United Health Services Hospitals, Inc. – Binghamton General Hospital

PFI # 0042

Revised: 3/03

Complaints:

Complaint Information: 2002
Complaint Investigations Completed: 2
Complaints with Statements of Deficiencies (SOD) issued: 0
% of Complaints with SODs Issued 0%
Regional % of Complaints with SODs issued: 33.8%

Areas Cited:

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

Areas Cited as a Result of Surveys:

Date of Survey Type Areas Cited: Date Plan of Correction Accepted
10/15 – 17/2002 Annual Compliance Review - Resident Work Hours None  
10/22 - 24/2002 Article 28 Compliance & Medicare ESRD Recert 405.6 - Quality Assurance 2/10/2003
    405.11 - Infection Control  
    757.1(a) - Chronic Renal Dialysis Services  
    405.2136 - Governing Body & Management - Health and Safety  
    405.2136(d) - Governing Body & Management - Personnel P/P: Staff Qualified  
    405.2136(d) - Governing Body & Management - Personnel P/P: Good Practices  
    405.2136(g) - Governing Body & Management - Medical Supervision: Orders  
    405.2137(a) - Long Term Program & Care Plan - Long-Term Plan Team Members  
    405.2137(a) - Long Term Program & Care Plan - Long-Term Plan: Reviewed by Team  
    405.2137(b) - Long Term Program & Care Plan - PCP: Written, Assessment Based  
    405.2137(b) - Long Term Program & Care Plan - PCP: Individualized  
    405.2137(b) - Long Term Program & Care Plan - PCP: Team  
    405.2137(b) - Long Term Program & Care Plan - PCP: Frequency  
    405.2139)a) - Medical Records - Med & Nursing History  
    410.2140(a) - Physical Environment - Constr & Maintain for Safety  
    405.2140(a) - Physical Environment - PE: Water Treatment  
    402.2140(a) - Physical Environment - AAMI: H20 Bacteriology  
    405.2140(a) - Physical Environment - AAMI: Dialysate Bacteriology  
    405.2140(b) - Physical Environment - PE: Infection Control  
    405.2140(d) - Physical Environment - ER: Patients Informed  
    405.2161(b) - Director of Renal Dialysis Facility - Resp: Monitoring Process  
    405.2163(c) - Minimal Service Requirements - Social Worker Responsibilities  
    405.2163(f) - Minimal Service Requirements - Participation in Recipient Registry  
       

Areas Cited as a Result of Incident Investigations:

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