Faxton - St. Luke's Healthcare – St. Luke’s Division
PFI # 0599
Revised: 2/02
Complaints:
| Complaint Information: | 2001 |
| Complaint Investigations Completed: | 0 |
| Complaints with Statements of Deficiencies (SOD) issued: | 0 |
| % of Complaints with SODs Issued | 0% |
| Regional % of Complaints with SODs issued: | 21.9% |
Areas Cited:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |
Areas Cited as a Result of Surveys:
| Date of Survey | Type | Areas Cited: | Date Plan of Correction Accepted |
| 1/22/01 | ESRD Initial Certification Extension Clinic | None | |
| 3/28-29/01 | ESRD Recertification Extension Clinic | 405.2136(d) - Governing Body & Management - Personnel P/P: Good Care | 8/8/01 |
| 405.2136(d) - Governing Body & Management - Personnel P/P: Staff Qualified | |||
| 405.2136(d) - Governing Body & Management - Personnel P/P: Safe and Sanitary Environment | |||
| 405.2136(d) - Governing Body & Management - Personnel P/P: Staff Education | |||
| 405.2137(b) - Long Term Program & Care Plan - PCP: Frequency | |||
| 405.2140(a) - Physical Environment - Constr & Maintain for Safety | |||
| 405.2140(a) - Physical Environment - PE: Water Treatment | |||
| 405.2140(a) - Physical Environment - AAMI: H20 Bacteriology | |||
| 405.2140(a) - Physical Environment - AAMI: Dialysate Bacteriology | |||
| 405.2140(b) - Physical Environment - PE: Infection Control | |||
| 11/29/01 | Article 28 Resident Work Hours | None |
Areas Cited as a Result of Incident Investigations:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |