Albert Lindley Lee Memorial Hospital
PFI # 0724
Complaints:
| Complaint Information: | 2000 |
| Complaint Investigations Completed | 4 |
| Complaints with Statements of Deficiencies (SOD) Issued | 2 |
| % of Complaints with SODs Issued | 50% |
| Regional % of Complaints with SODs issued: | 30.6% |
Areas Cited:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |
| 4/7/00 | 405.2(f) | Governing Body Care of Patients | 8/30/00 |
| 405.5 | Nursing Services | ||
| 405.6 | Quality Assurance | ||
| 405.7(b) | Patients Rights Hospital Responsibilities | ||
| 405.9(f) | Admission/Discharge Discharge | ||
| 405.10(b) | Medical Records Content | ||
| 405.12(b) | Surgical Services Operation/Service Delivery | ||
| 5/3/00 | 400.21(c) | Advance Directives Facility Compliance | 8/17/00 |
| 405.2(b) | Governing Body Organization & Operation | ||
| 405.2(f) | Governing Body Care of Patients | ||
| 405.5(b) | Nursing Services Delivery of Services | ||
| 405.6 | Quality Assurance | ||
| 405.13(b) | Anesthesia Services Operation/Service Delivery | ||
| 405.19(e) | Emergency Services Patient Care | ||
| 405.43(a) | Orders Not to Resuscitate - Policies & Procedures | ||
Surveys:
| Date of Survey | Type | Areas Cited: | Date Plan of Correction Accepted |
| 2/23/00 | Article 28 Focus | None | |
| 6/14/2000 | COBRA Survey | HCFA issued statement of deficiencies 12/1/00 |
Incident Investigations:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |