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