WESTCHESTER MEDICAL CENTER
PFI # 1139
Revised: May 2001
Complaints:
| Complaint Information: | 2000 |
| Complaint Investigations Completed | 15 |
| Complaints with Statements of Deficiencies (SOD) Issued | 4 |
| % of Complaints with SODs Issued | 27% |
| Regional % of Complaints with SODs issued: | 31.3% |
Areas Cited:
| Date of Survey | Regulatory Citation | Areas Cited: | Date of Plan of Correction |
| 7/05/00 | 405.11(b) | Infection Control | 3/13/01 |
| 405.19(e)(5) | Emergency Services | ||
| 8/02/00 | 405.5(b)(4) | Nursing Services | 11/06/00 |
| 8/07/00 | 405.7(b)(3),(12) | Patients’ Rights | 3/12/01 |
| 10/19/00 | 405.24(a) | Environmental Health | 2/15/01 |
| 12/26/00 | See Article 28 Survey | ||
Surveys:
| Date of Survey | Type | Regulatory Citation | Areas Cited: | Date of Plan of Correction |
| 10/19/00 | A-28 Focus (PoC Follow-Up) | 405.2(b)(2) | Governing Body | |
| 405.4(a)(1)(i) | Medical Staff | |||
| 405.5(c) | Nursing Services | |||
| 405.7(b)(12) | Patients’ Rights | |||
| 405.9(a)(1) | Admission/Discharge | |||
| 405.11 | Infection Control | |||
| 405.19(e)(1) | Emergency Services | |||
| 12/26/00 | Article 28 Focused Survey Post | 401.2(a) | Limitations of operating certificate | 4/25/02 |
Incident Investigations:
| Date of Survey | Regulatory Citation | Areas Cited: | Date of Plan of Correction |