Hospital Complaint and Survey Information - 2003
Hospital Name: SISTERS OF CHARITY HOSPITAL
PFI # 0218
Complaint Information:
| Calendar Year: | 2003 |
|---|---|
| Complaint Investigations Completed | 4 |
| Complaints with Statements of Deficiencies (SOD) Issued | 0 |
| % of Complaints with SODs Issued | 0% |
| Regional % of Complaints with SODs Issued | 36.4% |
Areas Cited as a Result of Surveys:
| Date of Survey | Type | Areas Cited: | Date Plan of Correction Accepted |
|---|---|---|---|
| 5/1/03 | Article 28 | 405.2 - Governing Body
Care of Patients |
11/21/03 |
| 405.6 Quality Assurance Program | |||
| 405.7 Patient Rights | |||
| 405.8 Incident Reporting | |||
| 405.15 Radiologic and Nuclear Med. Svcs. | |||
| 405.21 Maternity and Newborn Services |
Most Recent Survey Date: 5/1/03 (Art. 28)
Areas Cited as a Result of Incident Investigations:
| SOD Date | Regulatory Citation | Areas Cited | Date Plan of Correction Accepted |
|---|---|---|---|
| 10/16/2003 | 405.8 | Incident Reporting | 11/20/03 |
| 10/16/2003 | 405.6 | Quality Assurance | 11/20/03 |
| 10/16/2003 | 405.4 | Medical Staff
Medical Staff Accountability/Post Graduate Trainee |
11/20/03 |
| 10/16/2003 | 405.19 | Emergency Services
Patient Care |
11/20/03 |
| 8/27/2003 | 405.8 | Incident Reporting | 9/29/03 |
| 8/27/2003 | 405.6 | Quality Assurance Quality Assurance Program | 9/29/03 |
| 8/27/2003 | 405.4 | Medical Staff | 9/29/03 |
| 8/22/2003 | 405.8 | Incident Reporting | 11/21/03 |
| 8/22/2003 | 405.7 | Patients Rights Procedural Requirements | 11/21/03 |
| 8/22/2003 | 405.6 | Quality Assurance Quality Assurance Program | 11/21/03 |
| 8/22/2003 | 405.21 | Maternity & Newborn Services Neonatal Special Care Services | 11/21/03 |
| 8/22/2003 | 405.2 | Governing Body Care of Patients | 11/21/03 |
| 8/22/2003 | 405.15 | Radiological & Nuclear Medicine Service Records | 11/21/03 |
| 7/21/2003 | 405.8 | Incident Reporting | 9/29/03 |
| 6/19/2003 | 405.8 | Incident Reporting | 7/22/03 |
| 6/19/2003 | 405.6 | Quality Assurance Program QA Committee | 7/22/03 |
| 6/19/2003 | 405.5 | Nursing Services Delivery of Services | 7/22/03 |
| 6/19/2003 | 405.4 | Medical Staff Medical Staff Accountability | 7/22/03 |
