Hospital Complaint and Survey Information - 2003
Community General Hospital of Greater Syracuse
PFI # 0628
Revised: 2/04
Complaint Information:
| Calendar Year: | 2003 |
|---|---|
| Complaint Investigations Completed: | 4 |
| Complaints with Statements of Deficiencies (SOD) issued: | 3 |
| % of Complaints with SODs Issued | 75% |
| Regional % of Complaints with SODs issued: | 38.9% |
Areas Cited
| SOD Date | Regulatory Citation | Areas Cited | Date Plan of Correction Accepted |
|---|---|---|---|
| 3/10/2003 | 405.2(f) | Governing Body - Care of Patients | 4/24/2003 |
| 405.4(a) | Medical Staff - Medical Staff Accountability | ||
| 405.5(b) | Nursing Services - Delivery of Services | ||
| 405.6(a) | Quality Assurance | ||
| 5/8/2003 | 405.4(a) | Medical Staff - Medical Staff Accountability | 5/29/2003 |
| 405.5(b) | Nursing Services - Delivery of Services | ||
| 405.6(a) | Quality Assurance | ||
| 405.10(b) | Medical Records - Content | ||
| 7/23/2003 | 400.21(d) | Advance Directives - Policies & Procedures | 9/8/2003 |
| 405.2(b) | Governing Body - Organization & Operation | ||
| 405.5(b) | Nursing Services - Delivery of Services | ||
| 405.5(c) | Nursing Services - Administration of Drugs | ||
| 405.6(a) | Quality Assurance | ||
| 405.7(b) | Patients' Rights - Hospital Responsibilities | ||
| 405.9(f) | Admission/Discharge - Dischargege | ||
| 405.43(e) | Orders Not to Resuscitate - Decisionmaking |
Areas Cited as a Result of Surveys:
| Date of Survey | Type | Areas Cited | Date Plan of Correction Accepted |
|---|---|---|---|
| 12/30/03 | Initial Certification — PPS Rehabitation Unit | None |
Areas Cited as a Result of Incident Investigations:
| SOD Date | Regulatory Citation | Areas Cited | Date Plan of Correction Accepted |
|---|---|---|---|
| none | |||
