Winthrop University Hospital

PFI # 0511

Revised: 03/02

Complaints:

Complaint Information: 2001
Complaint Investigations Completed: 20
Complaints with Statements of Deficiencies (SOD) issued: 14
% of Complaints with SODs Issued 70%
Regional % of Complaints with SODs issued: 54.3%

Areas Cited:

SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted
11/01/99 405.19 Emergency services (d) Staffing No POC Needed
3/12/01 405.4 Medical staff (a) Medical staff accountability No POC Needed
  405.5 Nursing services (e) Quality assurance  
7/16/01 405.7 Patients' rights (b) Hospital responsibilities No POC Needed
  405.24 Environmental health (e) Housekeeping (f) Linen and laundry  
716/01 405.7 Patients' rights (b) Hospital responsibilities No POC Needed
7/11/01 405.4 Medical staff (c) Medical staff by-laws 10/19/01
  405.6 Quality assurance program (a) Quality assurance committee  
  405.7 Patients' rights (b) Hospital responsibilities  
7/16/01 405.7 Patients' rights (b) Hospital responsibilities No POC Needed
03/12/01 405.20 Outpatient services (d) Hospital-based ambulatory surgery service No POC Needed
7/16/01 405.7 Patients' rights (b) Hospital responsibilities No POC Needed
3/16/01 405.21 Maternity and newborn services No POC Needed
2/18/01 405.7 Patients' rights (b) Hospital responsibilities No POC Needed
6/13/01 405.5 Nursing services (e) Quality assurance 1/25/02
  405.7 Patients' rights (b) Hospital responsibilities  
  405.9 Admission/Discharge Pediatrics  
  405.14 Respiratory care services (a) Organization and direction  
  405.19 Emergency services (e) Patient care  
6/11/01 405.4 Medical staff (a) Medical staff accountability No POC Needed
11/26/01 405.5 Nursing services (b) Delivery of services (c) Administration of drugs No POC Needed
  405.7 Patients' rights (b) Hospital responsibilities  
3/12/01 405.24 Environmental health (e) Housekeeping No POC Needed

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