New Island Hospital

PFI # 0551

Revised: 3/21/03

Complaints:

Complaint Information: 2002
Complaint Investigations Completed: 18
Complaints with Statements of Deficiencies (SOD) issued: 9
% of Complaints with SODs Issued 50%
Regional % of Complaints with SODs issued: 53.9%

Areas Cited:

SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted
5/6/02 405.5 Nursing services (a) Organization and staffing (b) Delivery of services 7/02/02
  405.10 Medical records (a) General requirements  
4/26/02 405.5 Nursing services (b) Delivery of services 10/01/02
  405.9 Admission/Discharge (f) Discharge  
  405.28 Social services (a) Each patient was not screened upon admission  
6/4/02 405.4 Medical staff (e) Registered physician’s assistants and registered specialist’s assistants 1/07/03
  405.5 Nursing services (a) Organization and staffing (b) Delivery of services (e) Quality assurance  
  405.7 Patients’ rights (a) Procedural requirements  
6/19/02 405.15 Radiologic and nuclear medicine services (a) General provisions 8/06/02
6/11/02 405.5 Nursing services (b) Delivery of services 7/30/02
12/04/01 405.4 Medical staff (c) Medical staff bylaws 4/04/02
  405.6 Quality assurance program (b) Activities of the quality assurance committee  
  405.7 Patients’ rights (b) Hospital responsibilities  
  405.19 Emergency services (e) Patient care (f) Quality assurance  
10/21/02 405.2 Governing body (a) Quality of patient care services 3/20/03
  405.3 Administration (d) Records and reports  
  405.4 Medical staff

  1. Medical staff accountability
 
  405.5 Nursing services (b) Delivery of services (e) Quality assurance  
  405.6 Quality assurance program (a) Governing body  
  405.7 Patients’ rights (b) Hospital responsibilities  
  405.18 Rehabilitation services (b) Delivery of services  
  405.23 Food and dietetic services (a) General  
5/30/02 405.2 Governing body (a) Quality of patient care services 8/07/02
  405.5 Nursing services (b) Delivery of services  
  405.7 Patients’ rights (b) Hospital responsibilities  
  406.3 Admission, patient assessment, planning and services  
1/30/02 405.4 Medical staff (a) Medical staff accountability 3/20/03
  405.5 Nursing services (b) Delivery of services  
  405.7 Patients’ rights (b) Hospital responsibilities  
  405.14 Respiratory care services (b) Operation and service delivery  
  405.19 Emergency services (e) Patient care  

Areas Cited as a Result of Surveys:

Date of Survey Type Areas Cited: Date Plan of Correction Accepted
9/13/02 ARTICLE 28 405.5 Nursing Services (b) Delivery of services 10/18/02

Most Recent Survey Date:

Areas Cited as a Result of Incident Investigations:

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