Good Samaritan Hospital
PFI # 0925
Revised: 04/01
Complaints:
| Complaint Information: | 2000 |
| Complaint Investigations Completed: | 29 |
| Complaints with Statements of Deficiencies (SOD) issued: | 16 |
| % of Complaints with SODs Issued | 55% |
| Regional % of Complaints with SODs issued: | 55.6% |
Areas Cited:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |
| 5/31/00 | 405.4 | Medial staff (i) Autopsies | 11/13/00 |
| 405.5 | Nursing services (b) Delivery services | ||
| 8/10/00 | 405.4 | Medial staff (i) Autopsies | 12/18/00 |
| 405.5 | Nursing services (b) Delivery services | ||
| 405.6 | Quality assurance program (a) Governing body | ||
| 405.11 | Infection control | ||
| 405.16 | Laboratory services (b) Hospital maintain | ||
| 10/13/00 | 405.5 | Nursing services (b) Delivery of services | 12/14/00 |
| 405.7 | Patients’ rights (b) Hospital responsibilities | ||
| 405.19 | Emergency services (e) Patient care | ||
| 10/12/00 | 405.4 | Medical staff (b) Organization | 12/08/00 |
| 405.6 | Quality Assurance (a) Quality assurance program | ||
| 10/13/00 | 405.24 | Environmental health (e) Housekeeping | No POC Required |
| 10/13/00 | 405.7 | Patients’ rights (b) Hospital responsibilities | 11/30/00 |
| 405.10 | Medical records (a) General requirements | ||
| 405.15 | Radiologic and nuclear medicine services | ||
| 11/05/99 | 405.5 | Nursing services (b) Delivery of services | No POC Required |
| 405.28 | Social Services (a) Patient shall be screened prior to | ||
| 3/27/00 | 405.19 | Emergency services (e) Patient care | 4/18/00 |
| 10/01/99 | 405.4 | Medical staff (a) Medical staff accountability | 8/14/00 |
| 405.7 | Patients’ rights (b) Hospital responsibilities | ||
| 11/02/99 | 405.28 | Social Services (a) Patient shall be screened prior to | 6/22/00 |
| 11/19/99 | 405.5 | Nursing services (b) Delivery of services (e) Quality assurance | 8/14/00 |
| 405.6 | Quality assurance program (a) Governing body | ||
| 405.7 | Patient rights (b) Hospital responsibilities | ||
| 405.13 | Anesthesia services (b) Operation and service delivery | ||
| 405.23 | Dietary service | ||
| 405.24 | Environmental health (b) Life safety from fire | ||
| 10/13/00 | 405.5 | Nursing services (b) Delivery of services | 12/14/00 |
| 405.7 | Patients’ rights (b) Hospital responsibilities | ||
| 10/24/00 | 405.19 | Emergency services | 1/25/01 |
| 4/24/00 | 405.2 | Governing Body (c) Compliance with Federal, State, and local laws | 6/6/00 |
| 7/21/00 | 405.5 | Nursing services (a) Organization and staffing | NO POC Required |
| 405.7 | Patient rights (b) Hospital responsibilities | ||
| 10/13/00 | 405.5 | Nursing services (c) Administration of drugs | NO POC Required |
| 405.7 | Patient rights (b) Hospital responsibilities |
Areas Cited as a Result of Surveys:
| Date of Survey | Type | Areas Cited: | Date Plan of Correction Accepted |
| Article 28 10/13/00 | 405.3 | Administration (b) Personnel | 11/22/00 |
| 405.4 | Medical staff (a) Medical staff accountability | ||
| 405.6 | Quality assurance (a) Quality assurance committees | ||
| 405.7 | Patients’ rights (b) Hospital responsibilities | ||
| 405.9 | Admission/discharge (b) Admission | ||
| 405.10 | Medical records (a) General requirements | ||
| 405.15 | Radiological services (a) General provision | ||
| 405.19 | Emergency services (e) Patient care |
Most Recent Survey Date:
Areas Cited as a Result of Incident Investigations:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |