Hospital Name: NORTH SHORE UNIVERSITY HOSP. AT FOREST HILLS

PFI # 1638

June 2003

Complaints:

Complaint Information: 2002
Complaint Investigations Completed: 3
Complaints with Statements of Deficiencies (SOD) issued: 2
% of Complaints with SODs Issued 66.6%
Regional % of Complaints with SODs issued: 44.9%

Areas Cited:

SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted
03/14/02 405.06 Quality Assurance Program 05/29/02
03/14/02 405.08 Incident Reporting 05/29/02
03/14/02 405.10 Medical Records - General Requirement 05/29/02
10/28/02 405.04 Medical Staff - Medical Staff Accountability 01/14/02
10/28/02 405.04 Nursing Services - Delivery of Services 01/14/02
10/28/02 405.07 Patients' Rights - Hospital Responsibilities 01/14/02

Areas Cited as a Result of Surveys:

Date of Survey Type Areas Cited: Date Plan of Correction Accepted
08/29/02 A28 405.03 Administration  
08/29/02 A28 405.04Medical Records  
08/29/02 A28 405.05 Nursing Services - Administration of Drugs  
08/29/02 A28 405.06 Quality Assurance Program  
08/29/02 A28 405.07 Patients' Rights Hospital Responsibilities  
08/29/02 A28 405.09 Admission/Discharge  
08/29/02 A28 405.09 Admission/Discharge  
08/29/02 A28 405.10 Medical Records  
08/29/02 A28 405.28 social Services  

Most Recent Survey Date:

Areas Cited as a Result of Incident Investigations:

SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted