Nassau County Medical Center Hospital

PFI # 0528

Revised: Month/Year

Complaints:

Complaint Information: 2000
Complaint Investigations Completed: 19
Complaints with Statements of Deficiencies (SOD) issued: 11
% of Complaints with SODs Issued 58%
Regional % of Complaints with SODs issued: 55.6%

Areas Cited:

SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted
12/22/99 405.19 Emergency services (b) Organization No POC Required
8/16/99 405.5 Nursing services (c) Administration of drugs No POC Required
  405.7 Patients’ rights (b) Hospital responsibilities  
8/22/00 405.4 Medical staff (a) Medical staff accountability 9/25/00
  405.6 Quality assurance program (b) Activities of the quality assurance program  
  405.7 Patients’ rights (b) Hospital responsibilities  
  405.9 Admission/discharge (f) Discharge  
  405.28 Social services (e) Implement in conjunction with quality assurance committee  
10/9/00 405.4 Medical staff (a) Medical staff accountability 11/27/00
  405.5 Nursing services (b) Delivery of services (e) Quality assurance  
  405.6 Quality assurance program (b) Activities of the quality assurance program  
  405.7 Patients’ rights (b) Hospital responsibilities  
  405.19 Emergency services (b) Organization (f) Quality assurance    
7/12/00 405.6 Quality assurance program (b) Activities of the quality assurance program 8/10/00
  405.7 Patients’ rights (b) Hospital responsibilities  
  405.18 Rehabilitation services (b) Delivery of services  
2/1/00 405.7 Patients’ rights (b) Hospital responsibilities 3/29/00
8/1/00 405.7 Patients’ rights (b) Hospital responsibilities 11/2/00
2/3/00 405.7 Patients’ rights (b) Hospital responsibilities 4/10/00
  405.19 Emergency services (e) Patient care (f) Quality assurance  
2/4/00 405.7 Patients’ rights (b) Hospital responsibilities No POC Required
3/24/00 405.7 Patients’ rights (b) Hospital responsibilities No POC Required
11/26/99 405.4 Medical staff (a) Medical staff accountability 5/9/00
  405.5 Nursing services (b) Delivery of services  
  405.6 Quality assurance program  
  405.7 Patients’ rights (b) Hospital responsibilities  

Areas Cited as a Result of Surveys:

Date of Survey Type Areas Cited: Date Plan of Correction Accepted
Article 28 7/21/00 405.2 Governing body (e) Medical staff 9/7/00
  405.4 Medical staff (c) Medical staff bylaws  
  405.7 Patients’ rights (b) Hospital responsibilities  
  405.17 Pharmaceutical services (a) Organization and direction (b) Operation and ser vice delivery (c) Physical facilities  

Most Recent Survey Date:

Areas Cited as a Result of Incident Investigations:

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