ST. FRANCIS HOSPITAL

PFI # 0180

Revised: April 2002

Complaints:

Complaint Information: 2001
Complaint Investigations Completed: 10
Complaints with Statements of Deficiencies (SOD) issued: 5
% of Complaints with SODs Issued 50%
Regional % of Complaints with SODs issued: 27.3%

Areas Cited:

SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted
4/5/01 405.4(a)(1)(i) Medical Staff 9/6/01
  405.7(b)(4) Patients' Rights  
  405.19(e)(1) Emergency Services  
       
9/6/01 See Article 28 Survey Below    
       
9/24/01 405.2(b)(2) Governing Body Acceptable Plan of Correction not yet received
  405.4(a)(1)(i) Medical Staff  
  405.5(b)(1)(i)(4)(c) Nursing Services  
  405.7(b)(13) Patients' Rights  
  405.9(b)(12)(f)(1) Admission/Discharge  
  405.10(c)(8) Medical Records  
  405.19(e) Emergency Services  
  405.23(a)(2) Food and Dietetic Services  
       
10/19/01 405.4(a)(1)(i) Medical Staff Accountability 4/3/02
  405.5(b)(4) Nursing Services  
  405.19(d)(2)(iii)(e)(2) Emergency Services  
       
11/26/01 405.2(b)(2)(f)(1) Governing Body Acceptable Plan of Correction not yet received
  405.3(b)(7) Administration  
  405.4(a)(1)(i) Medical Staff  
  405.5(b)(3)(4)(c) Nursing Services  
  405.6(b)(1) Quality Assurance Program  
  405.7(b)(3)(9)(13) Patients' Rights  
  405.10(a)(1) Medical Records  
  405.19(e)(1)(5) Emergency Services  

Areas Cited as a Result of Surveys:

Date of Survey Type Regulatory Citation Areas Cited: Date Plan of Correction Accepted
9/6/01 Article 28 Focused Survey 405.4(a)(1)(i) Medical Staff 4/3/02
    405.5(c) Nursing Services  
    405.7(b)(5) Patients' Rights  
    405.10(c)(8) Medical Records  
    405.19(e)(1) Emergency Services  

Most Recent Survey Date: see above

Areas Cited as a Result of Incident Investigations:

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