St. Francis Hospital
PFI # 0563
Revised: 3/02
Complaints:
| Complaint Information: | 2001 |
| Complaint Investigations Completed: | 12 |
| Complaints with Statements of Deficiencies (SOD) issued: | 4 |
| % of Complaints with SODs Issued | 33% |
| Regional % of Complaints with SODs issued: | 54.3% |
Areas Cited:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |
| 10/29/01 | 405.7 | Patient’s rights (b) Hospital responsibilities | NO POC NEEDED |
| 405.13 | Anesthesia services (b) Operation and service delivery | ||
| 12/07/00 | 405.19 | Emergency services (e) Patient care | NO POC NEEDED |
| 12/07/00 | 405.9 | Admission/discharge (f) Discharge | 3/23/01 |
| 1/05/01 | 405.4 | Medical staff (a) Medial staff accountability | 1/11/02 |
| 405.6 | Quality assurance program (b) Activities of the quality assurance program | ||
| 405.7 | Patient’s rights (b) Hospital responsibilities |
Areas Cited as a Result of Surveys:
| Date of Survey | Type | Areas Cited: | Date Plan of Correction Accepted |
| 1/05/01 | Article 28 405.5 | Nursing services (b) Delivery of services | 2/06/01 |
| 405.7 | Patients’ rights (b) Hospital responsibilities | ||
| 405.10 | Medical records (a) General requirement (b) Content | ||
| 405.24 | Environmental health (a) Building and grounds (b) Life safety from fire | ||
| 711.2 | Pertinent technical standards (a) Observations |
Most Recent Survey Date:
Areas Cited as a Result of Incident Investigations:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |