted
3/7/00 - 3/8/00 TITLE 18 V367 - TEST FOR RESIDUAL 4/21/00
3/7/00 - 3/8/00 TITLE 18 V232 - MEDICAL RECORD PATIENT ASSESSMENTS 4/21/00
3/7/00 - 3/8/00 TITLE 18 V281 - EMERGENCY ROOM DRUGS & SUPPLIES 4/21/00
3/7/00 - 3/8/00 TITLE 18 V265 - PHYSICAL ENVIRONMENT FUNCTIONAL, SNAITARY AND COMFORTABLE 4/21/00
3/7/00 - 3/8/00 TITLE 18 V359 - PATIENT ID CHECK 4/21/00
3/7/00 - 3/8/00 TITLE 18 V112 - GOVERNING BODY HEALTH & SAFETY 4/21/00
3/7/00 - 3/8/00 TITLE 18 V256 - PHYSICAL ENVIRONMENT CONSTR & MAINTAIN FOR SAFETY 4/21/00
3/7/00 - 3/8/00 TITLE 18 V181 - MEDICAL STAFF APPOINTMENTS 4/21/00
3/7/00 - 3/8/00 TITLE 18 V166 - PATIENT CARE POLICIES RX SERVICES 4/21/00
3/7/00 - 3/8/00 TITLE 18 V145 - PERSONNEL POLICY & PROCEDURE SAFE/SANITARY 4/21/00
3/7/00 - 3/8/00 TITLE 18 V113 - GOVERNING BODY PATIENT 4/21/00
3/7/00 - 3/8/00 TITLE 18 V110 - CARE OF PATIENTS GOVERNING BODY & MANAGEMENT 4/21/00
3/7/00 - 3/8/00 TITLE 18 V259 - PHYSICAL ENVIRONMENT FREE OF HAZARDS 4/21/00
3/7/00 - 3/8/00 TITLE 18 V258 - PHYSICAL ENVIRONMENT EQUIPMENT PM 4/21/00

Most Recent Survey: 3/8/00