Hospital Name: MONTEFIORE MEDICAL CENTER/MOSES HOSPITAL DIVISION
PFI # 1169
Revised: Month Year
Complaints:
| Complaint Information: | 2002 |
| Complaint Investigations Completed: | 11 |
| Complaints with Statements of Deficiencies (SOD) issued: | 8 |
| % of Complaints with SODs Issued | 73% |
| Regional % of Complaints with SODs issued: | 44.9% |
Areas Cited:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |
| 03/14/02 | 405.04 | Medical Staff - Medical Staff Accountability | 10/04/02 |
| 03/14/02 | 405.20 | Outpatient Services - General Requirements | 04/26/02 |
| 04/04/02 | 405.07 | Patients' Rights - hospital Responsibilities | 04/04/02 |
| 07/03/02 | 405.05 | Nursing Services | 07/03/02 |
| 07/03/02 | 405.06 | Quality Assurance | 10/21/02 |
| 08/08/02 | 405.05 | Nursing Services - Delivery of Services | 10/18/02 |
| 08/08/02 | 405.07 | Patients' Rights - Hospital Responsibilities | 10/18/02 |
| 08/08/02 | 405.19 | Emergency Services - Patient Care | 10/18/02 |
| 11/12/02 | 405.05 | Nursing Services - Delivery of Services | 01/07/03 |
| 11/12/02 | 405.10 | Medical Records - General Requirements | 01/07/03 |
| 11/12/02 | 405.04 | Medical Staff - Medical Staff Accountability | 02/06/03 |
| 11/12/02 | 405.05 | Nursing Services - Delivery of Services | 02/06/03 |
Areas Cited as a Result of Surveys:
| Date of Survey | Type | Areas Cited: | Date Plan of Correction Accepted |
| 07/25/02 | A28 | 405.04 Medical Staff - Organization | 10/09/02 |
| 07/25/02 | A28 | 405.04 Medical Staff - Organization | 10/09/02 |
| 07/25/02 | A28 | 405.04 Medical Staff - Organization | 10/09/02 |
| 07/25/02 | A28 | 405.04 Medical Staff - Organization | 10/09/02 |
Most Recent Survey Date:
Areas Cited as a Result of Incident Investigations:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |