St Francis Hospital
PFI # 0563
Revised: 3/21/03
Complaints:
| Complaint Information: | 2002 |
| Complaint Investigations Completed: | 15 |
| Complaints with Statements of Deficiencies (SOD) issued: | 6 |
| % of Complaints with SODs Issued | 40% |
| Regional % of Complaints with SODs issued: | 53.9% |
Areas Cited:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |
| 3/04/02 | 405.2 | Governing body (c) Compliance with federal, state and local laws | 5/6/02 |
| 405.6 | Quality assurance program (a) Governing body | ||
| 405.7 | Patients’ rights (b) Hospital responsibilities | ||
| 405.11 | Infection control (b) Nosocomial surveillance, prevention and control | ||
| 711.2 | General standards (b) Pertinent technical standards | ||
| 1/30/02 | 405.5 | Nursing services (b) Delivery of services | NO POC REQUIRED |
| 7/16/02 | 405.4 | Medical staff (a) Medical staff accountability | 12/10/02 |
| 405.6 | Quality assurance program (a) Governing body | ||
| 405.7 | Patients rights (b) Hospital responsibilities | ||
| 405.9 | Admission/discharge (f) Discharge | ||
| 6/10/02 | 405.4 | Medical staff (a) Medical staff accountability | 11/15/02 |
| 7/15/02 | 405.15 | Radiologic and nuclear medicine services (5) Records | 8/05/02 |
| 1/30/02 | 405.6 | Quality assurance program (b) Activities of the quality assurance committee | 4/5/02 |
| 405.8 | Incident reporting (a) Incident required to be reported |
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 |