Winthrop University Hospital

PFI # 0511

Revised: 5/01

Complaints:

Complaint Information: 2000
Complaint Investigations Completed: 18
Complaints with Statements of Deficiencies (SOD) issued: 8
% of Complaints with SODs Issued 44%
Regional % of Complaints with SODs issued: 55.6%

Areas Cited:

SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted
11/1/99 405.2 Governing body (c) Compliance with Federal, State, and local laws (d) Chief executive officer (f) Care of patients 2/14/00
  405.19 Emergency services (e) Patient care  
12/21/99 405.7 Patients’ rights (c) Patient’s bill of rights 2/14/00
  405.9 Admission/discharge (f) Discharge  
3/23/00 405.4 Medical staff (a) Medical staff accountability 7/19/00
  405.5 Nursing services (b) Delivery of services  
  405.6 Quality assurance program  
  405.7 Patients’ rights (b) Hospital responsibilities  
  405.23 Food and dietetic services  
1/11/00 405.4 Medical staff (a) Medical staff accountability (f) Postgraduate trainees 5/16/00
  405.6 Quality assurance program (a) Activities of the quality assurance program  
4/24/00 405.2 Governing body (c) Compliance with Federal, State and local laws 6/7/00  
5/9/00 405.3 Administration (a) Chief executive officer 9/7/00
  405.4 Medical staff (c) Medical staff bylaws  
  405.5 Nursing service (b) Delivery of services  
  405.6 Quality assurance program (a) Quality assurance committee  
  405.7 Patient’s rights (b) Hospital responsibilities  
  405.28 Social services  
3/20/00 405.5 Nursing service (b) Delivery of services (e) Quality assurance 9/26/00
  405.6 Quality assurance program (a) Quality assurance committee  
  407.7 Patient’s rights (b) Hospital responsibilities  
  405.8 Incident reporting program (a) Any incident required to be reported pursuant to subdivision  
  405.10 Medical records (b) Content  
11/1/99 405.2 Governing body (c) Compliance with Federal, State, and local laws (d) Chief executive officer (f) Care of patients 2/14/00
  405.19 Emergency services (e) Patient care  

Areas Cited as a Result of Surveys:

Date of Survey Type Areas Cited: Date Plan of Correction Accepted
       

Most Recent Survey Date:

Areas Cited as a Result of Incident Investigations:

SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted