Hospital Name GOLDWATER MEMORIAL HOSPITAL

PFI # 1486

Revised: Month Year

Complaints:

Complaint Information: 2001
Complaint Investigations Completed: 4
Complaints with Statements of Deficiencies (SOD) issued: 2
% of Complaints with SODs Issued 50%
Regional % of Complaints with SODs issued: 38.5%

Areas Cited:

SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted
09/14/01 405.04 Medical Staff – Medical Staff Accountability 11/14/01
09/14/01 405.07 Patients’ Rights – Hospital Responsibilities 11/14/01
11/28/01 405.04 Medical Staff – Medical Staff Accountability 01/24/02

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