North Shore University Hospital - Manhasset
PFI # 0541
Revised: 3/21/03
Complaints:
| Complaint Information: | 2002 |
| Complaint Investigations Completed: | 25 |
| Complaints with Statements of Deficiencies (SOD) issued: | 16 |
| % of Complaints with SODs Issued | 64% |
| Regional % of Complaints with SODs issued: | 53.9% |
Areas Cited:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |
| 8/02/02 | 405.5 | Nursing services (b) Delivery of services (e) Quality assurance |
12/10/02 |
| 405.7 | Patients’ rights (b) Hospital responsibilities |
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| 12/12/02 | 405.7 | Patients’ rights (b) Hospital responsibilities |
1/31/03 |
| 7/22/02 | 405.4 | Medical staff (a) Medical staff accountability (f) Post graduate trainees |
1/07/03 |
| 7/30/02 | 405.5 | Nursing services (b) Delivery of services (e) Quality assurance |
12/10/02 |
| 405.6 | Quality assurance program (a) Quality assurance committee |
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| 405.7 | Patients’ rights (b) Hospital responsibilities |
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| 4/04/02 | 405.7 | Patients’ rights (b) Hospital responsibilities |
NO POC REQUIRED |
| 9/18/02 | 405.5 | Nursing services (b) Delivery of services |
11/27/02 |
| 405.7 | Patients’ rights (b) Hospital responsibilities |
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| 6/26/02 | 405.5 | Nursing services (b) Delivery of services |
9/26/02 |
| 405.6 | Quality assurance program (b) Activities of the quality assurance committee |
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| 405.7 | Patients’ rights (b) Hospital responsibilities |
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| 405.8 | Incident reporting (a) Delay in reporting incident |
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| 2/25/02 | 405.4 | Medical staff (c) Medical staff bylaws |
NO POC REQUIRED |
| 405.7 | Patients’ rights (b) Hospital responsibilities |
5/06/02 | |
| 405.19 | Emergency services (e) patient care |
NO POC REQUIRED | |
| 3/15/02 | 405.12 | Surgical services (a) Organization and direction |
5/16/02 |
| 10/23/02 | 405.19 | Emergency services (e) Patient care |
12/10/02 |
| 2/27/02 | 405.19 | Emergency services (e) Patient care |
5/06/02 |
| 10/10/02 | 405.4 | Medical staff (a) Medical staff accountability |
3/18/03 |
| 405.5 | Nursing services (b) Delivery of services (e) Quality assurance |
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| 405.9 | Admission/Discharge | ||
| 405.19 | Emergency services (e) Patient care |
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| 10/23/02 | 405.4 | Medical staff (c) Medical staff bylaws |
1/07/03 |
| 405.7 | Patients’ rights (b) Hospital responsibilities |
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| 10/23/02 | 405.7 | Patients’ rights (b) Hospital responsibilities |
3/19/03 |
| 7/26/02 | 405.7 | Patients’ rights (b) Hospital responsibilities |
12/19/02 |
| 405.12 | Surgical services (b) Operation and service delivery |
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| 711.4 | General structural, equipment and safety standards for existing hospital Pertinent technical standards Nursing units |
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| 12/06/02 | 405.5 | Nursing services (b) Delivery of services |
3/20/03 |
| 405.6 | Quality assurance program (b) Activities |
Areas Cited as a Result of Surveys:
| Date of Survey | Type | Areas Cited: | Date Plan of Correction Accepted |
| 1/28/02 | Resident Work Hours 405.4 |
Medical staff (b) Organization |
5/19/02 |
Most Recent Survey Date:
Areas Cited as a Result of Incident Investigations:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |