South Nassau Communitiies
PFI # 0527
Revised: 5/01
Complaints:
| Complaint Information: | 2000 |
| Complaint Investigations Completed: | 6 |
| Complaints with Statements of Deficiencies (SOD) issued: | 4 |
| % of Complaints with SODs Issued | 67% |
| Regional % of Complaints with SODs issued: | 55.6% |
Areas Cited:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |
| 6/8/99 | 405.24 | Environmental health (e) Housekeeping | 11/13/00 |
| 1/18/00 | 405.2 | Governing body (f) Care of patients | 8/23/00 |
| 405.4 | Medical staff (a) Medical staff accountability (f) Post graduate trainees (I) Autopsies | ||
| 405.5 | Nursing services (b) Delivery of services (e) Quality assurance | ||
| 405.6 | Quality assurance program (b) Activities of the QA committee | ||
| 405.7 | Patients rights (b) Hospital responsibilities | ||
| 405.8 | Incident reporting | ||
| 12/21/99 | 405.5 | Nursing services (b) Delivery of services (e) Quality assurance | 1/31/00 |
| 405.7 | Nursing services (b) Delivery of services | ||
| 405.8 | Incident reporting | ||
| 8/21/00 | 405.7 | Patients rights (b) Hospital responsibilities | 9/26/00 |
Areas Cited as a Result of Surveys:
| Date of Survey | Type | Areas Cited: | Date Plan of Correction Accepted |
| 2/10/00 | JCAHO | Sample validation survey | No POC Required |
| 8/30/99 | 405.4 | Medical staff (b) Organization | 8/10/00 |
| 405.6 | Quality assurance | ||
Most Recent Survey Date:
Areas Cited as a Result of Incident Investigations:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |