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 |