Winthrop University Hospital
PFI # 0511
Revised: 3/21/03
Complaints:
| Complaint Information: | 2002 |
| Complaint Investigations Completed: | 15 |
| Complaints with Statements of Deficiencies (SOD) issued: | 10 |
| % of Complaints with SODs Issued | 67% |
| Regional % of Complaints with SODs issued: | 53.9% |
Areas Cited:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |
| 10/25/00 | 405.5 | Nursing services (b) Delivery of services | 3/11/03 |
| 405.6 | Quality assurance program (a) Governing body | ||
| 405.12 | Surgical services (a) Organization and direction | ||
| 8/22/02 | 405.7 | Patients’ rights (b) Hospital responsibilities | 11/15/02 |
| 405.9 | Admission/discharge (f) Discharge | ||
| 405.10 | Medical records (b) Content | ||
| 12/10/01 | 405.5 | Nursing services (b) Delivery of services (e) Quality assurance | 7/09/02 |
| 405.7 | Patients’ rights (b) Hospital responsibilities | ||
| 10/11/02 | 405.10 | Medical records (a) General requirements | 12/10/02 |
| 3/04/02 | 405.19 | Emergency services (e) Patient care | 7/26/02 |
| 3/20/02 | 405.7 | Patients’ rights (b) Hospital responsibilities | 6/25/02 |
| 405.19 | Emergency services (e) Patient care | ||
| 7/22/02 | 405.7 | Patients’ rights (a) Procedural requirements | 9/24/02 |
| 12/11/01 | 405.4 | Medical staff (a) Medical staff accountability | NO POC REQUIRED |
| 405.22 | Critical care and special services (d) Cardiac surgical centers | ||
| 11/02/01 | 85.43 | Nurse practitioner services (b) Scope of care | 5/06/02 |
| 405.4 | Medical staff (a) Medical staff accountability | ||
| 405.5 | Nursing services (b) Delivery of services | ||
| 405.6 | Quality assurance program (a) Quality assurance committee | ||
| 405.7 | Patients’ rights (b) Hospital responsibilities | ||
| 405.9 | Admission/discharge (a) General | ||
| 405.10 | Medical records | ||
| 406.3 | Admission, patient assessment, planning and services | ||
| 10/08/02 | 405.7 | Patients’ rights (b) Hospital responsibilities | 1/07/03 |
Areas Cited as a Result of Surveys:
| Date of Survey | Type | Areas Cited: | Date Plan of Correction Accepted |
Most Recent Survey Date:
Areas Cited as a Result of Incident Investigations:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |