Hospital Complaint and Survey Information - 2003

Hospital Name: BUFFALO GENERAL HOSPITAL

PFI # 0207

Complaint Information:

Calendar Year: 2003
Complaint Investigations Completed 14
Complaints with Statements of Deficiencies (SOD) Issued 4
% of Complaints with SODs Issued 28 %
Regional % of Complaints with SODs Issued 36.4%

Areas Cited:

SOD Date Regulatory Citation Areas Cited Date Plan of Correction Accepted
10/1/2003 405.7 Patients' Rights Hospital Responsibilities 10/28/03
10/1/2003 405.25 Organ and Tissue Donation

Anatomical Gifts

 10/28/03
7/17/2003 405.5 Nursing Services Organization and Staffing

Delivery of Services

 9/22/03
7/17/2003 405.4 Medical Staff

Medical Staff Accountability

 9/22/03
7/17/2003 405.2 Governing Body

Care of Patients

 9/22/03
4/2/2003 405.11 Infection Control Education 4/25/03
1/31/2003 405.7 Patients' Rights

Hospital Responsibilities

 2/24/03

Areas Cited as a Result of Surveys:

Date of Survey Type Areas Cited: Date Plan of Correction Accepted
2/28/03 Art. 28 Focus 405.4 - Medical Staff

Medical Staff Accountability

 3/27/03
2/28/03 Art. 28 Focus 405.10 - Medical Records

General Requirements

Content

 3/27/03
3/11/2003 Art. 28 Focus 405.4 - Medical Staff Medical Staff Accountability 7/23/03
3/11/2003 Art. 28 Focus
    1. Medical Records

Content

 7/23/03
3/11/2003 Art. 28 Focus 405.10 - Medical Records

General Requirements

 7/23/03
3/11/2003 Art. 28 Focus 405.4 - Medical Staff Medical Staff Accountability 7/23/03

Most Recent Survey Date: 5/21/04 (EMTALA)

Areas Cited as a Result of Incident Investigations:

SOD Date Regulatory Citation Areas Cited Date Plan of Correction Accepted
3/31/2003 405.4 Medical Staff Organization 6/23/03
3/31/2003 405.1 Medical Records Authentication 6/23/03