Hospital Complaint and Survey Information - 2003
Nassau University Medical Center Hospital
PFI # 0528
Revised: 4/04
Complaint Information:
| Calendar Year: | 2003 |
|---|---|
| Complaint Investigations Completed: | 16 |
| Complaints with Statements of Deficiencies (SOD) issued: | 11 |
| % of Complaints with SODs Issued | 68% |
| Regional % of Complaints with SODs issued: | 49.2% |
Areas Cited
| SOD Date | Regulatory Citation | Areas Cited | Date Plan of Correction Accepted |
|---|---|---|---|
| 6/18/03 | 405.24 | Environmental health (d) Waste (e) (1) Housekeeping (e) (2) Housekeeping |
8/29/03 |
| 11/14/03 | 405.2 | Governing body (a) The established operator shall be legally responsible for the quality of patient care services |
2/26/04 |
| 405.24 | Environmental health (d) Waste (e) (1) Housekeeping (e) (2) Housekeeping |
||
| 711.2 | Pertinent technical standards (a) Life safety code |
||
| 5/19/03 | 405.4 | Medical staff (a) (1) (i) Medical staff accountability |
7/24/03 |
| 405.6 | Quality assurance program (b) (1) Activities of quality assurance committee |
||
| 405.7 | Patients’ rights (b) (3) Hospital responsibilities |
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| 10/23/03 | 405.4 | Medical staff (b) (6) (ii) (b) Organization |
1/26/04 |
| 405.6 | Quality assurance program (a) (2) (i) (ii) (v) Governing body |
||
| 9/26/03 | 405.7 | Patients’ rights (b) (23) Hospital responsibilities |
2/24/04 |
| 8/07/03 | 405.9 | Admission/discharge (f) (1) Discharge |
9/05/03 |
| 405.19 | Emergency services (c) (5) General policies and procedures |
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| 3/19/03 | 405.5 | Nursing services (b) (1) Delivery of services |
5/19/03 |
| 11/17/03 | 405.5 | Nursing services (a) (5) (i) Organization and staffing (b) (1) (i)Delivery of services |
2/2/04 |
| 405.7 | Patients’ rights (b) (16) Hospital responsibilities |
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| 405.9 | Admission/discharge (f) Discharge |
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| 6/13/03 | 405.23 | Food and dietetic services (a) (1) General |
8/29/03 |
| 405.24 | Environmental health (d) Waste (e) (1) Housekeeping (e) (2) Housekeeping |
||
| 3/14/03 | 405.7 | Patients’ rights (b) (15) Hospital responsibilities |
7/18/03 |
| 405.9 | Admission/discharge (f) (3) (v) Discharge |
||
| 9/12/03 | 405.5 | Nursing services (b) (1) Delivery of services (b) (1) (i) Delivery of services (b) (4) Delivery of services (c) Administration of drugs |
10/30/03 |
| 405.7 | Patients’ rights (b) (3) Hospital responsibilities (b) (23) Hospital responsibilities |
Areas Cited as a Result of Surveys: Resident Working Hours
| Date of Survey | Type | Areas Cited | Date Plan of Correction Accepted |
|---|---|---|---|
| 10/23/03 | 405.4 | Medical staff (b) (6) (ii) (b) Organization |
1/26/04 |
| 405.6 | Quality assurance program (a) (2) (i) (ii) (v) Governing body |
Most Recent Survey Date:
Areas Cited as a Result of Incident Investigations:
| SOD Date | Regulatory Citation | Areas Cited | Date Plan of Correction Accepted |
|---|---|---|---|
| none | |||
