Hospital Complaint and Survey Information - 2003
University Hospital SUNY Health Science Center
PFI # 0635
Revised: 2/04
Complaint Information:
| Calendar Year: | 2003 |
|---|---|
| Complaint Investigations Completed: | 4 |
| Complaints with Statements of Deficiencies (SOD) issued: | 0 |
| % of Complaints with SODs Issued | 0% |
| Regional % of Complaints with SODs issued: | 38.9% |
Areas Cited
| SOD Date | Regulatory Citation | Areas Cited | Date Plan of Correction Accepted |
|---|---|---|---|
| none | |||
Areas Cited as a Result of Surveys:
| Date of Survey | Type | Areas Cited | Date Plan of Correction Accepted |
|---|---|---|---|
| 5/6 — 8/2003 | Annual Compliance Review - Resident Work Hours - Revisit | None | |
| 11/18 — 19/2003 | Article 28 Compliance & Medicare Transplant Recert | 405.2136 - Governing Body & Management - Health and Safety | 2/9/2004 |
| 405.2136(d) - Governing Body & Management - Personnel P/P: Staff Education | |||
| 405.2137 - LTC & PCP With Transfer | |||
| 405.2137(a) - Long Term Program & Care Plan - Written Long-Term Plan | |||
| 405.2139(a) - Medical Records - PT Assessments | |||
| 405.2139(a) - Medical Records - Treatments and Findings | |||
| 405.2140(b) - Physical Environment - Functional, Sanitary and Comfortable | |||
| 405.2140(b) - Physical Environment - PE: Infection Control | |||
| 405.2140(d) - Physical Environment - ER: Drugs & Supplies | |||
| 405.2163(f) - Minimal Service Requirements - Participation in Recipient Registry | |||
| 405.2171(c) - Minimal Service Requirements - RTC: Dietetic Services | |||
| 405.5(b) - Nursing Services - Delivery of Services | |||
| 405.6(a) - Quality Assurance | |||
| 405.11 - Infection Control | |||
| 405.17(b) - Pharmaceutical Services - Operation & Service Delivery | |||
| 405.23(a) - Food and Dietetic Services - General | |||
| 405.24(a) - Environmental Health - Building & Grounds |
Areas Cited as a Result of Incident Investigations:
| SOD Date | Regulatory Citation | Areas Cited | Date Plan of Correction Accepted |
|---|---|---|---|
| none | |||
