South Nassau Communities Hospital

PFI # 0527

Revised: 3/21/03

Complaints:

Complaint Information: 2002
Complaint Investigations Completed: 14
Complaints with Statements of Deficiencies (SOD) issued: 8
% of Complaints with SODs Issued 57%
Regional % of Complaints with SODs issued: 53.9%

Areas Cited:

SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted
3/01/02 405.4 Medical staff (a) Medical staff accountability 8/12/02
  405.5 Nursing services (b) Delivery of services  
  405.6 Quality assurance (b) Activities of the quality assurance program  
5/22/02 405.2 Governing body (c) Compliance with federal, state and local laws 7/02/02
  405.3 Administration (a) Chief executive officer  
  405.19 Emergency services (c) General policies and procedures (e) Patient care (f) Quality assurance  
8/20/02 405.3 Administration (a) Chief executive officer 11/15/02
  405.5 Nursing services (b) Delivery of services (c) Administration of drugs (e) Quality assurance  
  405.8 Incident reporting (b) Incidents required to be reported  
11/18/02 405.5 Nursing services (b) Delivery of services 1/31/03
3/01/02 405.5 Nursing services (b) Delivery of services NO POC REQUIRED
8/20/02 405.5 Nursing services (b) Delivery of services (e) Quality assurance 1/03/03
  405.6 Quality assurance (b) Activities of the quality assurance program  
  405.7 Patients’ rights (b) Hospital responsibilities  
  405.10 Medical records (a) General requirements  
6/24/02 405.5 Nursing services (b) Delivery of services NO POC REQUIRED
9/06/02 405.24 Environmental health (b) Life safety from fire (c) Engineering and maintenance 11/15/02

Areas Cited as a Result of Surveys:

Date of Survey Type Areas Cited: Date Plan of Correction Accepted
5/24/02 Resident Work Hours 405.4 Medical staff (b) Organization 8/19/02

Most Recent Survey Date:

Areas Cited as a Result of Incident Investigations:

SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted