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