NSUH/Manhasset
PFI # 0541
Revised: 5/01
Complaints:
| Complaint Information: | 2000 |
| Complaint Investigations Completed: | 30 |
| Complaints with Statements of Deficiencies (SOD) issued: | 21 |
| % of Complaints with SODs Issued | 70% |
| Regional % of Complaints with SODs issued: | 55.6% |
Areas Cited:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |
| 7/1/99 | 405.5 | Nursing services (b) Delivery of services | No POC Required |
| 405.7 | Patients’ rights (b) Hospital responsibilities | ||
| 6/15/00 | 405.4 | Medical staff (a) Medical staff accountability | No POC Required |
| 405.7 | Patients’ rights (b) Hospital responsibilities | ||
| 6/15/00 | 405.4 | Medical staff (a) Medical staff accountability | No POC Required |
| 405.5 | Nursing services (b) Delivery of services | No POC Required | |
| 405.7 | Patients’ rights (b) Hospital responsibilities | No POC Required | |
| 405.8 | Incident reporting (b) Incident to be reported | 7/13/00 | |
| 405.10 | Medical records (a) General requirements | 7/13/00 | |
| 4/12/99 | 405.24 | Environmental health (a) Building and grounds | No POC Required |
| 11/1/99 | 405.7 | Patients’ rights (b) Hospital responsibilities | No POC Required |
| 405.9 | Admission/discharge (b) Admission | ||
| 7/11/00 | 405.7 | Patients’ rights (b) Hospital responsibilities | 8/23/00 |
| 9/28/00 | 405.4 | Medical staff (a) Medical staff accountability | 12/19/00 |
| 405.5 | Nursing services (b) Delivery of services | No POC Required | |
| 405.6 | Quality assurance program | 12/19/00 | |
| 405.7 | Patients’ rights (b) Hospital responsibilities | 12/19/00 | |
| 9/29/00 | 405.7 | Patients’ rights (b) Hospital responsibilities | No POC Required |
| 405.14 | Respiratory care services (b) Operation and service delivery | ||
| 2/27/00 | 405.3 | Administration (a) CEO shall be responsible for the development, sub-mission and implementation of all plans to correct operation | 6/7/00 |
| 405.5 | Nursing services (b) Delivery of services | ||
| 405.7 | Patients’ rights (b) Hospital responsibilities | ||
| 405.11 | Infection control (b) Control of infections and communicable diseases | ||
| 405.18 | Rehabilitation services (b) Delivery of services | ||
| 8/31/99 | 405.2 | Governing body (f) Care of patients | 8/24/00 |
| 405.7 | Patients’ rights (b) Hospital responsibilities | ||
| 405.9 | Admission/discharge (f) Discharge | ||
| 8/14/00 | 405.6 | Quality assurance program | 9/26/00 |
| 405.7 | Patients’ rights (b) Hospital responsibilities | ||
| 1/26/00 | 405.7 | Patients’ rights (b) Hospital responsibilities | 11/22/00 |
| 405.20 | Outpatient services (d) Hospital-based ambulatory surgery service | ||
| 1/26/00 | 405.5 | Nursing services (b) Delivery of services | No POC Required |
| 405.7 | Patients’ rights (b) Hospital responsibilities | No POC Required | |
| 405.19 | Emergency services (e) Patient care | No POC Required | |
| 405.23 | Food and dietetic services | 9/26/00 | |
| 405.28 | Social services (a) Patient shall be screened prior to or upon admission | No POC Required | |
| 12/20/99 | 405.5 | Nursing services (a) Organization and staffing (b) Delivery of services | No POC Required |
| 405.7 | Patients’ rights (b) Hospital responsibilities | ||
| 2/27/00 | 405.5 | Nursing services (b) Delivery of services | 6/22/00 |
| 405.7 | Patients’ rights (b) Hospital responsibilities | ||
| 1/26/00 | 405.4 | Medical staff (a) Medical staff accountability | No POC Required |
| 405.7 | Patients’ rights (b) Hospital responsibilities | 9/26/00 | |
| 405.23 | Food and dietetic services | 9/26/00 | |
| 7/11/00 | 405.23 | Food and dietetic services | No POC Required |
| 11/1/99 | 405.4 | Medical staff (a) Medical staff accountability | 9/26/00 |
| 405.5 | Nursing services (b) Delivery of services | ||
| 405.10 | Medical records (a) General requirements | ||
| 1/21/99 | 405.2 | Governing body (f) Care of patients | 8/24/00 |
| 405.5 | Nursing services (b) Delivery of services | ||
| 405.7 | Patients’ rights (b) Hospital responsibilities | ||
| 9/29/00 | 405.5 | Nursing services (b) Delivery of services | No POC Required |
| 405.7 | Patients’ rights (b) Hospital responsibilities | No POC Required | |
| 405.10 | Medical records (a) General requirements | 11/30/00 | |
| 405.28 | Social services | No POC Required | |
| 6/6/00 | 405.4 | Medical staff (a) Medical staff accountability | 8/30/00 |
| 405.7 | Patients’ rights (b) Hospital responsibilities | ||
| 405.9 | Admission/discharge |
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 |