Hospital Complaint and Survey Information - 2003

Hospital Name: ST JOSEPH HOSPITAL OF CHEEKTOWAGA@NEW YORK

PFI # 0292

Complaint Information:

Calendar Year: 2003
Complaint Investigations Completed 5
Complaints with Statements of Deficiencies (SOD) Issued 4
% of Complaints with SODs Issued 80%
Regional % of Complaints with SODs Issued 36.4%

Areas Cited:

SOD Date Regulatory Citation Areas Cited Date Plan of Correction Accepted
5/20/2003 405.6 Quality Assurance Program QA Committee 6/25/03
5/20/2003 405.5 Nursing Services Delivery of Services 6/25/03
4/9/2003 405.4 Medical Staff

Medical Staff Accountability

5/8/03
4/9/2003 405.4 Medical Staff Medical Staff Accountability 5/8/03
4/9/2003 405.10 Medical Records Content 5/8/03
4/9/2003 405.10 Medical Records Content 5/8/03
2/3/2003 405.5 Nursing Services Delivery of Services 2/18/03
2/3/2003 405.4 Medical Staff Medical Staff Accountability 2/18/03
1/6/2003 405.5 Nursing Services Delivery of Services 2/4/03
1/6/2003 405.4 Medical Staff Medical Staff Accountability 2/4/03

Most Recent Survey Date: 7/11/03 (Validation)

Areas Cited as a Result of Incident Investigations: 0

SOD Date Regulatory Citation Areas Cited Date Plan of Correction Accepted
5/5/2003 405.8 Incident Reporting 7/10/03
5/5/2003 405.5 Nursing Services Delivery of Services 7/10/03