Hospital Complaint and Survey Information - 2003

St. Luke'S Cornwall Hospital/Newburgh

PFI # 0694

Revised: April 2004

Complaint Information:

Calendar Year: 2003
Complaint Investigations Completed: 5
Complaints with Statements of Deficiencies (SOD) issued: 3
% of Complaints with SODs Issued 60%
Regional % of Complaints with SODs issued: 24.5%

Areas Cited

SOD Date Regulatory Citation Areas Cited Date Plan of Correction Accepted
2/19/03 405.5(a)(5)(ii) Nursing Services-Organization and staffing 5/2/03
2/19/03 405.5(b)(1)(i)(3)(4) Nursing Services-Delivery of Services 5/2/03
7/1/03 405.4(a)(1)(I)(II) Medical Staff 4/12/04
7/1/03 405.5(b)(1)(i)(4) Nursing Services-Delivery of Service 4/12/04
7/1/03 405.10(c)(1) Medical Records-Authentication 4/12/04
7/1/03 405.21(e)(3)(ii) Maternity and Newborn Services 4/12/04
7/9/03 405.9(f)(1) Admission/Discharge 9/3/03

Areas Cited as a Result of Surveys:

Date of Survey Type Areas Cited Date Plan of Correction Accepted
none

Most Recent Survey Date:

Areas Cited as a Result of Incident Investigations:

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