Hospital Name: ST BARNABAS HOSPITAL
PFI # 1176
June 2003
Complaints:
| Complaint Information: | 2002 |
| Complaint Investigations Completed: | 0 |
| Complaints with Statements of Deficiencies (SOD) issued: | 0 |
| % of Complaints with SODs Issued | 0% |
| Regional % of Complaints with SODs issued: | 44.9% |
Areas Cited:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |
Areas Cited as a Result of Surveys:
| Date of Survey | Type | Areas Cited: | Date Plan of Correction Accepted |
| 02/14/02 | Article 28 | 752.01 Professional Services | 05/29/02 |
| 02/14/02 | Article 28 | 702.03 Fire and Safety | 05/29/02 |
| 02/14/02 | Article 28 | 751.02 Operator | 05/29/02 |
| 02/14/02 | Article 28 | 751.07 Medical Record System | 05/29/02 |
| 02/14/02 | Article 28 | 751.09 Patients' Rights | 05/29/02 |
| 02/14/02 | Article 28 | 710.09 Certificate of Need | 05/29/02 |
| 02/14/02 | Article 28 | 702.02 Housekeeping | 05/29/02 |
| 12/27/01 | Article 28 | 702.03 Fire and Safety | 02/27/02 |
| 12/27/01 | Article 28 | 710.09 Certificate of Need | 02/27/02 |
| 12/27/01 | Article 28 | 751.02 Operator | 02/27/02 |
| 12/27/01 | Article 28 | 751.07 Medical Record System | 02/27/02 |
| 12/27/01 | Article 28 | 702.02 Housekeeping | 02/27/02 |
| 12/27/01 | Article 28 | 751.09 Patients' Rights | 02/27/02 |
| 12/27/01 | Article 28 | 752.01 Professional Services | 02/27/02 |
Most Recent Survey Date:
Areas Cited as a Result of Incident Investigations:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |
| 03/15/02 | 405.04 | Medical Staff - Medical Staff Accountability | 04/26/02 |
| 03/15/02 | 405.06 | Quality Assurance Program | 04/26/02 |
| 03/15/02 | 405.07 | Patients' Rights Hospital Responsibilities | 04/26/02 |
| 03/15/02 | 405.10 | Medical Records - General Requirements | 04/26/02 |
| 03/15/02 | 405.12 | Surgical Services - Operation and Service Delivery | 04/26/02 |
| 10/18/02 | 405.08 | Incident Reporting | 12/02/02 |