Hospital Name: CUBA MEMORIAL HOSPITAL INC

PFI # 0037CAH

Complaints:

Complaint Information: 2002
Complaint Investigations Completed 1
Complaints with Statements of Deficiencies (SOD) Issued 1
% of Complaints with SODs Issued 100%
Regional % of Complaints with SODs Issued 42.3%

Areas Cited:

SOD Date Regulatory Citation Areas Cited Date Plan of
9/9/02 702.2 Environmental Health Housekeeping 9/30/02

Areas Cited as a Result of Surveys:

DATE OF SURVEY TYPE Areas Cited: Date Plan of Correction Accepted
8/28/02 Article 28 Title 18 483.20 - Resident Assessment Discharge Summary 11/01/02
8/28/02 Article 28 Title 18 485.618 – Emergency Services Equipment and Supplies 11/01/02
8/28/02 Article 28 Title 18 485.623 - Physical Plant & Environment Maintenance 11/01/02
8/28/02 Article 28 Title 18 485.623 - Physical Plant & Environment Life Safety From Fire 11/01/02
8/28/02 Article 28 Title 18 485.635 - Patient Care Policies Patient Care 11/01/02
8/28/02 Article 28 Title 18 485.641 - Periodic Evaluation & QA Review Periodic Evaluation 11/01/02
8/28/02 Article 28 Title 18 485.641 - Periodic Evaluation & QA Review Quality Assurance 11/01/02
8/28/02 Article 28 Title 18 483.13 - Resident Behavior and Facility Practice 11/01/02
8/28/02 Article 28 Title 18 483.20 - Resident Assessment 11/01/02
8/28/02 Article 28 Title 18 483.20 - Resident Assessment Frequency 11/01/02
8/28/02 Article 28 Title 18 485.618 – Emergency Services Care of Patients 11/01/02
8/28/02 Article 28 Title 18 483.20 - Resident Assessment Comprehensive Care Plans 11/01/02
8/28/02 Article 28 485.618 - RPCHS-Condition of Participation Equipment and Supplies 11/01/02
8/28/02 Article 28 405.1 - Provisions of Services Patient Care Policies 11/01/02

Most Recent Survey 8/28/02