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 |