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 |