Seton Health System - St. Mary's Campus
Seton Health System - St. Mary's Campus
PFI # 0755
Revised: 6/05
Complaints:
| Complaint Information: | 2003 |
|---|---|
| Complaint Investigations Completed: | 10 |
| Complaints with Statements of Deficiencies (SOD) issued: | 4 |
| % of Complaints with SODs Issued | 40% |
| Regional % of Complaints with SODs issued: | 37.2% |
Areas Cited:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |
|---|---|---|---|
| 2/25/03 | 405.5 | Nursing Services | 3/19/03 |
| 405.5 | Nursing Services | ||
| 405.23 | Food and Dietetic Services | ||
| 6/9/03 | 405.4 | Medical Staff | 9/29/03 |
| 405.5 | Nursing Services | ||
| 405.5 | Nursing Services | ||
| 405.10 | Medical Records | ||
| 5/29/03 | 405.15 | Radiologic and Nuclear Medicine Services | 6/12/03 |
| 11/5/03 | 405.4 | Medical Services | 12/5/03 |
Areas Cited as a Result of Surveys: None
| Date of Survey | Type | Areas Cited: | Date Plan of Correction Accepted |
|---|---|---|---|
| none | |||
Most Recent Survey Date: 1/02 Focus OB
Areas Cited as a Result of Incident Investigations:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |
|---|---|---|---|
| 6/6/03 | 405.15 | Radiologic & Nuclear Med | 8/1/03 |
| 405.2 | Governing Body | ||
| 405.4 | Medical Staff | ||
| 405.6 | Quality Assurance |
