Hospital Name: NIAGARA FALLS MEMORIAL MEDICAL CENTER
PFI # 0574
Complaints:
| Complaint Information: | 2002 |
| Complaint Investigations Completed | 2 |
| Complaints with Statements of Deficiencies (SOD) Issued | 1 |
| % of Complaints with SODs Issued | 50% |
| Regional % of Complaints with SODs Issued | 42.3% |
Areas Cited:
| SOD Date | Regulatory Citation | Areas Cited | Date Plan of correction Accepted |
| 7/31/02 | 405.8 | Incident Reporting Definitions | 10/31/02 |
| 7/31/02 | 405.6 | Quality Assurance Program QA Committee | 10/31/02 |
| 7/31/02 | 405.4 | Medical Staff Medical Staff Accountability | 10/31/02 |
| 7/31/02 | 405.2 | Governing Body Care of Patients | 10/31/02 |
| 7/31/02 | 405.17 | Pharmaceutical Services Organization and Direction | 10/31/02 |
Areas Cited as a Result of Surveys:
| DATE OF SURVEY | TYPE | Areas Cited: | Date Plan of Correction Accepted |
| 6/12/02 | A28/T18 | 482.57 - Delivery of Services ( b ) | 9/20/02 |
| 6/12/02 | A28/T18 | 482.21 - Clinical Plan ( a ) | 9/20/02 |
| 6/12/02 | A28/T18 | 482.21 - Implementation ( c ) | 9/20/02 |
| 6/12/02 | A28/T18 | 482.22 - Composition of the Medical Staff | 9/20/02 |
| 6/12/02 | A28/T18 | 482.22 - Medical Staff Bylaws ( c ) | 9/20/02 |
| 6/12/02 | A28/T18 | 482.23 - Staffing and Delivery of Care ( b ) | 9/20/02 |
| 6/12/02 | A28/T18 | 482.24 - Content of Record ( c ) | 9/20/02 |
| 6/12/02 | A28/T18 | 482.41 - Life Safety From Fire ( b ) | 9/20/02 |
| 6/12/02 | A28/T18 | 482.11 - Licensure of Personnel ( c ) | 9/20/02 |
| 6/12/02 | A28/T18 | 482.55 - Personnel ( b ) | 9/20/02 |
| 6/13/02 | A28/T18 | 482.57 - Respiratory Care Services Delivery of Services | 9/20/02 |
| 6/13/02 | A28/T18 | 482.21 - Quality Assurance Clinical Plan | 9/20/02 |
| 6/13/02 | A28/T18 | 482.21 - Quality Assurance Implementation | 9/20/02 |
| 6/13/02 | A28/T18 | 482.22 – Medical Staff Composition of the Medical Staff | 9/20/02 |
| 6/13/02 | A28/T18 | 482.23 – Nursing Services Staffing and Delivery of Care | 9/20/02 |
| 6/13/02 | A28/T18 | 482.24 – Medical Record Services Content of Record | 9/20/02 |
| 6/13/02 | A28/T18 | 482.41 – Physical Environment Life Safety from Fire | 9/20/02 |
| 6/13/02 | A28/T18 | 482.55 – Emergency Services Personnel | 9/20/02 |
| 6/13/02 | A28/T18 | 482.11 – Comply with Federal, State and Local Laws Licensure of Personnel | 9/20/02 |
Most Recent Survey: