Hospital Name LUTHERAN MEDICAL CENTER

PFI # 1304

Revised: Month Year

Complaints:

Complaint Information: 2001
Complaint Investigations Completed: 14
Complaints with Statements of Deficiencies (SOD) issued: 4
% of Complaints with SODs Issued 14%
Regional % of Complaints with SODs issued: 38.5%

Areas Cited:

SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted
04/25/01 405.04 Medical Staff – Medical Staff Accountability 07/25/01
04/25/01 405.05 Nursing Services – Delivery of Services 07/25/01
06/01/01 405.06 Quality Assurance Program 10/29/01
06/01/01 405.07 Patients’ Rights – Hospital Responsibilities 10/29/01
06/01/01 405.10 Medical Records 10/29/01
09/20/01 405.10 Medical Records 09/20/01
11/28/01 405.05 Nursing Services – Delivery of Services 11/28/01

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