Hospital Complaint and Survey Information - 2003
NYACK HOSPITAL
PFI # 0776
Revised: Octoberl 2004
Complaint Information:
| Calendar Year: | 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: | 24.5% |
Areas Cited as a Result of Complaint Investigations:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |
|---|---|---|---|
| 3/6/03 | 405.4(a)(1)(i) | Medical Staff-Medical staff accountability | 5/23/03 |
| 3/6/03 | 405.9(f)(6)(i)(ii) | Admission Discharge-Discharge | 5/23/03 |
| 5/27/03 | 405.19(e)(5) | Emergency Services-Patient Care | 11/14/03 |
| 7/9/03 | 405.2(f)(l) | Governing Body-Care of patients | 11/2/04 |
| 7/9/03 | 405.4(a)(l)(i) | Medical Staff-Medical staff accountability | 11/2/04 |
| 7/9/03 | 405.5(b)(1)(i)(ii)(2)(i)(ii)(3)(4) | Nursing Services-Delivery of services | 11/2/04 |
| 7/9/03 | 405.10(a)(3) | Medical Records - General requirements | 11/2/04 |
| 7/9/03 | 405.10(c)(8) | Medical Records - Authentication | 11/2/04 |
Areas Cited as a Result of Surveys:
| Date of Survey | Type | Areas Cited: | Date Plan of Correction Accepted |
|---|---|---|---|
| none | |||
Most Recent Survey Date: 7/16/03 Annual Compliance Review
Areas Cited as a Result of Incident Investigations:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |
|---|---|---|---|
| none | |||
