Hospital Complaint and Survey Information - 2003
Mercy Medical Center
PFI # 0513
Revised: 4/04
Complaint Information:
| Calendar Year: | 2003 |
|---|---|
| Complaint Investigations Completed: | 12 |
| Complaints with Statements of Deficiencies (SOD) issued: | 5 |
| % of Complaints with SODs Issued | 42% |
| Regional % of Complaints with SODs issued: | 49.2% |
Areas Cited
| SOD Date | Regulatory Citation | Areas Cited | Date Plan of Correction Accepted |
|---|---|---|---|
| 8/18/03 | 405.7 | Patients’ rights (b) (3) Hospital responsibilities |
4/6/04 |
| 405.21 | Maternity and newborn services (c) (1) General requirements (h) (3) (ii) (1) Neonatal special care services |
||
| 2/08/03 | 405.24 | Environmental health (e) (2) Housekeeping |
5/20/03 |
| 711.2 | Pertinent technical standards (a) Life safety code |
||
| 4/10/03 | 405.2 | Governing body (c) (2) Compliance with laws (f) (1) Care of patients |
9/04/03 |
| 405.3 | Administration (a) Chief executive officer |
||
| 405.4 | Medical staff (a) (1) (ii) Medical staff accountability |
||
| 405.5 | Nursing services (a) (1) Organization and staffing (a) (2) Organization and staffing (a) (5) Organization and staffing (a) (6) Organization and staffing (b) (1) (i) Delivery of services (b) (2) Delivery of services (c) Administration of drugs (e) (1) Quality assurance | ||
| 405.6 | Quality assurance program (b) (1) Activities |
||
| 405.7 | Patients’ rights (b) (3) Hospital responsibilities (b) (4) Hospital responsibilities |
||
| 405.14 | Respiratory care services (b) (2) Operation and service delivery |
||
| 405.19 | Emergency services (d) (2) (iii)Staffing (e) (1) Patient care |
||
| 8/18/03 | 405.5 | Nursing services (b) (1) Delivery of services |
10/01/03 |
| 405.7 | Patients’ rights (b) (14) Hospital responsibilities |
||
| 10/31/03 | 405.6 | Quality assurance (a) (2) (i) Quality assurance committee |
12/9/03 |
| 405.10 | Medical records (c) (2) Authentication |
||
| 405.17 | Pharmaceutical services (a) (9) (ii) Organization and direction (a) (10) Organization and direction |
Areas Cited as a Result of Surveys:
| Date of Survey | Type | Areas Cited | Date Plan of Correction Accepted |
|---|---|---|---|
| none | |||
Most Recent Survey Date:
Areas Cited as a Result of Incident Investigations:
| SOD Date | Regulatory Citation | Areas Cited | Date Plan of Correction Accepted |
|---|
