Hospital Name: MILLARD FILLMORE HOSPITAL@MILLARD FILLMORE SUBURBA

PFI # 3067

Complaints:

Complaint Information: 2002
Complaint Investigations Completed 4
Complaints with Statements of Deficiencies (SOD) Issued 1
% of Complaints with SODs Issued 25%
Regional % of Complaints with SODs Issued 42.3%

Areas Cited:

SOD Date Regulatory Citation Areas Cited Date Plan of Correction Accepted
6/17/2002 405.9 Admission/Discharge Discharge 7/18/02
6/17/2002 405.7 Patients' Rights Hospital Responsibilities 7/18/02

Areas Cited as a Result of

Surveys:

SOD Date Type Areas Cited: Date Plan of Correction Accepted
6/13/2002 Article 28 405.8 d7 Incident Reporting 11/6/02
6/13/02 Article 28 405.8 a Incident Reporting 11/6/02
6/13/2002 Article 28 405.6 a2 Quality Assurance Program 11/6/02
6/13/02 Article 28 405.5 b4 Nursing Services Delivery of Services 11/6/02
6/13/2002 Article 28 405.5 b2ii Nursing Services Delivery of Services 11/6/02
6/13/02 Article 28 405.5 b1 Nursing Services Delivery of Services 11/6/02
6/13/02 Article 28 405.2 b1 Governing Body Care of Patients 11/6/02
6/13/2002 Article 28 405.4 MedicalStaff Organization 11/6/02

Most Recent Survey

INCIDENTS

Areas Cited:

SOD Date Areas Cited Regulatory Citation Date Plan of Correction Accepted
8/12/2002 405.6 Quality Assurance 11/13/02
8/12/2002 405.5 Nursing Services Delivery of Services 11/13/02
8/12/2002 405.5 Nursing Services Delivery of Services 11/13/02
8/12/2002 405.5 Nursing Services Delivery of Services 11/13/02
8/12/2002 405.5 Nursing Services Delivery of Services 11/13/02
8/12/2002 405.4 Medical Staff 11/13/02
8/12/2002 405.2 Governing Body Care of Patients 11/13/02
2/20/2002 405.7 Patients' Rights Hospital Responsibilities 3/6/02
2/20/2002 405.5 Nursing Services Delivery of Services 3/6/02
2/20/2002 405.5 Medical Staff Medical Staff Accountability 3/6/02
2/15/2002 405.7 Patient Rights Hospital Responsibilities 03/06/02
2/15/2002 405.5 Nursing Services Delivery of Services 03/06/02
2/15/2002 405.4 Medical Staff Medical Staff Accountability 03/06/02