Hospital Name: MOUNT SINAI MEDICAL CENTER
PFI # 1456
June 2003
Complaints:
| Complaint Information: | 2002 |
| Complaint Investigations Completed: | 55 |
| Complaints with Statements of Deficiencies (SOD) issued: | 6 |
| % of Complaints with SODs Issued | 8% |
| Regional % of Complaints with SODs issued: | 44.9% |
Areas Cited:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |
| 03/11/02 | 405.02 | Governing Body - Care of Patients | 05/23/02 |
| 03/11/02 | 405.04 | Medical Staff - Medical Staff Accountability | 05/23/02 |
| 03/11/02 | 405.05 | Governing Body | 05/23/02 |
| 03/11/02 | 405.05 | Nursing Services - Organization and Staffing | 05/23/02 |
| 03/11/02 | 405.07 | Patients' Rights - Hospital Responsibilities | 05/23/02 |
| 03/11/02 | 405.10 | Medical Records - Content | 05/23/02 |
| 03/11/02 | 405.12 | Surgical Services - Organization and Direction | 05/23/02 |
| 03/11/02 | 405.22 | Critical Care and Special Care Services | 05/23/02 |
| 04/04/02 | 405.10 | Medical Records - Content | 07/02/02 |
| 05/01/02 | 405.04 | Medical Staff - Medical Staff Accountability | 08/07/02 |
| 05/01/02 | 405.05 | Nursing Services - Administration of Drugs | 08/07/02 |
| 05/01/02 | 405.07 | Patients' Rights - Patients' Bill of Rights | 07/02/02 |
| 05/01/02 | 405.10 | Medical Records | 08/07/02 |
| 10/28/02 | 405.07 | Patients' Rights - Hospital Responsibilities | 12/30/02 |
| 10/28/02 | 405.09 | Admission/Discharge - Discharge | 12/30/02 |
| 10/28/02 | 405.07 | Patient Rights - Hospital Responsibilities | 01/14/03 |
| 11/14/02 | 405.10 | Medical Records |
Areas Cited as a Result of Surveys:
| Date of Survey | Type | Areas Cited: | Date Plan of Correction Accepted |
| 06/18/02 | Article 28 | 405.19 Emergency Services | 10/9/02 |
| 06/18/02 | Article 28 | 405.09 Admission/Discharge | 10/9/02 |
| 06/18/02 | Article 28 | 405.24 Environmental Health | 10/9/02 |
| 06/18/02 | Article 28 | 405.07 Patients' Rights | 10/9/02 |
| 06/18/02 | Article 28 | 405.11 Infection Control | 10/09/02 |
| 06/18/02 | Article 28 | 405.08 Incident Reporting | 10/09/02 |
| 06/18/02 | Article 28 | 405.09 Admission/Discharge | 10/09/02 |
| 06/18/02 | Article 28 | 405.06 Quality Assurance Program | 10/09/02 |
| 06/18/02 | Article 28 | 405.05 Nursing Services | 10/09/02 |
| 06/18/02 | Article 28 | 405.04 Medical Staff | 10/09/02 |
| 06/18/02 | Article 28 | 405.03 Administration | 10/09/02 |
| 06/18/02 | Article 28 | 405.02 Governing Body | 10/09/02 |
| 06/18/02 | Article 28 | 405.06 Quality Assurance Program | 10/09/02 |
| 07/18/02 | Article 28 | 405.19 Emergency Services | 11/25/02 |
| 07/18/02 | Article 28 | 405.08 Incident Reporting | 11/25/02 |
| 07/18/02 | Article 28 | 405.06 Quality Assurance Program | 11/25/02 |
| 07/18/02 | Article 28 | 405.02 Governing Body | 11/25/02 |
| 07/18/02 | Article 28 | 405.09 Admission/Discharge | 11/25/02 |
| 07/18/02 | Article 28 | 405.03 Administration | 11/25/02 |
| 07/18/02 | Article 28 | 405.06 Quality Assurance Program | 11/25/02 |
| 07/18/02 | Article 28 | 405.05 Nursing Services | 11/25/02 |
| 07/18/02 | Article 28 | 405.04 Medical Staff | 11/25/02 |
| 07/18/02 | Article 28 | 405.07 Patients' Rights | 11/25/02 |
| 07/18/02 | Article 28 | 405.24 Environmental Health | 11/25/02 |
| 07/18/02 | Article 28 | 405.12 Surgical Services | 11/25/02 |
| 07/18/02 | Article 28 | 405.11 Infection Control | 11/25/02 |
| 07/18/02 | Article 28 | 405.09 Admission/Discharge | 11/25/02 |
| 08/09/02 | Article 28 | 405.04 Medical Staff | 10/11/02 |
| 08/09/02 | Article 28 | 405.05 Nursing Services | 10/15/02 |
| 08/09/02 | Article 28 | 405.06 Quality Assurance Program | 10/11/02 |
| 08/09/02 | Article 28 | 405.09 Admission/Discharge | 10/11/02 |
| 08/09/02 | Article 28 | 405.24 Environmental Health | 10/11/02 |
| 08/09/02 | Article 28 | 405.08 Incident Reporting | 10/11/02 |
| 08/09/02 | Article 28 | 405.11 Infection Control | 10/11/02 |
| 08/09/02 | Article 28 | 405.12 Surgical Services | 10/11/02 |
| 08/09/02 | Article 28 | 405.07 Patients' Rights | 10/11/02 |
| 08/09/02 | Article 28 | 405.06 Quality Assurance Program | 10/11/02 |
| 08/09/02 | Article 28 | 405.02 Governing Body | |
| 08/09/02 | Article 28 | 405.19 Emergency Services | |
| 08/09/02 | Article 28 | 405.09 Admission/Discharge | |
| 08/09/02 | Article 28 | 405.03 Administration | 10/11/02 |
Most Recent Survey Date:
Areas Cited as a Result of Incident Investigations:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |
| 08/16/02 | 405.05 | Nursing Services - Delivery of Services | 04/22/03 |
| 08/16/02 | 405.06 | Quality Assurance Program | 04/22/03 |
| 08/16/02 | 405.07 | Patients' Rights - Hospital Responsibilities | 04/22/03 |
| 10/18/02 | 405.07 | Patients' Rights - Hospital Responsibilities | 12/10/02 |