Hospital Name: Unity Health Systems-Park Ridge

PFI # 0471

Complaints:

Complaint Information: 2002
Complaint Investigations Completed 7
Complaints with Statements of Deficiencies (SOD) Issued 1
% of Complaints with SODs Issued 14%
Regional % of Complaints with SODs Issued 28.6%

Areas Cited:

SOD Date Regulatory Citation Areas Cited Date Plan of Correction Accepted
11/27/2002 405.5 NURSING SERVICES DELIVERY OF SERVICES 12/31/02
11/27/2002 405.17 PHARMACEUTICAL SERVICES OPERATION & SERVICE DELIVERY 12/31/02

Areas Cited as a Result of Surveys:

DATE OF SURVEY TYPE Areas Cited: Date Plan of Correction Accepted
8/20/2002 - 8/23/2002 Title 18 V264 - AAMI-CHEMICAL CONTAMINANTS 11/21/02
8/20/2002 - 8/23/2002 Title 18 V166 - PATIENT CARE POLICIES RX SERVICES 11/21/02
8/20/2002 - 8/23/2002 Title 18 V196 - PATIENT CARE PLAN FREQUENCY 11/21/02
8/20/2002 - 8/23/2002 Title 18 V238 - MEDICAL RECORD MED & NRSG HISTORY 11/21/02
8/20/2002 - 8/23/2002 Title 18 V256 - PHYSICAL ENVIRONMENT CONSTR & MAINTAIN FOR SAFETY 11/21/02
8/20/2002 - 8/23/2002 Title 18 V257 - PHYSICAL ENVIRONMENT FIRE EXT & EVAC PLANS 11/21/02
8/20/2002 - 8/23/2002 Title 18 V258 - PHYSICAL ENVIRONMENT EQUIPMENT PM 11/21/02
8/20/2002 - 8/23/2002 Title 18 V259 - PHYSICAL ENVIRONMENT FREE OF HAZARDS 11/21/02
8/20/2002 - 8/23/2002 Title 18 V261 - PHYSICAL ENVIRONMENT WATER TREATMENT 11/21/02
8/20/2002 - 8/23/2002 Title 18 V121 - OPERATIONAL OBJECTIVES ESTABLISHED 11/21/02
8/20/2002 - 8/23/2002 Title 18 V263 - AAMI-DIALYSATE BACTERIOLOGY 11/21/02
8/20/2002 - 8/23/2002 Title 18 V365 - SAMPLE FOR PRESENCE 11/21/02
8/20/2002 - 8/23/2002 Title 18 V280 - EMERGENCY RESPONSE PERIODIC DRILLS 11/21/02
8/20/2002 - 8/23/2002 Title 18 V303 - DIALYZER REPROCESSING MANUAL 11/21/02
8/20/2002 - 8/23/2002 Title 18 V325 - PERSONNEL PROTECTION 11/21/02
8/20/2002 - 8/23/2002 Title 18 V328 - INVENTORY CONTROL 11/21/02
8/20/2002 - 8/23/2002 Title 18 V335 - START TIME FOR REPROCESSING 11/21/02
8/20/2002 - 8/23/2002 Title 18 V337 - CLEANING 11/21/02
8/20/2002 - 8/23/2002 Title 18 V338 - PERFORMANCE TEST AFTER EACH USE 11/21/02
8/20/2002 - 8/23/2002 Title 18 V346 - GERMICIDE CONCENTRATION VERIFICATION 11/21/02
8/20/2002 - 8/23/2002 Title 18 V262 - AAMI-H20 BACTERIOLOGY 11/21/02