WESTCHESTER MEDICAL CENTER

PFI # 1139

Revised: April 2002

Complaints:

Complaint Information: 2001
Complaint Investigations Completed: 26
Complaints with Statements of Deficiencies (SOD) issued: 1
% of Complaints with SODs Issued 4%
Regional % of Complaints with SODs issued: 27.3%

Areas Cited:

SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted
7/10/01 405.2(b)(2) Governing Body 12/27/01
  405.4(a)(1)(i)(2) Medical Staff  
  405.12(b)(4) Surgical Services  

Areas Cited as a Result of Surveys:

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

Most Recent Survey Date: 12/26/00

Areas Cited as a Result of Incident Investigations:

SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted
7/31/01 405.2(b)(2)(f)(1)(7) Governing Body 11/8/01
  405.4(a)(1)(i)(1)(ii) Medical Staff  
  405.6(a)(1)(iv)(2)(i-vii) Quality Assurance Program  
  405.7(b)(3) Patients' Rights  
  405.13(b)(2)(iii) Anesthesia Services  
  405.15(a)(3) Radiology and Nuclear Medicine Services  
  405.24(a)(1)(j)(2) Environmental Health  
       
8/21/01 405.5(c) Nursing Services 1/31/02
       
8/21/01 405.2(b)(2) Governing Body Acceptable Plan of Correction not yet received
  405.4(a)(1)(I) Medical Staff  
  405.6(2)(i-vii)    
  405.15(a)(1) Radiological and Nuclear Medical Services