Hospital Complaint and Survey Information - 2003

Good Samaritan Hospital

PFI # 0779

Revised: April 2004

Complaint Information:

Calendar Year: 2003
Complaint Investigations Completed: 6
Complaints with Statements of Deficiencies (SOD) issued: 3
% of Complaints with SODs Issued 50%
Regional % of Complaints with SODs issued: 24.5%

Areas Cited

SOD Date Regulatory Citation Areas Cited Date Plan of Correction Accepted
1/13/03 405.5(B)(2) Nursing Services-Delivery of Services 3/18/03
4/2/03 405.5(c) Nursing Services-Administration of Drugs 7/1/03
7/24/03 405.9(f)(1) Admission/Discharge 8/26/03

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