Hospital Complaint and Survey Information - 2003

Claxton-Hepburn Medical Center

PFI # 0798

Revised: 2/04

Complaint Information:

Calendar Year: 2003
Complaint Investigations Completed: 1
Complaints with Statements of Deficiencies (SOD) issued: 1
% of Complaints with SODs Issued 100%
Regional % of Complaints with SODs issued: 38.9%

Areas Cited

SOD Date Regulatory Citation Areas Cited Date Plan of Correction Accepted
10/20/2003 405.2(f) Governing Body - Care of Patients No POC Required
       

Areas Cited as a Result of Surveys:

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

Most Recent Survey Date: 12/31/2002 — Initial Certification — PPS Rehabitation Unit

Areas Cited as a Result of Incident Investigations:

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