St. Clare’s Hospital
PFI # 0830
Revised: 2/02
Complaints:
| Complaint Information: | 2001 |
| Complaint Investigations Completed: | 10 |
| Complaints with Statements of Deficiencies (SOD) issued: | 2 |
| % of Complaints with SODs Issued | 20% |
| Regional % of Complaints with SODs issued: | 26.8% |
Areas Cited:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |
| 7/9/01 | 405.2(f)(1) | Governing Body | 7/25/01 |
| 7/9/01 | 405.6(a)(2) | Quality Assurance | 7/25/01 |
| 7/9/01 | 405.19(e)(f)(1) | Emergency Services | 7/25/01 |
| 7/9/01 | 405.5(b)(4) | Nursing Services | 8/17/01 |
| 7/9/01 | 405.7(b)(23) | Patients’ Rights | 8/17/01 |
Areas Cited as a Result of Surveys:
| Date of Survey | Type | Areas Cited: | Date Plan of Correction Accepted |
| 9/5 - 9/6/01 | Article 28 Focus | 406.6 Quality Assurance | 11/1/01 |
| 9/5/ - 9/6/01 | Article 28 Focus | 405.10 Medical Records | 11/1/01 |
Most Recent Survey Date: Federal Title 18 Validation - 9/5 - 9/6/01
Areas Cited as a Result of Incident Investigations:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |