Faxton - St. Luke’s Healthcare – St. Luke’s Division

PFI # 0599

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: 30.6%

Areas Cited:

SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted
2/8/00 405.5(b) Nursing Services – Delivery of Services 3/9/00
  405.6 Quality Assurance  
  405.21(c) Maternity & Newborn Service – General Requirements  
3/1/00 405.23(a) Food and Dietetic Services – General 8/30/00
4/7/00 405.2(f) Governing Body – Care of Patients 11/6/00
  405.4(a) Medical Staff – Medical Staff Accountability  
  405.6 Quality Assurance  
  405.7(b) Patients’ Rights – Hospital Responsibilities  
  405.19(b) Emergency Services – Organization  
  405.19(e) Emergency Services – Patient Care  
8/18/00 400.21(d) Advance Directives – Policies & Procedures 10/10/00
  405.2(b) Governing Body – Organization & Operation  
  405.2(c) Governing Body –Compliance with Laws  
  405.2(e) Governing Body – Medical Staff  
  405.2(f) Governing Body – Care of Patients  
  405.3(b) Administration – Personnel  
  405.3(e) Administration – Other Reporting Requirements  
  405.4(a) Medical Staff – Medical Staff Accountability  
  405.4(b) Medical Staff – Organization  
  405.5(b) Nursing Services – Delivery of Services  
  405.6 Quality Assurance  
  405.7(b) Patients’ Rights – Hospital Responsibilities  
  405.8(b) Incident Reporting  
  405.13(a) Anesthesia Services - Organization & Direction  
  405.13(b) Anesthesia Services – Operation/Service Delivery  
       

Surveys:

Date of Survey Type Areas Cited: Date Plan of Correction Accepted
       
       

Most Recent Routine Survey Date: 6/9/98

Incident Investigations:

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