Hospital Name WESTCHESTER SQUARE MEDICAL CENTER
PFI # 1185
Revised: 7/02
Complaints:
| Complaint Information: | 2001 |
| Complaint Investigations Completed: | 3 |
| Complaints with Statements of Deficiencies (SOD) issued: | 1 |
| % of Complaints with SODs Issued | 33% |
| Regional % of Complaints with SODs issued: | 38.5% |
Areas Cited:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |
| 10/03/01 | 405.04 | Medical Services - Medical Staff Accountability | 11/06/01 |
| 10/03/01 | 405.05 | Nursing Services - Delivery of Services | 11/06/01 |
| 10/03/01 | 405.06 | Quality Assurance Program | 11/06/01 |
| 10/03/01 | 405.07 | Patients' Rights - Hospital Responsibilities | 11/06/01 |
| 10/03/01 | 405.09 | Admission/Discharge - Discharge | 11/06/01 |
Areas Cited as a Result of Surveys:
| Date of Survey | Type | Areas Cited: | Date Plan of Correction Accepted |
| 05/03/01 | 405.03 | Administration | 07/17/01 |
| 05/03/01 | 405.06 | Quality Assurance Program | 07/17/01 |
| 05/03/01 | 405.07 | Patients' Rights - Hospital Responsibilities | 07/17/01 |
| 05/03/01 | 405.09 | Admission/Discharge | |
| 05/03/01 | 405.11 | Infection Control | 07/17/01 |
| 07/26/01 | 405.03 | Administration | 12/05/01 |
| 07/26/01 | 405.06 | Quality Assurance Program | 12/05/01 |
| 07/26/01 | 405.11 | Infection Control | 12/05/01 |
Most Recent Survey Date:
Areas Cited as a Result of Incident Investigations:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |