Hospital Name HARLEM HOSPITAL CENTER
PFI # 1445
June 2003
Complaints:
| Complaint Information: | 2002 |
| Complaint Investigations Completed: | 8 |
| Complaints with Statements of Deficiencies (SOD) issued: | 6 |
| % of Complaints with SODs Issued | 75% |
| Regional % of Complaints with SODs issued: | 44.9% |
Areas Cited:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |
| 04/22/02 | 405.19 | Emergency Services Organization | 06/13/02 |
| 05/01/02 | 405.05 | Nursing Services - Organization | 08/08/02 |
| 05/01/02 | 405.10 | Medical Records | 08/08/02 |
| 05/01/02 | 405.23 | Food and Dietetic Services | 08/08/02 |
| 05/01/02 | 405.04 | Medical Staff – Medical Staff Accountability | 07/02/02 |
| 05/01/02 | 405.05 | Nursing Services – Delivery of Services | 07/02/02 |
| 05/01/02 | 405.06 | Quality Assurance Program | 07/02/02 |
| 05/01/02 | 405.09 | Admission/ Discharge | 07/02/02 |
| 05/01/02 | 405.23 | Food and Dietetic Services - General | 07/02/02 |
| 06/27/02 | 405.02 | Governing Body – Care of Patients | 08/07/02 |
| 06/27/02 | 405.04 | Medical Staff – Medical Staff Accountability | 08/07/02 |
| 06/27/02 | 405.04 | Medical Staff – Medical Staff Accountability | 08/28/02 |
| 06/27/02 | 405.05 | Nursing Services – Organization and Staffing | 08/07/02 |
| 06/27/02 | 405.05 | Nursing Services – Delivery of Services | 08/28/02 |
| 06/27/02 | 405.07 | Patient Rights – Hospital Responsibilities | 08/07/02 |
| 06/27/02 | 405.07 | Patients’ Rights – Hospital Responsibilities | 08/28/02 |
| 10/28/02 | 405.07 | Patients’ Rights – Hospital Responsibilities | 11/27/02 |
| 11/12/02 | 405.05 | Nursing Services – Delivery of Services | 01/14/03 |
| 11/12/02 | 405.07 | Patients’ Rights – Hospital Responsibilities | 01/14/03 |
Areas Cited as a Result of Surveys:
| Date of Survey | Type | Areas Cited: | Date Plan of Correction Accepted |
| 10/08/02 | A-28 | 405.02 Governing Body | 02/26/03 |
| 10/08/02 | A-28 | 711.02 Pertinent Technical Standards | 02/26/03 |
Most Recent Survey Date:
Areas Cited as a Result of Incident Investigations:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |
| 02/14/02 | 405.07 | Patients' Rights | 02/14/02 |
| 02/25/02 | 405.08 | Incident Reporting - Investigative Report | 03/27/02 |
| 03/14/02 | 405.05 | Nursing Services - Delivery of Services | 03/14/02 |
| 05/22/02 | 405.02 | Governing Body | |
| 05/22/02 | 405.04 | Medical Staff | |
| 05/22/02 | 405.05 | Nursing Services | |
| 05/22/02 | 405.06 | Quality Assurance | |
| 05/22/02 | 405.07 | Patients' Rights |