Hospital Name: MERCY HOSPITAL
PFI # 0213
Complaints:
| Complaint Information: | 2001 |
| Complaint Investigations Completed | 21 |
| Complaints with Statements of Deficiencies (SOD) Issued | 8 |
| % of Complaints with SODs Issued | 38% |
| Regional % of Complaints with SODs Issued | 29.8% |
Areas
| SOD Date | Regulatory Citation | Areas Cited | Date Plan of Correction Accepted |
| 12/18/01 | 405.7 | Patients' Rights Hospital Responsibilities | |
| 12/18/01 | 405.5 | Nursing Services Delivery of Services | |
| 12/18/01 | 405.24 | Environmental Health Housekeeping | |
| 12/18/01 | 405.11 | Infection Control Organization | |
| 11/15/01 | 405.7 | Patients' Rights Procedural Requirements | 12/6/01 |
| 11/2/01 | 405.6 | Quality Assurance Program QA Committee | 2/10/02 |
| 11/2/01 | 405.5 | Nursing Services Delivery of Services | 2/10/02 |
| 11/2/01 | 405.4 | Medical Staff Medical Staff Accountability | 2/10/02 |
| 11/2/01 | 405.2 | Governing Body Care of Patients | 2/10/02 |
| 8/1/01 | 405.5 | Nursing Services Delivery of Services | 8/21/01 |
| 6/11/01 | 405.6 | Quality Assurance QA | 8/21/01 |
| 6/11/01 | 405.4 | Medical Staff Accountability | 8/21/01 |
| 6/11/01 | 405.2 | Governing Body Care of Patients | 8/21/01 |
| 6/11/01 | 405.2 | Governing Body Care of Patients | 7/9/01 |
| 6/11/01 | 405.19 | Emergency Services Patient | 7/9/01 |
| 6/11/01 | 405.19 | Emergency Services Patient | 8/21/01 |
| 4/16/01 | 405.5 | Nursing Services Delivery of Services | 5/18/01 |
| 1/2/01 | 405.6 | Quality Assurance QA | 2/15/01 |
INCIDENTS
Areas Cited:
| SOD Date | Regulatory Citation | Areas Cited | Date Plan of Correction Accepted |
| 6/11/01 | 405.6(a) | Quality Assurance QA Committee | 6/26/2001 |
| 6/11/01 | 405.6 | Quality Assurance |