NSUH/ GLENCOVE

PFI # 0490

Revised: 3/02

Complaints:

Complaint Information: 2001
Complaint Investigations Completed: 4
Complaints with Statements of Deficiencies (SOD) issued: 3
% of Complaints with SODs Issued 75%
Regional % of Complaints with SODs issued: 54.3%

Areas Cited:

SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted
3/19/01 405.7 Patients’ rights (b) Hospital responsibilities NO POC NEEDED
11/01/00 405.7 Patients’ rights (b) Hospital responsibilities 4/17/01
  405.19 Emergency services (e) Patient care (f) Quality assurance  
4/19/01 405.4 Medical staff (a) Medical staff accountability NO POC NEEDED
  405.5 Nursing services (b) Delivery of services  

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
7/31/01 405.4 Medical staff (a) Medical staff accountability (c) Medical staff bylaws 11/05/01
  405.6 Quality assurance program (a) Governing body  
  405.7 Patients’ rights (b) Hospital responsibilities