Hospital Name: THE BROOKLYN HOSPITAL CENTER/DOWNTOWN CAMPUS
PFI # 1288
June 2003
Complaints:
| Complaint Information: | 2002 |
| Complaint Investigations Completed: | 7 |
| Complaints with Statements of Deficiencies (SOD) issued: | 2 |
| % of Complaints with SODs Issued | 28.5% |
| Regional % of Complaints with SODs issued: | 44.9% |
Areas Cited:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |
| 04/22/02 | 405.05 | Nursing Services - Delivery of Services | 06/20/02 |
| 04/22/02 | 405.10 | Medical Record - Content | 06/20/02 |
| 08/19/02 | 405.10 | Medical Records - General Requirements | 10/21/02 |
Areas Cited as a Result of Surveys:
| Date of Survey | Type | Areas Cited: | Date Plan of Correction Accepted |
| 11/20/01 | A28 | 405.02 Governing Body | 06/21/02 |
| 11/20/01 | A28 | 405.03 Administration | 06/21/02 |
| 11/20/01 | A28 | 405.04 Medical Staff | 06/21/02 |
| 11/20/01 | A28 | 405.04 Medical Staff | 06/21/02 |
| 11/20/01 | A28 | 405.06 Quality Assurance Program | 06/21/02 |
| 11/20/01 | A28 | 405.06 Quality Assurance Program | 06/21/02 |
| 11/20/01 | A28 | 405.06 Quality Assurance Program | 06/21/02 |
| 11/20/01 | A28 | 405.10 Medical Records | 06/21/02 |
| 11/20/01 | A28 | 405.11 Infection Control | 06/21/02 |
| 11/20/01 | A28 | 405.17 Pharmaceutical Services | 06/21/02 |
| 11/20/01 | A28 | 405.21 Maternity and Newborn Services | 06/21/02 |
| 11/20/01 | A28 | 708 Appropriateness Review | 06/21/02 |
Most Recent Survey Date:
Areas Cited as a Result of Incident Investigations:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |
| 05/02/02 | 405.02 | Governing Body - Care of Patients | 05/02/02 |
| 05/02/02 | 405.04 | Medical Staff - Medical Staff Accountability | 05/02/02 |
| 05/02/02 | 405.05 | Nursing Services - Delivery of Services | 05/02/02 |
| 05/02/02 | 405.07 | Patients' Rights - Hospital Responsibilities | 05/02/02 |
| 05/02/02 | 405.12 | Surgical Services - Operation and Service Delivery | 05/02/02 |
| 06/03/02 | 405.02 | Governing Body - Organization and Operation | 07/22/02 |
| 06/03/02 | 405.04 | Medical Staff - Medical Staff Accountability | 07/22/02 |
| 06/03/02 | 405.05 | Nursing Services - Delivery of Services | 07/22/02 |
| 06/03/02 | 405.06 | Quality Assurance Program | 07/22/02 |
| 06/03/02 | 405.07 | Patients' Rights - Hospital Responsibilities | 07/22/02 |
| 06/03/02 | 405.09 | Admission/Discharge - Sexual Assault Evidence | 07/22/02 |
| 06/03/02 | 405.10 | Medical Records - Content | 07/22/02 |
| 06/03/02 | 405.28 | Social Services | 07/22/02 |