Hospital Complaint and Survey Information - 2003
Hospital Name: WOMAN'S CHRISTIAN ASSOCIATION
PFI # 0103
Complaint Information:
| Calendar Year: | 2003 |
|---|---|
| Complaint Investigations Completed | 7 |
| Complaints with Statements of Deficiencies (SOD) Issued | 4 |
| % of Complaints with SODs Issued | 57% |
| Regional % of Complaints with SODs Issued | 36.4% |
Areas Cited:
| SOD Date | Regulatory Citation | Areas Cited | Date Plan of Correction Accepted |
|---|---|---|---|
| 12/16/2003 | 405.6 | Quality Assurance Program QA Committee | 2/5/04 |
| 6/19/2003 | 405.9 | Admission/Discharge Discharge | 7/7/03 |
| 6/19/2003 | 405.6 | Quality Assurance Program QA Committee | 7/7/03 |
| 4/17/2003 | 405.5 | Nursing Services Delivery of Services | 6/17/03 |
| 4/17/2003 | 405.19 | Emergency Services General | 6/17/03 |
| 1/6/2003 | 405.5 | Nursing Services Delivery of Services | 1/6/03 |
Areas Cited as a Result of Surveys: 0
Most Recent Survey Date: 9/10/03 (PPS)
Areas Cited as a Result of Incident Investigations:
| SOD Date | Regulatory Citation | Areas Cited | Date Plan of Correction Accepted |
|---|---|---|---|
| none | |||
| 3/31/2003 | 405.8 (d) | Incident Reporting | |
| 3/31/2003 | 405.6 (a) (2) | Quality Assurance | |
| 3/31/2003 | 405.4 (a) (1) (i) | Medical Staff | |
| 3/31/2003 | 405.19 (e) (1) | Emergency Services - Patient Care | |
