Hospital Name MOUNT SINAI MEDICAL CENTER

PFI # 1456

Revised: Month Year

Complaints:

Complaint Information: 2001
Complaint Investigations Completed: 30
Complaints with Statements of Deficiencies (SOD) issued: 9
% of Complaints with SODs Issued 30%
Regional % of Complaints with SODs issued: 38.5%

Areas Cited:

SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted
01/12/01   405.20 Outpatient Services – Patient Care 03/23/01
03/15/01 405.10 Medical Records – General Requirements 06/29/01
03/15/01 405.15 Radiologic and Nuclear Medicine Services 01/10/02
07/27/01 400.02 Other Laws, Codes, Rules and Regulations 10/17/01
07/27/01 405.05 Nursing Services – Delivery of Services 10/03/01
07/27/01 405.05 Nursing Services – Delivery of Services 10/31/01
07/27/01 405.16 Laboratory Services 10/17/01
08/24/01 405.07 Patients’ Rights – Hospital Responsibilities 01/10/02
10/17/01 405.05 Nursing Services – Delivery of Services 01/10/02
11/07/01 405.02 Governing Body – Organization and Operations 01/18/02
11/07/01 405.04 Medical Staff –Postgraduate Trainees 01/18/02
11/07/01 405.05 Nursing Services – Administration of Drugs 01/18/02
11/07/01 405.17 Pharmaceutical Services – Organization and 01/18/02

Areas Cited as a Result of Surveys:

Date of Survey Type Areas Cited: Date Plan of Correction Accepted
02/05/01 405.19 Emergency Services 7/18/01
08/16/01 405.06 Quality Assurance Program 04/16/02
08/16/01 405.09 Admission/Discharge 04/16/02

Most Recent Survey Date:

Areas Cited as a Result of Incident Investigations:

SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted