Crouse Hospital

PFI # 0636

Revised: 2/02

Complaints:

Complaint Information: 2001
Complaint Investigations Completed: 7
Complaints with Statements of Deficiencies (SOD) issued: 2
% of Complaints with SODs Issued 29%
Regional % of Complaints with SODs issued: 21.9%

Areas Cited:

SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted
3/13/01 405.4(a) Medical Staff - Medical Staff Accountability 5/22/01
  405.5(b) Nursing Services - Delivery of Services  
  405.6(a) Quality Assurance  
  405.10(b) Medical Records - Content  
10/11/01 405.6(a) Quality Assurance 11/19/01
  405.19(e) Emergency Services - Patient Care  
       

Areas Cited as a Result of Surveys:

Date of Survey Type Areas Cited: Date Plan of Correction Accepted
9/12/00 & 1/18/01 Article 28 Focus 405.2(b) - Governing Body - Organization & Operation 5/2/01
    405.6(a) - Quality Assurance  
    405.11 - Infection Control  
    405.24(a) - Environmental Health - Building & Grounds  
    405.24(e) - Environmental Health – Housekeeping  
    702.3(c) - Fire & Safety  
12/10-14/01 Article 28 Resident Work Hours 405.4(b) - Medical Staff - Organization 3/26/02

Areas Cited as a Result of Incident Investigations:

SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted