Ellis Hospital

Ellis Hospital

PFI # 0829

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
2/14/03 405.2 Governing Body 3/12/03
5/15/03 405.5 Nursing Services 11/25/03
  405.6 Quality Assurance Program  
  405.8 Incident Reporting  
  405.9 Admission/Discharge  
  405.10 Medical Records  
6/13/03 405.2 Governing Body 7/2/03
  405.4 Medical Staff  
  405.5 Nursing Services  
  405.6 Quality Assurance Program  
  405.7 Patients' Rights  
12/1/03 405.5 Nursing Services 1/21/04
  405.7 Patients' Rights  

Areas Cited as a Result of Surveys:

Date of Survey Type Areas Cited: Date Plan of Correction Accepted
3/13/03 Article 28 Focus 405.5 Nursing Services 11/25/03
  Article 28 Focus 405.6 Quality Assurance  
  Article 28 Focus 405.8 Incident Reporting  
  Article 28 Focus 405.9 Admission/Discharge  
  Article 28 Focus 405.10 Medical Records  

Most Recent Survey Date:

Areas Cited as a Result of Incident Investigations: None

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