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 |