Hospital Complaint and Survey Information - 2003

Crouse Hospital

PFI # 0636

Revised: 2/04

Complaint Information:

Calendar Year: 2003
Complaint Investigations Completed: 5
Complaints with Statements of Deficiencies (SOD) issued: 2
% of Complaints with SODs Issued 40%
Regional % of Complaints with SODs issued: 38.9%

Areas Cited

SOD Date Regulatory Citation Areas Cited Date Plan of Correction Accepted
1/30/2003 405.2(f) Governing Body - Care of Patients 10/27/2003
  405.5(b) Nursing Services - Delivery of Services  
  405.5(c) Nursing Services - Administration of Drugs  
  405.5(e) Nursing Services - Quality Assurance  
  405.6(a) Quality Assurance  
  405.8(a) Incident Reporting  
  405.10(a) Medical Records - General Requirements  
  405.12(b) Surgical Services - Operation & Service Delivery  
  405.14(b) Respiratory Care Services - Operation & Service Delivery  
  405.16(c) Laboratory Services - Personnel  
  405.19(e) Emergency Services - Patient Care  
4/10/2003 405.5(b) Nursing Services - Delivery of Services 4/28/2003

Areas Cited as a Result of Surveys:

Date of Survey Type Areas Cited Date Plan of Correction Accepted
2/10 - 12/2003 Annual Compliance Review - Resident Work Hours 405.4(b) - Medical Staff - Organization 4/28/2003
5/6 — 7/2003 Annual Compliance Review - Resident Work Hours - Revisit None  

Areas Cited as a Result of Incident Investigations:

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