St. Catherine of Siena Medical Hospital

PFI # 0943

Revised: 5/01

Complaints:

Complaint Information: 2000
Complaint Investigations Completed: 7
Complaints with Statements of Deficiencies (SOD) issued: 4
% of Complaints with SODs Issued 57%
Regional % of Complaints with SODs issued: 55.6%

Areas Cited:

SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted
10/3/00 405.4 Medical staff (a) Medical staff accountability No POC Required
  405.5 Nursing services (b) Delivery of services (e) Quality assurance 1/19/01
  405.7 Patients’ rights (b) Hospital responsibilities 1/19/01
  405.23 Food and dietetic services 1/19/01
8/28/00 405.4 Medical staff (a) Medical staff accountability 1/16/01
  405.5 Nursing services (b) Delivery of services (e) Quality assurance  
  405.7 Patients’ rights (b) Hospital responsibilities  
  405.11 Infection control  
  405.23 Food and dietetic services  
8/18/00 405.6 Quality assurance program (a) Quality assurance committee 8/24/00
  405.17 Pharmaceutical services (a) Organization and direction  
10/4/00 405.7 Patients’ rights (b) Hospital responsibilities No POC Required
  405.10 Medical records  

Areas Cited as a Result of Surveys:

Date of Survey Type Areas Cited: Date Plan of Correction Accepted
       

Most Recent Survey Date:

Areas Cited as a Result of Incident Investigations:

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