Hospital Name BROOKDALE HOSPITAL MEDICAL CENTER

PFI # 1286

Revised: Month Year

Complaints:

Complaint Information: 2001
Complaint Investigations Completed: 8
Complaints with Statements of Deficiencies (SOD) issued: 6
% of Complaints with SODs Issued 35%
Regional % of Complaints with SODs issued: 38.5%

Areas Cited:

SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted
02/21/01 405.07 Patients’ Rights – Hospital Responsibilities 11/26/01
02/21/01 405.10 Medical Records 11/26/01
06/26/01 405.04 Medical Staff – medical Staff Bylaws 10/17/01
06/26/01 405.07 Patients’ Rights – Hospital Responsibilities 10/17/01
06/26/01 405.09 Admission/Discharge 10/17/01
08/24/01 405.10 Medical Records – Content 10/30/01
08/24/01 405.19 Emergency Services – Patient Care 10/30/01
09/20/01 405.05 Nursing Services – Delivery of Services 11/2/01
09/20/01 405.19 Emergency Services – Patient Care 11/05/01
11/28/01 405.10 Medical Records – Content  

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
01/08/01 405.04 Medical Staff - Medical Staff Accountability 02/26/01
01/08/01 405.06 Quality Assurance Program 02/26/01
05/01/01 405.04 Medical Staff - Medical Staff Accountability  
05/01/01 405.21 Maternity and Newborn Services  
05/05/01 405.04 Medical Staff - Dental Services 07/20/01
10/30/01 405.10 Medical Records - Content 12/20/01