Lewis County General Hospital

PFI # 0383

Revised: 3/03

Complaints:

Complaint Information: 2002
Complaint Investigations Completed: 0
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
       

Most Recent Survey Date: 5/2 – 3/2002 – JCAHO Survey

Areas Cited as a Result of Incident Investigations:

SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted
03/21/2002 405.2(f) Governing Body - Care of Patients 7/10/2002
  405.6(a) Quality Assurance  
  405.6(b) Quality Assurance  
  405.12(b) Surgical Services - Operation & Service Delivery  
  405.13(b) Anesthesia Services - Operation & Service Delivery  
  405.43(a) Orders Not to Resuscitate - Policies & Procedures  
  405.43(b) Orders Not to Resuscitate - Definitions  
  405.43(i) Orders Not to Resuscitate - Effect of Order Not to Resuscitate  
12/03/2002 405.2(f) Governing Body - Care of Patients  
  405.3 Administration  
  405.3(a) Administration  
  405.4(a) Medical Staff - Medical Staff Accountability  
  405.5(a) Nursing Services - Organization & Staffing  
  405.5(b) Nursing Services - Delivery of Services  
  405.6(a) Quality Assurance  
  405.13(b) Anesthesia Services - Operation & Service Delivery