Hospital Name MAIMONIDES MEDICAL CENTER

PFI # 1305

Revised: Month Year

Complaints:

Complaint Information: 2001
Complaint Investigations Completed: 35
Complaints with Statements of Deficiencies (SOD) issued: 20
% of Complaints with SODs Issued 57%
Regional % of Complaints with SODs issued: 38.5%

Areas Cited:

SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted
2/8/01 405.07 Patients’ Rights – Hospital Responsibilities 12/28/01
2/8/01 405.09 Admission/Discharge – Admission 4/5/01
2/27/01 405.06 Quality Assurance Program  
2/27/01 405.07 Patients’ Rights – Hospital Responsibilities  
2/27/01 405.10 Medical Records - Content  
2/27/01 405.12 Surgical Services  
4/17/01 405.07 Patients’ Rights – Hospital Responsibilities 6/8/01
5/4/01 405.10 Medical Records – Content 7/30/01
6/1/01 405.04 Medical Staff – Medical Staff Accountability 7/20/01
6/1/01 405.05 Nursing Services – Delivery of Services 7/20/01
       
6/26/01 405.05 Nursing Services – Administration of Drugs 10/17/01
6/26/01 405.07 Patients’ Rights – Hospital Responsibilities 10/17/01
6/26/01 405.10 Medical Records 10/17/01
6/29/01 405.05 Nursing Services – Delivery Services  
6/29/01 405.06 Quality Assurance Program  
       
7/27/01 405.03 Administration – Other Reporting Requirements 10/3/01
       
8/1/01 405.05 Nursing Services – Delivery of Services 10/31/01
8/1/01 405.07 Patients’ Rights – Hospital Responsibilities 10/31/01
8/24/01 405.05 Nursing Services – Delivery of Services 10/30/01
8/24/01 405.10 Medical Records - Content 10/30/01
9/20/01 405.07 Patients’ Rights – Procedural Requirements 11/26/01
10/3/01 405.05 Nursing Services – Delivery of Services 11/26/01
10/17/01 405.04 Medical Staff – Medical Staff Accountability 12/5/01
10/31/01 405.11 Infection Control – Control of Infections and  
11/7/01 405.05 Nursing Services  
11/7/01 405.07 Patients’ Rights – Hospital Responsibilities  
       
11/28/01 405.04 Medical Staff – Medical Staff Accountability  
11/28/01 405.06 Quality Assurance Program  
11/28/01 405.07 Patients’ Rights – Hospital Responsibilities  
11/28/01 405.08 Incident Reporting  
11/28/01 405.19 Emergency Services – Patient Care  
12/17/01 405.07 Patients’ Rights – Hospital Responsibilities  

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
6/13/01 405.07 Patients’ Rights - Hospital Responsibilities 10/3/01
6/13/01 405.07 Patients’ Rights – Hospital Responsibilities 10/3/01
6/27/01 405.05 Nursing Services – Delivery Services 11/27/01
6/27/01 405.19 Emergency Services 11/27/01