Massena Memorial Hospital
PFI # 0804
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 |
| 1/18/00 | 405.5(b) | Nursing Services – Delivery of Services | 2/3/00 |
| 405.6 | Quality Assurance | ||
| 405.43(e) | Orders Not to Resuscitate – Decisionmaking | ||
Surveys:
| Date of Survey | Type | Areas Cited: | Date Plan of Correction Accepted |
| 5/30-31/00 | Validation | NFPA 101 - Life Safety Code | No POC Required |
| 482.21 - Quality Assurance | |||
| 482.23(c) - Nursing Services – Preparation and Administration of Drugs | |||
| 482.24(c) - Medical Record Services – Content of Record | |||
| 482.27(c) - Laboratory Services – Potentially infectious Blood and Blood Products – Quarantine of Blood and Blood Products | |||
| 482.41(c) - Physical Environment – Facilities | |||
| 482.42(a) - Infection Control – Organization and Policies | |||
| 482.51(b) - Surgical Services – Delivery of Service | |||
Incident Investigations:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |