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 |