BROOKDALE HOSPITAL MEDICAL CENTER
PFI # 1286
Revised: June 2001
Complaints:
| Complaint Information: | 2000 |
| Complaint Investigations Completed: | 12 |
| Complaints with Statements of Deficiencies (SOD) issued: | 3 |
| % of Complaints with SODs Issued | 25% |
| Regional % of Complaints with SODs issued: | 21.5% |
Areas Cited:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |
| 01/20/00 | 405.07 | Patients' Rights - Hospital Responsibilities | 04/04/00 |
| 01/20/00 | 405.06 | Quality Assurance Program - QA Committee | 04/04/00 |
| 01/31/00 | 405.05 | Nursing Services - Administration of Drugs | 05/05/00 |
| 01/20/00 | 405.06 | Quality Assurance Program - QA Committee | 12/06/00 |
| 01/20/00 | 405.19 | Emergency Services - Patient Care | 12/06/00 |
| 01/20/00 | 405.05 | Governing Body - Care of Patients | 12/06/00 |
| 01/20/00 | 405.04 | Medical Staff - Medical Staff Bylaws | 12/06/00 |
| 01/20/00 | 405.02 | Governing Body - Care of Patients | 12/06/00 |
| 01/31/00 | 405.06 | Quality Assurance Program | 05/05/00 |
| 04/14/00 | 405.07 | Patients' Rights - Hospital Responsibilities | 07/06/00 |
| 04/14/00 | 405.06 | Quality Assurance Program - QA Committee | 07/06/00 |
| 04/14/00 | 405.08 | Incident Reporting Definitions | 07/06/00 |
| 01/20/00 | 405.04 | Medical Staff - Medical Staff Bylaws | 12/06/00 |
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 |
| 02/14/00 | 405.06 | Quality Assurance Program - QA Committee | 09/05/00 |
| 06/06/00 | 405.04 | Medical Staff - Medical Staff Accountability | 08/21/00 |
| 06/06/00 | 405.06 | Quality Assurance Program - QA Committee | 08/21/00 |
| 06/06/00 | 405.15 | Radiology and Nuclear Medicine Services | 08/21/00 |
| 06/06/00 | 405.19 | Emergency Services | 08/21/00 |
| 10/06/00 | 405.06 | Quality Assurance | |
| 10/06/00 | 405.07 | Patients' Rights - Procedural Requirements | |
| 10/06/00 | 405.08 | Incident Reporting | |
| 10/06/00 | 405.19 | Emergency Services |