Hospital Complaint and Survey Information - 2003

viaHealth-Rochester General

PFI #0411

Complaint Information:

Calendar Year: 2003
Complaint Investigations Completed 19
Complaints with Statements of Deficiencies (SOD) Issued 6
% of Complaints with SODs Issued 31%
Regional % of Complaints with SODs Issued 20.5%

Areas Cited

SOD Date Regulatory Citation Areas Cited Date Plan of Correction Accepted
10/22/2003 405.7 PATIENT'S RIGHTS- HOSPITAL RESPONSIBILITIES 1/20/04
6/10/2003 405.43 ORDERS NOT TO RESUSCITATE- POLICIES & PROCEDURES 7/9/03
6/10/2003 405.4 MEDICAL STAFF- MEDICAL STAFF ACCOUNTABILITY 7/9/03
5/27/2003 405.43 ORDERS NOT TO RESUSCITATE- PHYSICIAN REVIEW 6/10/03
4/11/2003 405.6 QUALITY ASSURANCE PROGRAM-QUALITY ASSURANCE COMMITTEE 5/8/03
4/11/2003 405.4 MEDICAL STAFF -MEDICAL STAFF ACCOUNTABILITY 5/8/03
2/25/2003 405.5 NURSING SERVICES -DELIVERY OF SERVICES 3/14/03
2/25/2003 405.4 MEDICAL STAFF- MEDICAL STAFF ACCOUNTABILITY 3/14/03
2/21/2003 405.2 GOVERNING BODY- CARE OF PATIENTS 4/10/03

Areas Cited as a Result of Surveys:

Date of Survey Type Areas Cited Date Plan of Correction Accepted
2/6/2003 - 2/6/2003 ARTICLE 28 405.19 - EMERGENCY SERVICES- PATIENT CARE 3/14/03
9/4/2003 - 9/4/2003 ARTICLE 28 710.1 - GENERAL PROVISIONS 3/17/04
9/4/2003 - 9/4/2003 ARTICLE 28 401.3 - CHANGES IN EXISTING MEDICAL FACILITIES 3/17/04