Columbia Memorial Hospital

Columbia Memorial Hospital

PFI # 0146

Revised: 6/05

Complaints:

Complaint Information: 2003
Complaint Investigations Completed: 10
Complaints with Statements of Deficiencies (SOD) issued: 8
% of Complaints with SODs Issued 80%
Regional % of Complaints with SODs issued: 37.2%

Areas Cited:

SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted
4/15/03 405.5 Nursing Services 3/12/04
  405.6 Quality Assurance Program  
4/28/03 405.5 Nursing Services 3/12/04
  405.19 Emergency Services  
6/4/03 405.2 Governing Body 3/12/04
  405.3 Administration  
  405.10 Medical Records  
  405.19 Emergency Services  
6/30/03 405.5 Nursing Services 3/12/04
  405.24 Environmental Health  
6/24/03 405.5 Nursing Services 7/14/03
  405.6 Quality Assurance Program  
10/24/03 405.5 Nursing Services 11/26/03
  405.6 Quality Assurance Program  
  405.19 Emergency Services  
10/24/03 405.5 Nursing Services 11/26/03
  405.6 Quality Assurance Program  
  405.19 Emergency Services  
11/10/03 405.5 Nursing Services 3/12/04
  405.6 Quality Assurance Program  
  405.19 Emergency Services  

Areas Cited as a Result of Surveys: None

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

Most Recent Survey Date: 5/02 JCAHO

Areas Cited as a Result of Incident Investigations:

SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted
2/25/03 405.2 Governing Body 3/24/03
  405.5 Nursing Services  
  405.6 Quality Assurance  
  405.7 Patients' Rights