Hospital Name: Strong Health-Strong Memorial

PFI # 0413

Complaints:

Complaint Information: 2002
Complaint Investigations Completed 25
Complaints with Statements of Deficiencies (SOD) Issued 4
% of Complaints with SODs Issued 16%
Regional % of Complaints with SODs Issued 28.6%

Areas Cited:

SOD Date Regulatory Citation Areas Cited Date Plan of Correction Accepted
7/15/2002 405.4 MEDICAL STAFF MEDICAL STAFF ACOUNTABILITY 9/12/02
3/21/2002 405.9 ADMISSION AND DISCHARGE HOSP INPT DISCH REVIEW PROGRAM 4/5/02
2/21/2002 405.9 ADMISSION & DISCHARGE 3/21/02
2/21/2002 405.2 GOVERNING BODY CARE OF DISCHARGE PATIENTS 3/21/02
2/13/2002 405.19 EMERGENCY SERVICES PATIENT CARE 3/6/02

Areas Cited as a Result of Surveys:

DATE OF SURVEY TYPE Areas Cited: Date Plan of Correction Accepted
3/4/2002 - 3/15/2002 Article 28 405.4 - MEDICAL STAFF ORGANIZATION 6/5/02
9/17/2002 - 9/17/2002 Article 28 405.23 - FOOD & DIETETIC SERVICES 12/4/02

INCIDENTS

Areas Cited:

SOD Date Regulatory Citation Areas Cited Date Plan of Correction Accepted
12/4/2002 405.6 QUALITY ASSURANCE PROGRAM QUALITY ASSURANCE COMMITTEE 1/7/03
12/4/2002 405.2 GOVERNING BODY CARE OF PATIENTS 1/7/03