Mercy Medical Center

PFI # 0513

Revised: 3/21/03

Complaints:

Complaint Information: 2002
Complaint Investigations Completed: 13
Complaints with Statements of Deficiencies (SOD) issued: 9
% of Complaints with SODs Issued 69%
Regional % of Complaints with SODs issued: 53.9%

Areas Cited:

SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted
7/29/02 405.7 Patients’ rights (b) Hospital responsibilities 10/09/02
6/20/02 405.5 Nursing services (b) Delivery of services 8/12/02
7/18/02 405.19 Emergency services (e) Patient care 11/21/02
10/08/02 405.4 Medical staff (a) Medical staff accountability 1/07/03
  405.5 Nursing services (b) Delivery of services  
  405.7 Patients’ rights (b) Hospital responsibilities  
  405.19 Emergency services (e) Patient care  
8/08/02 405.4 Medical staff (a) Medical staff accountability 11/13/02
  405.5 Nursing services (b) Delivery of services  
  405.6 Quality assurance program (a) Governing body  
  405.7 Patients’ rights (b) Hospital responsibilities  
  405.10 Medical records (b) Content  
  405.15 Radiologic and nuclear services (a) General provisions for diagnostic and therapeutic radiologic services  
4/24/02 405.5 Nursing services (b) Delivery of services 7/02/02
  405.7 Patients’ rights (b) Hospital responsibilities  
  405.9 Admission/Discharge (f) Discharge  
  405.23 Food and dietetic services  
9/19/02 405.5 Nursing services (b) Delivery of services NO POC REQUIRED
  405.19 Emergency services (e) Patient care  
7/22/02 405.4 Medical staff (a) Medical staff accountability 9/16/02
  405.6 Quality assurance program (b) Activities of the quality assurance committee  
  405.7 Patients’ rights (b) Hospital responsibilities  
  405.15 Radiologic and nuclear services (a) General provisions for diagnostic and therapeutic radiologic services  
9/23/02 405.6 Quality assurance program (a) Governing body 12/10/02
  405.7 Patients’ rights (b) Hospital responsibilities  

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