Faxton - St. Luke's Healthcare – St. Luke’s Division

PFI # 0599

Revised: 4/03

Complaints:

Complaint Information: 2002
Complaint Investigations Completed: 1
Complaints with Statements of Deficiencies (SOD) issued: 1
% of Complaints with SODs Issued 100%
Regional % of Complaints with SODs issued: 33.8%

Areas Cited:

SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted
01/14/2002 405.2(b) Governing Body - Organization & Operation 4/23/2002
  405.2(f) Governing Body - Care of Patients  
  405.6 Quality Assurance  
  405.6(a) Quality Assurance  
  405.7(b) Patients' Rights - Hospital Responsibilities  
  405.21(c) Maternity & Newborn Services - General Requirements  
       

Areas Cited as a Result of Surveys:

Date of Survey Type Areas Cited: Date Plan of Correction Accepted
3/11 - 13/2002 Article 28 Compliance & Medicare ESRD Recert – Hospital 405.5(b) - Nursing Services - Delivery of Services 9/3/2002
    405.6 - Quality Assurance  
    405.11 - Infection Control  
    711.2(a) - Pertinent Technical Standards - Life Safety Code  
    711.2(c) - Pertinent Technical Standards  
    757.2(f) - General Requirements  
    405.2136 - Governing Body & Management - Health and Safety  
    405.2136(c) - Governing Body & Management - CEO: Staff Train  
    405.2136(d) - Governing Body & Management - Personnel Records - Health  
    405.2136(f) - Governing Body & Management - Patient Care Policies - Development & Review  
    405.2137(a) - Long Term Program & Care Plan - Long-Term Plan: Reviewed by Team  
    405.2137(b) - Long Term Program & Care Plan - PCP: Patient Involved  
    405.2137(b) - Long Term Program & Care Plan - PCP: Individualized  
    405.2139(a) - Medical Records - Orders  
    405.2139(a) - Medical Records - Med & Nursing History  
    405.2139(b) - Medical Records - Protection of Medical Record Information  
    405.2140(a) - Physical Environment - Constr & Maintain for Safety  
    405.2140(a) - Physical Environment - AAMI: Chem Contamination  
    405.2140(b) - Physical Environment - Infection Control  
    405.2140(d) - Physical Environment - ER: Patients Informed  
11/27/2002 Article 28 Focus None  
12/10/2002 Article 28 Compliance & Medicare ESRD Recert – Rome Unit 405.6(a) - Quality Assurance 4/10/2003
    405.11 - Infection Control  
    405.2136 - Governing Body & Management - Health and Safety  
    405.2136(d) - Governing Body & Management – Personnel P/P: Safe and Sanitary Environment  
    405.2136(f) - Governing Body & Management - Patient Care Policies - Development & Review  
    405.2136(f) - Governing Body & Management - Patient Care Policies – Physical Plant  
    405.2137(a) - Long Term Program & Care Plan - Long-Term Plan: Reviewed by Team  
    410.2140(a) - Physical Environment - Constr & Maintain for Safety  
    405.2140(a) - Physical Environment - PE: Fire Ext & Evac Plans  
    402.2140(a) - Physical Environment - AAMI: H20 Bacteriology  
    405.2140(a) - Physical Environment - AAMI: Dialysate Bacteriology  
    405.2140(b) - Physical Environment – Functional, Sanitary and Comfortable  
    405.2140(d) - Physical Environment - ER: Patients Informed  
       

Areas Cited as a Result of Incident Investigations:

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