NSUH/Manhasset

PFI # 0541

Revised: 3/02

Complaints:

Complaint Information: 2001
Complaint Investigations Completed: 32
Complaints with Statements of Deficiencies (SOD) issued: 15
% of Complaints with SODs Issued 47%
Regional % of Complaints with SODs issued: 54.3%

Areas Cited:

SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted
12/28/00 405.5 Nursing services (b) Delivery of services 2/05/01
  405.7 Patients’ rights (b) Hospital responsibilities  
  405.10 Medical records (a) General requirements  
7/30/01 405.2 Governing body (c) Compliance with Federal, State and local laws (d) Chief executive officer 10/15/01
  405.3 Administration
a. Chief Executive Officer
 
  405.7 Patients’ rights (b) Hospital responsibilities  
3/19/01 405.5 Nursing services (b) Delivery of services 6/27/01
  405.10 Medical records (a) General requirements  
7/19/01 405.5 Nursing services (b) Delivery of services 9/10/01
  405.9 Admission/discharge (f) Discharge  
7/19/01 405.4 Medical staff (c) Medical staff bylaws 10/25/01
  405.7 Patients’ rights (b) Hospital responsibilities  
  405.10 Medical records (a) General requirements  
3/19/01 405.4 Medical staff (a) Medical staff accountability (c) Medical staff bylaws 6/28/01
  405.7 Patients’ rights (b) Hospital responsibilities  
  405.19 Emergency services (e) Patient care  
7/19/01 405.7 Patients’ rights (b) Hospital responsibilities NO POC NEEDED
9/28/00 405.5 Nursing services (b) Delivery of services NO POC NEEDED
  405.7 Patients’ rights (b) Hospital responsibilities  
11/30/01 405.5 Nursing services (b) Delivery of services NO POC NEEDED
  405.7 Patients’ rights (b) Hospital responsibilities  
  405.9 Admission and discharge (f) Discharge  
7/20/01 405.5 Nursing services (b) Delivery of services NO POC NEEDED
7/20/01 405.9 Admission and discharge (f) Discharge NO POC NEEDED
7/13/01 405.5 Nursing services (b) Delivery of services NO POC NEEDED
  405.7 Patients’ rights (b) Hospital responsibilities  
2/26/01 405.5 Nursing services (b) Delivery of services (c) Administration of drugs NO POC NEEDED
  405.6 Quality assurance (b) Activities of the quality assurance committee  
3/19/01 405.5 Nursing services (b) Delivery of services NO POC NEEDED
  405.7 Patients’ rights (b) Hospital responsibilities  
3/19/01 405.7 Patients’ rights (b) Hospital responsibilities 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
5/24/01 405.2 Governing Body (b) Organization and operation (f) Care of patients No POC Needed
  405.4 Medical Staff (a) Medical staff accountability  
  405.5 Nursing Services (b) Delivery of services  
  405.7 Patients' Rights (b) Hospital responsibilities  
  405.12 Surgical Services (b) Operation and service delivery