John Mather Memorial Hospital
PFI # 0895
Revised: 5/01
Complaints:
| Complaint Information: | 2000 |
| Complaint Investigations Completed: | 3 |
| Complaints with Statements of Deficiencies (SOD) issued: | 3 |
| % of Complaints with SODs Issued | 100% |
| Regional % of Complaints with SODs issued: | 55.6% |
Areas Cited:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |
| 11/01/99 | 405.7 | Patient’s rights (b) Hospitals responsibilities | 4/5/00 |
| 11/26/99 | 405.6 | Quality assurance program (b) Quality assurance committee | 3/23/00 |
| 405.7 | Patient’s rights (b) Hospitals responsibilities | ||
| 405.12 | Surgical services | ||
| 2/1/00 | 405.5 | Nursing services (b) Delivery of care | NO POC Required |
Areas Cited as a Result of Surveys:
| Date of Survey | Type | Areas Cited: | Date Plan of Correction Accepted |
| 5/22/00 | Article 28 Focus Survey Project # 952491C 401.2 | Limitations of operating certificates (a) Medial facility failed to control the admission and discharge of patients | 6/14/00 |
| 711.2 | Pertinent technical standards (c) Design standards for the disabled | ||
| 711.4 | General structural, equipment and safety standards for existing hospitals (a) Pertinent technical standards (d) Nursing units |
Most Recent Survey Date:
Areas Cited as a Result of Incident Investigations:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |