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 |


