Brunswick Hospital
PFI # 0878
Revised: May 4, 2001
Complaints:
| Complaint Information: | 2000 |
| Complaint Investigations Completed: | 12 |
| Complaints with Statements of Deficiencies (SOD) issued: | 6 |
| % of Complaints with SODs Issued | 50% |
| Regional % of Complaints with SODs issued: | 55.6% |
Areas Cited:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |
| 10/31/00 | 405.5 | Nursing services (b) Delivery of services | 1/21/01 |
| 405.7 | Patients’ rights (b) Hospital responsibilities | 1/21/01 | |
| 9/8/00 | 405.4 | Medical staff (a) Medical staff accountability | 11/15/00 |
| 405.5 | Nursing services (b) Delivery of services (c) Administration of drugs (e) Quality assurance | ||
| 405.7 | Patients’ rights (b) Hospital responsibilities | ||
| 405.10 | Medical records (a) General requirements | ||
| 10/31/00 | 405.19 | Emergency services (e) Patient care | 1/23/01 |
| 10/23/00 | 405.5 | Nursing services (b) Delivery of services (e) Quality assurance | 11/21/00 |
| 405.6 | Quality assurance program (a) Quality assurance committee | ||
| 405.7 | Patients’ rights (b) Hospital responsibilities | ||
| 405.9 | Admission/discharge (f) Discharge | ||
| 10/6/00 | 405.4 | Medical staff (a) Medical staff accountability | 11/17/00 |
| 405.5 | Nursing services (e) Quality assurance | ||
| 405.7 | Patients’ rights (b) Hospital responsibilities | ||
| 6/7/00 | 405.5 | Nursing services (b) Delivery of services (e) Quality assurance | 7/13/00 |
| 405.7 | Patients’ rights (b) Hospital responsibilities | ||
| 405.19 | Emergency services (b) Organization (f) Quality assurance |
Areas Cited as a Result of Surveys:
| Date of Survey | Type | Areas Cited: | Date Plan of Correction Accepted |
| Article 28 5/12/00 | 405.4 | Medical staff (b) Organization | 9/26/00 |
| 405.6 | Quality assurance program (b) Activities of the quality assurance committee | ||
| 405.12 | Surgical services (a) Organization and direction | ||
| Article 28 9/13/00 –11/01/00 | 405.2 | Governing body (b) Organization and operation (c) Compliance with Federal, State, and Local Laws (e) Medical staff | 12/11/00 |
| 405.3 | Administrator | ||
| 405.4 | Medical staff (a) Medical staff accountability (b) Organization | ||
| 405.5 | Nursing services (a) Organization and staffing (b) Delivery of services (c) Administration of drugs | ||
| 405.6 | Quality assurance program (a) Governing body | ||
| 405.7 | Patients’ rights (b) Hospital responsibilities | ||
| 405.10 | Medical Records (a) General requirements (b) Content | ||
| 405.11 | Infection control (a) Infection control officer (b) Control of infections and communicable diseases | ||
| 405.17 | Pharmaceutical services (c) Physical facilities | ||
| 405.23 | Food and dietetic services (a) General | ||
| 405.24 | Environmental health (a) Building and grounds (b) Life safety from fire |
Most Recent Survey Date:
Areas Cited as a Result of Incident Investigations:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |