Hospital Complaint and Survey Information - 2003
Southside Hospital
PFI # 0924
Revised: 4/04
Complaint Information:
| Calendar Year: | 2003 |
|---|---|
| Complaint Investigations Completed: | 17 |
| Complaints with Statements of Deficiencies (SOD) issued: | 13 |
| % of Complaints with SODs Issued | 76% |
| Regional % of Complaints with SODs issued: | 49.2% |
Areas Cited
| SOD Date | Regulatory Citation | Areas Cited | Date Plan of Correction Accepted |
|---|---|---|---|
| 3/13/03 | 405.5 | Nursing services (b) (1) (ii) Delivery of services |
5/09/03 |
| 405.7 | Patients’ rights (b)(5) Hospital responsibilities |
||
| 12/03/03 | 405.6 | Quality assurance program (a) (2) (i) Quality assurance committee |
3/24/04 |
| 405.7 | Patients’ rights (b) (4) Hospital responsibilities |
||
| 405.19 | Emergency services (e) (1) Patient care |
||
| 8/27/03 | 405.7 | Patients’ rights (b) (14) Hospital responsibilities |
11/14/03 |
| 711.2 | Pertinent technical standards (a) (1) Life safety code |
||
| 8/29/03 | 405.7 | Patients’ rights (b) (3) Hospital responsibilities (b) (23) Hospital responsibilities |
12/19/03 |
| 405.19 | Emergency services (f) (3) Quality assurance |
||
| 9/03/03 | 405.4 | Medical staff (a) (1) (i) Medical staff accountability |
10/22/03 |
| 405.5 | Nursing services (b) (1) Delivery of services |
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| 405.7 | Patients’ rights (b) (14) Hospital responsibilities |
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| 405.10 | Medical records (a) (6) General requirements |
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| 8/27/03 | 405.24 | Environmental health (a) (1) Building and grounds |
10/30/03 |
| 711.2 | Pertinent technical standards (a) Life safety code |
||
| 11/12/03 | 405.10 | Medical records (b) (2) (vi) Content |
1/07/04 |
| 405.19 | Emergency services (b) (1) (i) Organization |
||
| 11/25/03 | 405.5 | Nursing services (b) (2) (i) Delivery of services (e) (1) Quality assurance |
1/30/04 |
| 405.7 | Patients’ rights (b) (3) Hospital responsibilities (b) (5) Hospital responsibilities |
||
| 6/19/03 | 405.7 | Patients’ rights (a) (4) Procedural requirements (b) (4) Hospital responsibilities |
9/25/03 |
| 405.19 | Emergency services (b) (1) (i) Organization (c) (6) (v) General policies and procedures (c) (7) General policies and procedures (e) (1) Patient care (e) (2) Patient care (e) (3) Patient care (e) (3) (i-vii) Patient care (f) (4) Quality assurance |
||
| 1/08/03 | 405.2 | Governing body (c) (2) Compliance with laws (d) (2) Chief executive officer |
3/17/03 |
| 405.4 | Medical staff (a) (1) Medical staff accountability |
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| 405.5 | Nursing services (b) (1) Delivery of services |
||
| 405.7 | Patients’ rights (b) (8) Hospital responsibilities |
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| 9/08/03 | 405.7 | Patients’ rights (b) (25) Hospital responsibilities |
11/14/03 |
| 2/28/03 | 405.4 | Medical staff (a) (1) (i) Medical staff accountability |
6/12/03 |
| 405.5 | Nursing services (b) (1) (ii) Delivery of services |
||
| 405.7 | Patients’ rights (b) (3) Hospital responsibilities |
||
| 405.16 | Laboratory services (c) (2) (ii) Personnel |
||
| 405.17 | Pharmaceutical services (a) (2) (i) Organization and direction |
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| 2/21/03 | 405.5 | Nursing services (b) (2) Delivery of services |
5/09/03 |
| 405.23 | Food and dietetic services |
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 | |||
