Hospital Complaint and Survey Information - 2003

North Shore University Hospital at Manhasset

PFI # 0541

Revised: 4/04

Complaint Information:

Calendar Year: 2003
Complaint Investigations Completed: 19
Complaints with Statements of Deficiencies (SOD) issued: 8
% 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
2/06/03 405.5 Nursing services
(b) (1) Delivery of services		 4/17/03
10/29/03 405.5 Nursing services
(b) (1) Delivery of services
(b) (4) Delivery of services		 NO POC REQUIRED
  405.7 Patients’ rights
(b) (3) Hospital responsibilities		  
9/25/03 405.6 Quality assurance program
(b) (1) Activities
(b) (2) Activities		 12/15/03
2/06/03 405.5 Nursing services
(b) (1) (i)Delivery of services
(c) Administration of drugs		 5/19/03
  405.7 Patients’ rights
(b) (3) Hospital responsibilities		  
  405.10 Medical records
(a) (3) General requirements		  
4/01/03 405.7 Patients’ rights
(b) (8) Hospital responsibilities		 6/12/03
  405.19 Emergency services
(b) (3) Organization
(f) Quality assurance		  
12/03/03 405.7 Patients’ rights
(b) (3) Hospital responsibilities
(b) (23) Hospital responsibilities
(b) (25) Hospital responsibilities		 2/12/04
  405.11 Infection control
(b) (iii)Control of infections and communicable diseases		  
2/06/03 405.5 Nursing services
(b) (4) Delivery of services		 5/19/03
2/06/03 405.5 Nursing services
(b) (1) Delivery of services
(b) (4) Delivery of services		 7/18/03

Areas Cited as a Result of Surveys: Annual Review Working Hours

Date of Survey Type Areas Cited Date Plan of Correction Accepted
11/20/02 405.4 Medical staff
(b) (6) Organization
(b) (6) (ii) (a) Organization		 2/10/03

Most Recent Survey Date:

Areas Cited as a Result of Incident Investigations:

SOD Date Regulatory Citation Areas Cited Date Plan of Correction Accepted
none