Hospital Name: MILLARD FILLMORE HOSPITAL@MILLARD FILLMORE SUBURBAN

PFI # 3067

Complaints:

Complaint Information: 2000
Complaint Investigations Completed 10
Complaints with Statements of Deficiencies (SOD) Issued 4
% of Complaints with SODs Issued 40%
Regional % of Complaints with SODs Issued 40.6%

Areas

SOD Date Regulatory Citation Areas Cited Date Plan of Correction Accepted
12/28/00 405.9 Admission/Discharge Discharge 1/25/01
12/28/00 405.4 Medical Staff Medical Staff Accountability 1/25/01
12/1/00 405.19 Emergency Services 2/9/01
8/9/00 405.6 Quality Assurance Program QA Committee 10/12/00
8/9/00 405.4 Medical Staff Medical Staff Accountability 10/12/00
8/9/00 405.19 Emergency Services Patient 10/12/00
5/19/00 405.5 Nursing Services Delivery of Services 6/19/00
5/19/00 405.19 Emergency Services Patient 6/19/00
5/19/00 405.10 Medical Records Content 6/19/00

Areas Cited as a Result of

Surveys:

DATE OF SURVEY TYPE Areas Cited: Date Plan of Correction Accepted
8/14/00 - Article 28 Focused 405.13 - Anesthesia Services Operation and Service Delivery 11/7/00