St. Elizabeth Medical Center

PFI # 0598

Revised: 3/03

Complaints:

Complaint Information: 2002
Complaint Investigations Completed: 6
Complaints with Statements of Deficiencies (SOD) issued: 2
% of Complaints with SODs Issued 33%
Regional % of Complaints with SODs issued: 33.8%

Areas Cited:

SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted
04/30/2002 405.5(e) Nursing Services - Quality Assurance 6/25/2002
  405.7(b) Patients' Rights - Hospital Responsibilities  
  405.9(f) Admission/Discharge - Discharge  
10/31/2002 405.5(b) Nursing Services - Delivery of Services 12/5/2002
  405.6(a) Quality Assurance  
  405.15(a) Radiologic & Nuclear Medicine Services - General Provisions  
  405.16(c) Laboratory Services - Personnel  
  405.19(e) Emergency Services - Patient Care  
       

Areas Cited as a Result of Surveys:

Date of Survey Type Areas Cited: Date Plan of Correction Accepted
11/6/2002 Article 28 Focus 405.2(b) - Governing Body - Organization & Operation 2/24/2003
    405.6(a) - Quality Assurance  
    405.23(a) - Food and Dietetic Services - General  
    405.23(b) - Food and Dietetic Services - Organization  
       

Areas Cited as a Result of Incident Investigations:

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