St. Catherine of Siena Medical Center
PFI # 0943
Revised: 3/21/03
Complaints:
| Complaint Information: | 2002 |
| Complaint Investigations Completed: | 22 |
| Complaints with Statements of Deficiencies (SOD) issued: | 10 |
| % of Complaints with SODs Issued | 46% |
| Regional % of Complaints with SODs issued: | 53.9% |
Areas Cited:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |
| 9/17/02 | 405.11 | Infection control (b) Nosocomial surveillance, prevention and control | 3/11/03 |
| 6/19/02 | 405.7 | Patients' Rights (b) Hospital responsibilities | 8/5/02 |
| 405.11 | Infection Control (b) Nosocomial surveillance, prevention and control | ||
| 1/16/01 | 405.5 | Nursing services (b) Delivery of services | 8/12/02 |
| 405.7 | Patients' rights (b) Hospital responsibilities | ||
| 2/8/02 | 405.4 | Medical staff (a) Medical staff accountability | NO POC REQUIRED |
| 405.5 | Nursing services (b) Delivery of services | ||
| 405.7 | Patients' rights (b) Hospital responsibilities | ||
| 2/27/02 | 405.10 | Medical records (b) Content | 4/2/02 |
| 2/27/02 | 405.5 | Nursing services (b) Delivery of services | 3/19/03 |
| 405.7 | Patients' rights (b) Hospital responsibilities | ||
| 405.19 | Emergency services (e) Patient care | ||
| 9/17/02 | 405.11 | Infection Control (b) Nosocomial surveillance, prevention and control | 3/11/03 |
| 3/11/02 | 405.5 | Nursing services (c) Administration of drugs | 5/22/02 |
| 6/17/02 | 405.5 | Nursing services (b) Delivery of services | 8/7/02 |
| 5/4/02 | Part 405 Hospitals - Minimum Standards | 8/5/02 | |
| 405.24 | Environmental health (e) Housekeeping |
Areas Cited as a Result of Surveys:
| Date of Survey | Type | Areas Cited: | Date Plan of Correction Accepted |
Most Recent Survey Date:
Areas Cited as a Result of Incident Investigations:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |