Vassar Brothers Medical Center

PFI # 0181

Revised: March 2003

Complaints:

Complaint Information: 2002
Complaint Investigations Completed: 5
Complaints with Statements of Deficiencies (SOD) issued: 1
% of Complaints with SODs Issued 20%
Regional % of Complaints with SODs issued: 23.3%

Areas Cited:

SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted
8/26/02 405.7(b)(3) Patients' Rights: Hospital Responsibilities POC not finalized

Areas Cited as a Result of Surveys:

Date of Survey Type Regulatory Citation Areas Cited: Date Plan of Correction Accepted
1/11/02 Article 28 Focused Survey 405.2(b)(2) Governing Body POC not finalized
    405.4(a)(1)(i)(2) Medical Staff  
    405.5(b)(2)(ii)(c) Nursing Services  
    405.7(b)(13) Patients' Rights  
    405.10(c)(8) Medical Records  
    405.19(e)(1) Emergency Services  

Most Recent Survey Date: 3/28/00

Areas Cited as a Result of Incident Investigations:

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