Benedictine Hospital

PFI # 0989

Revised: March 2003

Complaints:

Complaint Information: 2002
Complaint Investigations Completed: 6
Complaints with Statements of Deficiencies (SOD) issued: 2
% of Complaints with SODs Issued 33%
Regional % of Complaints with SODs issued: 23.3%

Areas Cited:

SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted
1/28/02 405.4(a)(1)(ii) Medical Staff 6/12/02
  405.9(f)(1) Admission/Discharge  
       
4/5/02 (Also Article 28 Survey) 405.5(b)(3)(4) Nursing Services 10/7/02
  405.7(b)(8) Patients' Rights  

Areas Cited as a Result of Surveys:

Date of Survey Type Regulatory Citation Areas Cited: Date Plan of Correction Accepted
4/5/02 Article 28 Focused Survey 405.2(b)(2) Governing Body 2/25/03
    405.5(b)(1)(i)(c) Nursing Services  
         
5/2/02 Title 18 Validation Survey 482.12(a) Medical Staff 8/15/02
    482.21(c) Implementation  
    482.23(b) Staffing and Delivery of Care  
    482.23(c) Preparation & Administration of Drugs  
    482.24(b) Form and Retention of Record  
    482.24(c) Content of Record  
    482.41(c) Facilities  
    482.42(a) Organization and Policies  
    482.55 Emergency Services  
    NFPA101 Life Safety Code Standard  

Most Recent Survey Date: 4/5/02

Areas Cited as a Result of Incident Investigations:

SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted