Hospital Complaint and Survey Information - 2003
Hospital Name: KENMORE MERCY HOSPITAL
PFI # 0267
Complaint Information:
| Calendar Year: | 2003 |
|---|---|
| Complaint Investigations Completed | 9 |
| Complaints with Statements of Deficiencies (SOD) Issued | 4 |
| % of Complaints with SODs Issued | 44 % |
| 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 |
|---|---|---|---|
| 11/17/2003 | 405.6 | Quality Assurance Program QA Committee | 12/4/03 |
| 11/17/2003 | 405.5 | Nursing Services
Delivery of Services |
12/4/03 |
| 11/17/2003 | 405.4 | Medical Staff
Medical Staff Accountability |
12/4/03 |
| 11/17/2003 | 405.19 | Emergency Services Patient Care | 12/4/03 |
| 11/17/2003 | 405.14 | Respiratory Care Services
Operation and Delivery |
12/4/03 |
| 9/18/2003 | 489.24 | Special Responsibilities/
Medicare Hosp. |
10/21/03 |
| 6/17/2003 | 405.6 | Quality Assurance Program QA Committee | 1/8/04 |
| 6/17/2003 | 405.4 | Medical Staff
Medical Staff Accountability |
1/8/04 |
| 6/17/2003 | 405.2 | Governing Body
Care of Patients |
1/8/04 |
| 6/17/2003 | 405.10 | Medical Records
General Requirements |
1/8/04 |
| 2/3/2003 | 405.19 | Emergency Services Patient Care | 3/10/03 |
Areas Cited as a Result of Surveys: 0
Most Recent Survey Date: 9/16/03 (EMTALA)
Areas Cited as a Result of Incident Investigations:
| SOD Date | Regulatory Citation | Areas Cited | Date Plan of Correction Accepted |
|---|---|---|---|
| 11/28/2003 | 405.8 | Incident Reporting | 01/09/04 |
| 11/28/2003 | 405.6 | Quality Assurance | 01/09/04 |
| 11/28/2003 | 405.4 | Medical Staff Medical Staff Accountability | 01/09/04 |
| 11/28/2003 | 405.19 | Emergency Services Patient Care | 01/09/04 |
| 11/28/2003 | 405.10 | Medical Records Content | 01/09/04 |
