Brunswick Hospital

PFI # 0878

Revised: 3/02

Complaints:

Complaint Information: 2001
Complaint Investigations Completed: 15
Complaints with Statements of Deficiencies (SOD) issued: 9
% of Complaints with SODs Issued 60%
Regional % of Complaints with SODs issued: 54.3%

Areas Cited:

SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted
5/29/01 405.7 Patient’s rights (b) Hospital responsibilities 11/02/01
  405.19 Emergency services (e) Patient care (f) Quality assurance  
3/05/01 405.5 Nursing services (b) Delivery of services 4/19/01
  405.7 Patient’s rights (b) Hospital responsibilities  
7/18/01 405.2 Governing body (c) Compliance with Federal, State and local laws (d) Chief executive officer 11/30/01
  405.3 Administration (a) Chief executive officer  
  405.5 Nursing services (b) Delivery of services (c) Administration of drugs  
  405.7 Patient’s rights (b) Hospital responsibilities  
  405.16 Laboratory services (a) The hospital shall ensured that all clinical laboratory services (e) Blood, blood products and transfusion  
  405.19 Emergency services (e) Patient care  
10/16/01 405.7 Patient’s rights (b) Hospital responsibilities 12/03/01
  405.19 Emergency services (e) Patient care (f) Quality assurance  
9/01/01 405.2 Governing body (c) Compliance with Federal, State and local laws (d) Chief executive officer (e) Medical staff 3/21/02
  405.3 Administration (a) Chief executive officer  
  405.4 Medical staff (b) Organization (c) Medical staff bylaws  
  405.5 Nursing services (e) Quality assurance  
  405.6 Quality assurance program (a) Governing body  
  405.7 Patients rights (a) Procedural requirements  
  405.19 Emergency services (e) Patient care  
9/01/01 405.2 Governing body (c) Compliance with Federal, State and local laws (d) Chief executive officer (e) Medical staff 3/21/02
  405.3 Administration (a) Chief executive officer  
  405.4 Medical staff (b) Organization (c) Medical staff bylaws  
  405.5 Nursing services (e) Quality assurance  
  405.6 Quality assurance program (a) Governing body  
  405.7 Patients rights (a) Procedural requirements  
  405.19 Emergency services (e) Patient care  
6/08/01 405.5 Nursing services (b) Delivery of services 7/03/01
5/25/01 405.5 Nursing services (b) Delivery of services 10/12/01
  405.7 Patient’s rights (b) Hospital responsibilities  
10/23/01 405.4 Medical staff (c) Medical staff bylaws 11/30/01
  405.5 Nursing services (b) Delivery of services (e) Quality assurance  
  405.6 Quality assurance program (b) Activities of the quality assurance committee  
  405.7 Patients’ rights (b) Hospital responsibilities  

Areas Cited as a Result of Surveys:

Date of Survey Type Areas Cited: Date Plan of Correction Accepted

       
Article 28 1/18/01 405.2 Governing body (b) Organization and direction 2/6/01
  405.3 Administration (a) Chief executive officer  
  405.4 Medical staff (a) Medical staff accountability (b) Organization  
  405.6 Quality assurance program (a) Governing body (b) Activities of the quality assurance program  

Most Recent Survey Date:

Areas Cited as a Result of Incident Investigations:

SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted
10/12/01 405.5 Nursing services (b) Delivery of services 12/13/01
  405.6 Quality assurance program (b) Activities of the quality assurance program  
  405.7 Patients’ rights (b) Hospital responsibilities