Hospital Name: MILLARD FILLMORE HOSPITAL@MILLARD FILLMORE SUBURBA

PFI # 3067

Complaints:

Complaint Information: 2001
Complaint Investigations Completed 13
Complaints with Statements of Deficiencies (SOD) Issued 7
% of Complaints with SODs Issued 54%
Regional % of Complaints with SODs Issued 29.8%

Areas

SOD Date Regulatory Citation Areas Cited Date Plan of Correction Accepted
12/13/01 405.6 Quality Assurance QA 1/10/02
12/13/01 405.5 Nursing Services Delivery of Services 1/10/02
10/11/01 405.5 Quality Assurance QA 11/6/01
10/11/01 405.5 Nursing Services Delivery of Services 11/6/01
10/11/01 405.4 Medical Staff Medical Staff Accountability 11/6/01
4/13/01 405.5 Nursing Services Administration of Drugs 5/2/01
4/6/01 405.5 Nursing Services Delivery of Services 5/2/01
4/6/01 405.4 Medical Staff Medical Staff Accountability 5/2/01
3/1/01 405.5 Nursing Services Delivery of Services 4/5/01
3/1/01 405.17 Pharmaceutical Services Organization and Direction 4/5/01
2/20/01 405.6 Quality Assurance Committee Activities 6/11/01
2/20/01 405.4 Medical Staff Medical Staff Accountability 6/11/01
2/20/01 405.2 Governing Body Care of Patients 6/11/01
2/20/01 405.19 Emergency Services General Policies and Procedures 6/11/01
2/20/01 405.19 Medical Records General Requirements 6/11/01
2/20/01 405.19 Emergency Services Patient 6/11/01

Areas Cited as a Result of

Surveys:

INCIDENTS

Areas Cited:

SOD Date Regulatory Citation Areas Cited Date Plan of Correction Accepted
12/21/01 405.21 Maternity and Newborn Services Delivery 12/21/01