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