Hepburn Medical Center

PFI # 0798

Complaints:

Complaint Information: 2000
   
Complaint Investigations Completed 3
Complaints with Statements of Deficiencies (SOD) Issued 1
% of Complaints with SODs Issued 33%
Regional % of Complaints with SODs issued: 30.6%

Areas Cited:

SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted
5/18/00 405.2(b) Governing Body – Organization & Operation 7/22/00
  405.2(f) Governing Body – Care of Patients  
  405.6 Quality Assurance  
  405.10(a) Medical Records – General Requirements  
  405.10(b) Medical Records – Content  
  405.12(a) Surgical Services – Organization & Direction  
  405.12(b) Surgical Services – Operation/Service Delivery  
  405.13(b) Anesthesia Services – Operation/Service Delivery  
       

Surveys:

Date of Survey Type Areas Cited: Date Plan of Correction Accepted
8/18/00 ESRD - Reuse None  
       

Incident Investigations:

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