Hospital Complaint and Survey Information - 2003
South Nassau Communities Hospital
PFI # 0527
Revised: 4/04
Complaint Information:
| Calendar Year: | 2003 |
|---|---|
| Complaint Investigations Completed: | 14 |
| Complaints with Statements of Deficiencies (SOD) issued: | 8 |
| % of Complaints with SODs Issued | 57% |
| Regional % of Complaints with SODs issued: | 49.2% |
Areas Cited
| SOD Date | Regulatory Citation | Areas Cited | Date Plan of Correction Accepted |
|---|---|---|---|
| 12/04/02 | 405.5 | Nursing services (b) (1) Delivery of services (b) (2) Delivery of services |
NO POC REQUIRED |
| 405.7 | Patients’ rights (b) (12) Hospital responsibilities |
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| 5/16/03 | 405.7 | Patients’ rights (b) (3) Hospital responsibilities (b) (14) Hospital responsibilities (b) (23) Hospital responsibilities |
6/30/03 |
| 5/13/03 | 405.7 | Patients’ rights (b) (23) Hospital responsibilities |
6/30/03 |
| 7/17/03 | 400.3 | Inspection, reproduction and reports | 8/27/03 |
| 405.4 | Medical staff (a) )1) Medical staff accountability |
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| 405.5 | Nursing services (b) (1) Delivery of services |
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| 405.7 | Patients’ rights (b) (14) hospital responsibilities |
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| 405.10 | Medical records (a) (3) General requirements (b) (2) Content |
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| 405.19 | Emergency services (e) (1) Patient care |
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| 11/19/02 | 405.5 | Nursing services (b) (2) Delivery of services |
3/17/03 |
| 405.7 | Patients’ rights (b) (3) Hospital responsibilities |
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| 405.10 | Medical records (a) (3) General requirements |
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| 405.11 | Infection control (b) (iii) Control of infections and communicable diseases |
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| 405.23 | Food and dietetic services (a) (1) General |
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| 405.24 | Environmental health (a) (1) Building and grounds (c) (1) Engineering and maintenance (e) (1) Housekeeping |
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| 12/4/02 | 405.15 | Radiologic and nuclear medicine services (a) (1) General provisions for diagnostic and therapeutic radiologic services |
3/19/03 |
| 12/18/03 | 405.4 | Medical staff (i) Autopsies |
1/23/04 |
| 405.5 | Nursing services (b) (4) Delivery of services (e) Quality assurance |
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| 405.6 | Quality assurance program (b) (2) Activities (b) (3) Activities |
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| 405.7 | Patients’ rights (b) (3) Hospital responsibilities |
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| 405.9 | Admission/discharge (f) (1) Discharge |
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| 405.23 | Food and dietetic services (a) (2) General |
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| 405.25 | Organ and tissue (b) Donation-anatomical gifts |
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| 405.28 | Social services | ||
| 4/24/03 | 405.4 | Medical staff (a) (1) (i) Medical staff accountability |
10/21/03 |
| 405.5 | Nursing services (b) (1) Delivery of services (c) Administration of drugs (e) quality assurance |
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| 405.6 | Quality assurance program (a) (2) (i) Quality assurance committee |
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| 405.7 | Patients’ rights (b) (3) Hospital responsibilities |
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| 405.17 | Pharmaceutical services (a) (9) (ii) Organization and direction |
Areas Cited as a Result of Surveys: Resident Working Hours
| Date of Survey | Type | Areas Cited | Date Plan of Correction Accepted |
|---|---|---|---|
| 4/09/03 | 405.4 | Medical staff (b) (6) (ii) (b) Organization |
6/09/03 |
Most Recent Survey Date:
Areas Cited as a Result of Incident Investigations:
| SOD Date | Regulatory Citation | Areas Cited | Date Plan of Correction Accepted |
|---|---|---|---|
| none | |||
