Hospital Complaint and Survey Information - 2003
Hospital Name: LAKE SHORE HOSPITAL INC
PFI # 0114
Complaint Information:
| Calendar Year: | 2003 |
|---|---|
| Complaint Investigations Completed | 3 |
| Complaints with Statements of Deficiencies (SOD) Issued | 3 |
| % of Complaints with SODs Issued | 100% |
| Regional % of Complaints with SODs Issued | 36.4% |
Areas Cited as a Result of Complaint Investigations:
| SOD Date | Regulatory Citation | Areas Cited | Date Plan of Correction Accepted |
|---|---|---|---|
| 12/5/2003 | 405.7 | Patients' Rights Patients' Bill of Rights | 12/29/03 |
| 12/5/2003 | 405.5 | Nursing Services Delivery of Services | 12/29/03 |
| 12/5/2003 | 405.43 | Orders Not to Resuscitate
Policies and Procedures |
12/29/03 |
| 12/5/2003 | 405.4 | Medical Staff
Medical Staff Accountability |
12/29/03 |
| 4/9/2003 | 405.6 | Quality Assurance Program QA Committee | |
| 4/9/2003 | 405.19 | Emergency Services Patient Care | |
| 4/9/2003 | 405.19 | Emergency Services Patient Care | |
| 1/23/2003 | 405.6 | Quality Assurance Program
QA Committee |
2/18/03 |
| 1/23/2003 | 405.4 | Medical Staff
Medical Staff Accountability |
2/18/03 |
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 |
|---|---|---|---|
| 3/28/2003 | 405.8 | Incident Reporting | 7/1/03 |
| 3/28/2003 | 405.7 | Patients' Rights Hospital Responsibilities | 7/1/03 |
| 3/28/2003 | 405.6 | Quality Assurance QA Program | 7/1/03 |
| 3/28/2003 | 405.4 | Medical Staff Medical Staff Accountability | 7/1/03 |
| 3/28/2003 | 405.2 | Governing Body Care of Patients | 7/1/03 |
| 3/28/2003 | 405.15 | Radiologic and Nuclear Med Svcs
Personnel |
7/1/03 |
