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