Southside Hospital
PFI # 0924
Revised: 3/21/03
Complaints:
| Complaint Information: | 2002 |
| Complaint Investigations Completed: | 7 |
| Complaints with Statements of Deficiencies (SOD) issued: | 4 |
| % of Complaints with SODs Issued | 57% |
| Regional % of Complaints with SODs issued: | 53.9% |
Areas Cited:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |
| 8/27/02 | 405.4 | Medical staff (b) Organization | 11/06/02 |
| 12/12/01 | 405.2 | Governing body (b) Organization and operation (f) Care of patients | 9/23/02 |
| 405.4 | Medical staff (a) Medical staff accountability | ||
| 405.5 | Nursing service (b) Delivery of services | ||
| 405.6 | Quality assurance program (a) Governing body (b) Activities of the quality assurance committee | ||
| 405.7 | Patients’ rights (b) Hospital responsibilities | ||
| 405.8 | Incident reporting (b) Incidents required to be reported | ||
| 3/05/02 | 405.19 | Emergency services (e) Patient care (f) Quality assurance | 7/09/02 |
| 9/30/02 | 405.5 | Nursing services (b) Delivery of services | 11/27/02 |
| 405.7 | Patients’ rights (b) Hospital responsibilities |
Areas Cited as a Result of Surveys:
| Date of Survey | Type | Areas Cited: | Date Plan of Correction Accepted |
| 1/31/02 | Resident Work Hours 405.4 | Medical staff (b) Organization | 4/18/02 |
| 3/27/02 | Article 28 405.2 | Governing body (c) Compliance with federal, state and local laws | 5/01/02 |
| 405.3 | Administration (b) Personnel | ||
| 405.5 | Nursing services (b) Delivery of services | ||
| 405.10 | Medical records (a) General requirements | ||
| 405.11 | Infection control | ||
| 405.19 | Emergency services (e) Patient care | ||
| 405.23 | Food and dietetic services (a) General | ||
| 405.24 | Environmental health (a) Building and grounds (b) Life safety form fire (e) Housekeeping (f) Linen and laundry | ||
| Part 711 – General standards of construction | |||
| 711.2 | Pertinent technical standards (a) (1) NFPA 101-1997 Life safety code (a) (26) NFPA 99-1996 Standards for health care facilities (c) Design standards for the disabled | ||
| 711.4 | General structural, equipment and safety standards for existing hospitals (a) Pertinent technical standards (aa) Mechanical requirements |
Most Recent Survey Date:
Areas Cited as a Result of Incident Investigations:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |