Hospital Name: MERCY HOSPITAL
PFI # 0213
Complaints:
| Complaint Information: | 2002 |
| Complaint Investigations Completed | 19 |
| Complaints with Statements of Deficiencies (SOD) Issued | 11 |
| % of Complaints with SODs Issued | 57% |
| Regional % of Complaints with SODs Issued | 42.3% |
Areas Cited:
| SOD Date | Regulatory Citation | Areas Cited | Date Plan of Correction Accepted |
| 12/10/02 | 702.2 | Housekeeping | 1/6/03 |
| 11/13/02 | 405.6 | Quality Assurance Program QA Committee | 12/31/02 |
| 11/13/02 | 405.4 | Medical Staff Autopsies | 12/31/02 |
| 8/27/02 | 405.5 | Nursing Services Delivery of Services | 8/27/02 |
| 8/14/02 | 702.2 | Housekeping Environmental Health | 9/6/02 |
| 8/14/02 | 702.1 | Engineering and Maintenance Ventilation | 9/6/02 |
| 8/9/02 | 405.5 | Nursing Services Delivery of Services | 8/9/02 |
| 8/9/02 | 405.5 | Nursing Services Delivery of Services | 8/9/02 |
| 8/9/02 | 405.5 | Nursing Services Delivery of Services | 8/9/02 |
| 6/11/02 | 405.5 | Nursing Services Delivery of Services | 7/1/02 |
| 4/5/2002 | 405.6 | Quality Assurance QA Committee | 4/22/02 |
| 4/5/2002 | 405.5 | Nursing Services Delivery of Services | 4/22/02 |
| 3/27/2002 | 405.19 | Emergency Services General | 3/27/02 |
| 2/8/2002 | 405.5 | Nursing Services Delivery of Services | 3/5/02 |
| 2/8/2002 | 405.15 | Radiologic and Nuclear Medicine Services Nuclear Medicine Services | 3/5/02 |
| 1/8/2002 | 405.5 | Nursing Services Administration of Drugs | 2/11/02 |
INCIDENTS
Areas Cited:
| SOD Date | Regulatory Citation | Areas Cited | Date Plan of Correction Accepted |
| 2/7/2002 | 405.5 | Nursing Services Organization and Staffing | 2/15/02 |
| 2/7/2002 | 405.5 | Governing Body Care of Patients | 2/15/02 |
| 2/7/2002 | 405.4 | Medical Staff Medical Staff Accountability | 2/15/02 |
| 1/17/2002 | 405.7 | Patients' Rights Hospital Responsibilities | 3/25/02 |
| 1/17/2002 | 405.5 | Nursing Services Documentation of Care | 3/25/02 |
| 1/17/2002 | 405.5 | Nursing Services Delivery of Care | 3/25/02 |