Good Samaritan Hospital
PFI # 0925
Revised: 3/02
Complaints:
| Complaint Information: | 2001 |
| Complaint Investigations Completed: | 20 |
| Complaints with Statements of Deficiencies (SOD) issued: | 16 |
| % of Complaints with SODs Issued | 80% |
| Regional % of Complaints with SODs issued: | 54.3% |
Areas Cited:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |
| 10/25/01 | 405.19 | Emergency Services (e) Patient Care | 12/13/01 |
| 08/16/01 | 405.5 | Nursing services (c) Administration of drugs | 9/25/01 |
| 405.7 | Patient’ rights (b) Hospital responsibilities | ||
| 405.19 | Emergency services (e) Patient care (f) Quality Assurance | ||
| 8/16/01 | 405.2 | Governing body (b) Organization and operation | 3/18/02 |
| 405.4 | Medical staff (a) Medical staff accountability (c) Medical staff bylaws | ||
| 405.6 | Quality assurance (a) Quality assurance committee | ||
| 405.7 | Patients’ rights (b) Hospital responsibilities | ||
| 405.19 | Emergency services (e) Patient care (f) Quality assurance | ||
| 785.5 | Specific review criteria (v) Area trauma center | ||
| 08/16/01 | 405.2 | Governing body (b) Organization and operation | 3/18/02 |
| 405.4 | Medical staff (a) Medical staff accountability (c) Medical staff bylaws | ||
| 405.7 | Patients’ rights (b) Hospital responsibilities | ||
| 405.19 | Emergency services (e) Patient care (f) Quality assurance | ||
| 785.5 | Specific review criteria (v) Area trauma center | ||
| 8/16/01 | 405.4 | Medical staff (a) Medical staff accountability | 10/19/01 |
| 405.5 | Nursing services (b) Delivery of service (e) Quality assurance | ||
| 405.7 | Patient rights (b) Hospital responsibilities | ||
| 405.23 | Food and dietetic services | ||
| 08/09/01 | 405.5 | Nursing services (b) Delivery of service | 9/19/01 |
| 405.7 | Patient rights (b) Hospital responsibilities | ||
| 08/17/01 | 405.19 | Emergency services (e) Patient care | 3/18/02 |
| 08/16/01 | 405.2 | Governing body (b) Organization and operation | 3/18/02 |
| 405.4 | Medical staff (a) Medical staff accountability (c) Medical staff bylaws | ||
| 405.6 | Quality assurance (a) Quality assurance committee | ||
| 405.7 | Patients’ rights (b) Hospital responsibilities | ||
| 405.19 | Emergency services (e) Patient care (f) Quality assurance | ||
| 785.5 | Specific review criteria (v) Area trauma center | ||
| 03/23/01 | 405.4 | Medical staff (f) Postgraduate trainees | NO POC NEEDED |
| 405.7 | Patients’ rights (b) Hospital responsibilities | ||
| 405.19 | Emergency services (e) Patient care (f) Quality assurance | ||
| 05/29/01 | 405.7 | Patients’ rights (b) Hospital responsibilities | 6/14/01 |
| 405.10 | Medical records (a) General requirements | ||
| 05/18/01 | 405.5 | Nursing services (a) Organization and staffing (b) Delivery of services (e) Quality assurance | 9/10/01 |
| 405.6 | Quality assurance program (a) Governing body (b) Quality assurance committee | ||
| 405.7 | Patients’ rights (b) Hospital responsibilities | ||
| 405.12 | Surgical services | ||
| 405.22 | Critical care and special care services (a) General provisions | ||
| 07/20/01 | 405.5 | Nursing services (b) Delivery of services | 9/10/01 |
| 05/06/01 | 405.2 | Governing body (c) Compliance with Federal, State and local laws (d) Chief executive officer | 9/19/01 |
| 405.3 | Administration (a) Chief executive officer | ||
| 405.4 | Medical staff (b) Organization | ||
| 405.6 | Quality assurance program (a) Governing body | ||
| 11/06/01 | 405.7 | Patients’ rights (b) Hospital responsibilities | 3/20/02 |
| 405.19 | Emergency services (e) Patient care | ||
| 6/08/01 | 405.10 | Medical records | 6/29/01 |
| 8/16/01 | 405.5 | Nursing services (b) Delivery of services | 10/17/01 |
| 405.7 | Patients’ rights (b) Hospital responsibilities | ||
| 405.9 | Admission/Discharge (f) Discharge | ||
| 405.28 | Social services |
Areas Cited as a Result of Surveys:
| Date of Survey | Type | Areas Cited: | Date Plan of Correction Accepted |
Most Recent Survey Date:
Areas Cited as a Result of Incident Investigations:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |