Seton Health System - St. Mary's Campus
PFI # 0755
Revised:
Complaints:
| Complaint Information: | 2002 |
| Complaint Investigations Completed: | 7 |
| Complaints with Statements of Deficiencies (SOD) issued: | 6 |
| % of Complaints with SODs Issued | 86% |
| Regional % of Complaints with SODs issued: | 35.2% |
Areas Cited:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |
| 2/21/02 | 405.2 | Governing Body | 1/6/03 |
| 2/21/02 | 405.6 | Quality Assurance | 1/6/03 |
| 3/13/02 | 405.5 | Nursing Services | 9/11/02 |
| 3/13/02 | 405.9 | Admission/Discharge | 9/11/02 |
| 3/13/02 | 405.10 | Medical Records | 9/11/02 |
| 3/13/02 | 405.11 | Infection Control | 9/11/02 |
| 4/4/02 | 405.5 | Nursing Services | 5/9/02 |
| 6/21/02 | 405.5 | Nursing Services | 12/6/02 |
| 6/21/02 | 405.7 | Patients' Rights | 12/6/02 |
| 6/21/02 | 405.6 | Quality Assurance | 12/6/02 |
| 7/5/02 | 405.19 | Emergency Services | 8/21/02 |
| 7/5/02 | 405.6 | Quality Assurance | 8/21/02 |
| 6/25/02 | 405.6 | Quality Assurance | 8/21/02 |
Areas Cited as a Result of Surveys:
| Date of Survey | Type | Areas Cited: | Date Plan of Correction Accepted |
| 1/15/02 | Focus OB | 405.6 Quality Assurance | 2/15/02 |
| 1/15/02 | Focus OB | 405.21 Maternity & Newborn Services | 2/15/02 |
Most Recent Survey Date:
Areas Cited as a Result of Incident Investigations:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |