St. Mary's Hospital at Amsterdam

St. Mary's Hospital at Amsterdam

PFI # 0484

Revised: 6/05

Complaints:

Complaint Information: 2003
Complaint Investigations Completed: 3
Complaints with Statements of Deficiencies (SOD) issued: 2
% of Complaints with SODs Issued 67%
Regional % of Complaints with SODs issued: 37.2%

Areas Cited:

SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted
6/17/03 405.5 Nursing Services 7/3/03
  405.10 Medical Records  
12/19/03 405.4 Medical Staff 1/20/04
  405.6 Quality Assurance Program  

Areas Cited as a Result of Surveys: None

Date of Survey Type Areas Cited: Date Plan of Correction Accepted
none

Most Recent Survey Date: 4/01 JCAHO

Areas Cited as a Result of Incident Investigations:

SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted
10/26/03 405.2 Governing Body 12/9/03
  405.4 Medical Staff  
  405.6 Quality Assurance