Hospital Name ST JOHNS EPISCOPAL HOSPITAL/SOUTH SHORE

PFI # 1635

Revised: Month Year

Complaints:

Complaint Information: 2001
Complaint Investigations Completed: 9
Complaints with Statements of Deficiencies (SOD) issued: 3
% of Complaints with SODs Issued 33%
Regional % of Complaints with SODs issued: 38.5%

Areas Cited:

SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted
4/17/01 405.07 Patients’ Rights – Hospital Responsibilities 6/29/01
4/17/01 405.19 Emergency Services – General 6/29/01
8/24/01 405.15 Radiologic and Nuclear – Medicine Services 12/31/01
11/28/01 405.04 Medical Staff – Medical Staff Accountability 01/09/02
11/28/01 405.05 Nursing Services – Delivery of Services 01/09/02

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
7/10/01 405.06 Quality Assurance Program 10/3/01
10/26/01 405.05 Nursing Services – Organizatioin and Staffing 12/18/01