Hospital Name: NIAGARA FALLS MEMORIAL MEDICAL CENTER

PFI # 0574

Complaints:

Complaint Information: 2000
Complaint Investigations Completed 5
Complaints with Statements of Deficiencies (SOD) Issued 1
% of Complaints with SODs Issued 20%
Regional % of Complaints with SODs Issued 40.6%

Areas

SOD Date Regulatory Citation Areas Cited Date Plan of Correction Accepted
10/16/00 405.6 Quality Assurance Program QA Committee 12/11/00
10/16/00 405.4 Medical Staff Medical Staff Accountability 12/11/00

Areas Cited as a Result of

Surveys:

DATE OF SURVEY TYPE Areas Cited: Date Plan of Correction Accepted
11/16/99 - 1/27/00 Article 28 405.2 (e)(2) - Governing Body Medical Staff 7/7/00
11/16/99 - 1/27/00 Article 28 405.4 (f)(3) - Medical Staff Postgraduate Trainees 7/7/00
11/16/99 -1/27/00 Article 28 405.2(e)(10) - Governing Body Medical Staff 7/7/00
11/16/99 - 1/27/00 Article 28 405.2 (f)(1) - Governing Body Care of 7/7/00
11/16/99 - 1/27/00 Article 28 405.2(b)(6) - Governing Body Organization & Operation 7/7/00
11/16/99 - 1/27/00 Article 28 Follow Up 405.13 - Anesthesia Services Operation and 7/7/00
11/16/99 - 1/27/00 Article 28 Follow Up 405.2 - Governing Body Organization and Operation 7/7/00
11/16/99 - 1/27/00 Article 28 Follow Up 405.2 - Governing Body Care of Patients 7/7/00
11/16/99 - 1/27/00 Article 28 Follow Up 405.7 - Patients' Rights Hospital Responsibilities 7/7/00
11/16/99 - 1/27/00 Article 28 Follow Up 405.6 - Quality Assurance QA Committee 7/7/00