Hospital Complaint and Survey Information - 2003

United Health Services Hospitals, Inc. — Wilson Hospital Division

PFI # 0058

Revised: 2/04

Complaint Information:

Calendar Year: 2003
Complaint Investigations Completed: 4
Complaints with Statements of Deficiencies (SOD) issued: 1
% of Complaints with SODs Issued 25%
Regional % of Complaints with SODs issued: 38.9%

Areas Cited

SOD Date Regulatory Citation Areas Cited Date Plan of Correction Accepted
11/3/2003 405.2(f) Governing Body - Care of Patients 11/24/2003
  405.5(b) Nursing Services - Delivery of Services  
  405.6(a) Quality Assurance  

Areas Cited as a Result of Surveys:

Date of Survey Type Areas Cited Date Plan of Correction Accepted
none

Most Recent Survey Date: 10/15 — 17/2002 - Annual Compliance Review - Resident Work Hours

Areas Cited as a Result of Incident Investigations:

SOD Date Regulatory Citation Areas Cited Date Plan of Correction Accepted
none