Hospital Name: Strong Health-Strong Memorial
PFI # 0413
Complaints:
| Complaint Information: | 2000 |
| Complaint Investigations Completed | 29 |
| Complaints with Statements of Deficiencies (SOD) Issued | 7 |
| % of Complaints with SODs Issued | 24% |
| Regional % of Complaints with SODs Issued | 25.0% |
Areas Cited:
| SOD Date | Regulatory Citation | Areas Cited | Date Plan of Correction Accepted |
| 12/21/00 | 405.9 | ADMISSION & DISCHARGE HOSP INPT DISCHARGE REVIEW PROGRAM | 1/11/01 |
| 8/22/00 | 405.7 | PATIENTS RIGHTS HOSPITAL RESPONSIBILITIES | 9/8/00 |
| 8/21/00 | 405.5 | NURSING SERVICES Delivery of Services | 9/8/00 |
| 8/21/00 | 405.2 | GOVERNING BODY Care of Patients | 9/8/00 |
| 5/19/00 | 405.4 | MEDICAL STAFF Medical Staff Accountability | 7/12/00 |
| 3/28/00 | 405.7 | PATIENT RIGHTS PATIENTS BILL OF RIGHTS | 3/28/00 |
| 3/27/00 | 405.7 | PATIENTS RIGHTS PATIENTS BILL OF RIGHTS | 8/16/00 |
| 3/27/00 | 405.19 | EMERGENCY SERVICES GENERAL POLICIES & PROCEDURES | 8/16/00 |
| 2/16/00 | 405.7 | PATIENT RIGHTS HOSPITAL RESPONSIBILITIES | 3/15/00 |
| 2/16/00 | 405.6 | QUALITY ASSURANCE PROGRAM | 3/15/00 |
| 2/16/00 | 405.10 | MEDICAL RECORDS GENERAL REQUIREMENTS | 3/15/00 |
Areas Cited as a Result of Surveys:
| DATE OF SURVEY | TYPE | Areas Cited: | Date Plan of Correction Accepted |
| 5/6/99 - 5/10/99 | RESIDENT WORKING HOURS | 405.4 - MEDICAL STAFF Organization | 4/24/00 |
| 5/6/99 - 5/10/99 | RESIDENT WORKING HOURS | 405.6 - QUALITY ASSURANCE | 4/24/00 |
| 9/12/00 - 9/20/00 | TITLE 18 | V447 - SOCIAL WORKER | 11/1/00 |
| 9/12/00 - 9/20/00 | ARTICLE 28 | 757.1 - CHRONIC RENAL DIALYSIS SERVICES MINIMAL SERVICES | 11/1/00 |
| 9/12/00 - 9/20/00 | ARTICLE 28 | 757.1 - CHRONIC RENAL DIALYSIS SERVICES PT LTP & PT CARE PLAN | 11/1/00 |
| 9/12/00 - 9/20/00 | ARTICLE 28 | 757.1 - CHRONIC RENAL DIALYSIS SERVICES REUSE OF HEMODIALYZERS | 11/1/00 |
| 9/12/00 - 9/20/00 | ARTICLE 28 | 757.1 - CHRONIC RENAL DIALYSIS SERVICES MEDICAL RECORDS | 11/1/00 |
| 9/12/00 - 9/20/00 | ARTICLE 28 | 757.1 - CHRONIC RENAL DIALYSIS SERVICES GOVERNING BODY & MANAGEMENT | 11/1/00 |
| 9/12/00 - 9/20/00 | TITLE 18 | V193 - PATIENT CARE PLAN INDIVIDUALIZED | 11/1/00 |
| 9/12/00 - 9/20/00 | TITLE 18 | V371 - TEMPS PRE/POST TX | 11/1/00 |
| 9/12/00 - 9/20/00 | TITLE 18 | V195 - PATIENT CARE PLAN PATIENT INVOLVED | 11/1/00 |
| 9/12/00 - 9/20/00 | TITLE 18 | V192 - PATIENT CARE PLAN WRITTEN ASSESSMENT BASED | 11/1/00 |
| 9/12/00 - 9/20/00 | TITLE 18 | V196 - PATIENT CARE PLAN FREQUENCY | 11/1/00 |
| 9/12/00 - 9/20/00 | TITLE 18 | V187 - WRITTEN LONG TERM PLAN | 11/1/00 |
| 9/12/00 - 9/20/00 | TITLE 18 | V189 - LONG TERM PROGRAM REVIEWED BY TEAM | 11/1/00 |
| 9/12/00 - 9/20/00 | TITLE 18 | V112 - GOVERNING BODY HLTH & | 11/1/00 |
| 9/12/00 - 9/20/00 | TITLE 18 | V157 - PATIENT CARE POLICIES WRITTEN | 11/1/00 |
| 9/12/00 - 9/20/00 | TITLE 18 | V185 - CONDITION OF PARTICIPATION LTP & CARE PLAN | 11/1/00 |
| 9/12/00 - 9/20/00 | TITLE 18 | V190 - LONG TERM PROGRAM PATIENT INVOLVED | 11/1/00 |
| 9/12/00 - 9/20/00 | TITLE 18 | V232 - MEDICAL CARE PATIENT ASSESSMENTS | 11/1/00 |
Most Recent Survey: 9/20/00