St. Catherine of Siena Hospital

PFI # 0943

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
8/14/01 405.2 Governing body (c) Compliance with Federal, State and local laws (d) Chief executive officer 12/12/01
  405.3 Administration (a) Chief executive officer  
  405.5 Nursing services (b) Delivery of services (c) Administration of drugs  
  405.7 Patients’ rights (c) Patients’ bill of rights  
1/12/01 405.7 Patients’ rights (b) Hospital responsibilities 2/26/01
  405.21 Maternity and newborn services (a) General requirement (f) Postpartum care of mother  
8/08/01 405.7 Patients’ rights (b) Hospital responsibilities 10/5/01
  405.21 Maternity and newborn services (c) A professional person in attendance  
1/12/01 405.5 Nursing services (c) Administration of drugs (e) Quality assurance 2/26/01
  405.7 Patients’ rights (b) Hospital responsibilities  
3/15/01 405.5 Nursing services (b) Delivery of services (e) Quality assurance 7/03/01
  405.7 Patients’ rights (b) Hospital responsibilities  
  405.10 Medical records (b) Content    
1/12/01 405.7 Patients’ rights (b) Hospital responsibilities 5/31/01
  405.19 Emergency services (e) Patient care  
5/07/01 405.7 Patients’ rights (b) Hospital responsibilities 6/29/01
  405.19 Emergency services (e) Patient care (f) Quality assurance  
4/06/01 405.5 Nursing services (b) Delivery of services 6/08/01
  405.7 Patients’ rights (b) Hospital responsibilities  
4/17/01 405.7 Patients’ rights (b) Hospital responsibilities NO POC NEEDED

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