St. Peter's Hospital

PFI # 0005

Revised:

Complaints:

Complaint Information: 2002
Complaint Investigations Completed: 20
Complaints with Statements of Deficiencies (SOD) issued: 5
% of Complaints with SODs Issued 25%
Regional % of Complaints with SODs issued: 35.2%

Areas Cited:

SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted
11/8/02 405.2 Governing Body Pending
11/8/02 405.4 Medical Staff Pending
11/8/02 405.5 Nursing Services Pending
11/8/02 405.6 Quality Assurance Pending
11/15/02 405.2 Governing Body 12/5/02
11/15/02 405.6 Quality Assurance 12/5/02
11/15/02 405.10 Medical Records 12/5/02
12/4/02 405.5 Nursing Services 1/2/03
12/4/02 405.6 Quality Assurance 1/2/03
12/19/02 405.4 Medical Staff 1/15/03
12/19/02 405.5 Nursing Services 1/15/03
12/23/02 405.19 Emergency Services 1/23/03

Areas Cited as a Result of Surveys:

Date of Survey Type Areas Cited: Date Plan of Correction Accepted
       
       
       
       
       
       

Most Recent Survey Date: 8/00 JCAHO

Areas Cited as a Result of Incident Investigations:

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