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: