Hospital Name: Geneva General
PFI # 0671
Complaints:
| Complaint Information: | 2002 |
| Complaint Investigations Completed | 4 |
| Complaints with Statements of Deficiencies (SOD) Issued | 2 |
| % of Complaints with SODs Issued | 50% |
| Regional % of Complaints with SODs Issued | 28.6% |
Areas Cited:
| SOD Date | Regulatory Citation | Areas Cited | Date Plan of Correction Accepted |
| 6/19/2002 | 405.5 | NURSING SERVICES- DELIVERY OF SERVICES | 7/17/02 |
| 6/19/2002 | 405.2 | GOVERNING BODY- CARE OF PATIENTS | NO POC REQUIRED |
Areas Cited as a Result of Surveys:
| DATE OF SURVEY | TYPE | Areas Cited: | Date Plan of Correction Accepted |
| 5/14/2002 - 5/20/2002 | TITLE 18 | V344 - FILLING WITH GERMICIDE, CAP CLEANING | 8/19/02 |
| 5/14/2002 - 5/20/2002 | TITLE 18 | V264 - AAMI-CHEMICAL CONTAM | 8/19/02 |
| 5/14/2002 - 5/20/2002 | TITLE 18 | V300 - CONDITION OF PARTICIPATION REUSE | 8/19/02 |
| 5/14/2002 - 5/20/2002 | TITLE 18 | V303 - DIALYZER REPROCESSING MANUAL | 8/19/02 |
| 5/14/2002 - 5/20/2002 | TITLE 18 | V309 - PERSONNEL QUALIFICATIONS | 8/19/02 |
| 5/14/2002 - 5/20/2002 | TITLE 18 | V311 - TRAINING DOCUMENTED | 8/19/02 |
| 5/14/2002 - 5/20/2002 | TITLE 18 | V314 - REUSE EQUIPMENT | 8/19/02 |
| 5/14/2002 - 5/20/2002 | TITLE 18 | V315 - WATER SYSTEM | 8/19/02 |
| 5/14/2002 - 5/20/2002 | TITLE 18 | V316 - WATER SYSTEM DISINFECTION | 8/19/02 |
| 5/14/2002 - 5/20/2002 | TITLE 18 | V320 - MAINTENANCE OF EQUIPMENT | 8/19/02 |
| 5/14/2002 - 5/20/2002 | TITLE 18 | V322 - REPROCESSING AREA VENTILATION | 8/19/02 |
| 5/14/2002 - 5/20/2002 | TITLE 18 | V325 - PERSONNEL PROTECTION | 8/19/02 |
| 5/14/2002 - 5/20/2002 | TITLE 18 | V327 - REUSE SUPPLIES SPECS AND TESTS | 8/19/02 |
| 5/14/2002 - 5/20/2002 | TITLE 18 | V332 - LABEL INFORMATION | 8/19/02 |
| 5/14/2002 - 5/20/2002 | TITLE 18 | V262 - AAMI-H20 BACTERIOLOGY | 8/19/02 |
| 5/14/2002 - 5/20/2002 | TITLE 18 | V159 - PATIENT CARE POLICIES DEVELOPMENT AND REVIEW | 8/19/02 |
| 5/14/2002 - 5/20/2002 | TITLE 18 | V259 - PHYSICAL ENVIRONMENT FREE OF HAZARDS | 8/19/02 |
| 5/14/2002 - 5/20/2002 | TITLE 18 | V258 - PHYSICAL ENVIRONMENT EQUIPMENT PM | 8/19/02 |
| 5/14/2002 - 5/20/2002 | TITLE 18 | V256 - PHYSICAL ENVIRONMENT CONSTRUCTION & MAINTAIN FOR SAFETY | 8/19/02 |
| 5/14/2002 - 5/20/2002 | TITLE 18 | V232 - MEDICAL RECORD PATIENT ASSESSMENTS | 8/19/02 |
| 5/14/2002 - 5/20/2002 | TITLE 18 | V189 - LONG TERM PLAN REVIEWED BY TEAM | 8/19/02 |
| 5/14/2002 - 5/20/2002 | TITLE 18 | V333 - REPROCESSING | 8/19/02 |
| 5/14/2002 - 5/20/2002 | TITLE 18 | V166 - PATIENT CARE POLICIES RX SERVICES | 8/19/02 |
| 5/14/2002 - 5/20/2002 | TITLE 18 | V334 - TRANSPORTATION AND HANDLING | 8/19/02 |
| 5/14/2002 - 5/20/2002 | TITLE 18 | V124 - GOVERNING BODY RESPONSIBILITY FOR REUSE | 8/19/02 |
| 5/14/2002 - 5/20/2002 | TITLE 18 | V112 - GOVERNING BODY HEALTH AND SAFETY | 8/19/02 |
| 5/14/2002 - 5/20/2002 | TITLE 18 | V110 - GOVERNING BODY & MANAGEMENT | 8/19/02 |
| 5/14/2002 - 5/20/2002 | TITLE 18 | V376 - QUALITY ASSURANCE PROCESS REVIEW; OUTCOMES | 8/19/02 |
| 5/14/2002 - 5/20/2002 | TITLE 18 | V347 - EXTERIOR CLEANING | 8/19/02 |
| 5/14/2002 - 5/20/2002 | TITLE 18 | V261 - PHYSICAL ENVIRONMENT WATER TREATMENT | 8/19/02 |
| 5/14/2002 - 5/20/2002 | TITLE 18 | V187 - WRITTEN LONG TERM PLAN | 8/19/02 |