Hospital Complaint and Survey Information - 2003

Central Suffolk Hospital

PFI # 0938

Revised: 4/04

Complaint Information:

Calendar Year: 2003
Complaint Investigations Completed: 13
Complaints with Statements of Deficiencies (SOD) issued: 9
% of Complaints with SODs Issued 69%
Regional % of Complaints with SODs issued: 49.2%

Areas Cited

SOD Date Regulatory Citation Areas Cited Date Plan of Correction Accepted
5/16/03 405.7 Patients’ rights
(b) (4) Hospital responsibilities
NO POC REQUIRED
  405.19 Emergency services
(b) (1) (i) Organization
 
4/11/03 405.4 Medical staff
(a) (1) (i) Medical staff accountability
(c) (6) Medical staff bylaws
6/12/03
1/13/03 405.2 Governing body
(c) (2) Compliance with laws
3/11/03
  405.3 Administration
(a) Chief executive officer
 
  405.5 Nursing services
(b) (4) Delivery of services
(e) Quality assurance
 
  405.7 Patients’ rights
(b) (3) Hospital responsibilities
(b) (4) Hospital responsibilities
 
  405.19 Emergency services
(b)(1) (i) Organization
(f) (3) Quality assurance
 
1/13/03 405.5 Nursing services
(b) (4) Delivery of services
6/12/03
  405.7 Patients’ rights
(b) (3) Hospital responsibilities
 
1/10/03 405.19 Emergency services
(e) (1) Patient care
5/9/03
1/13/03 405.2 Governing body
(c) (2) Compliance with laws
3/11/03
  405.3 Administration
( a) Chief executive officer
 
  405.7 Patients’ rights
(b) (3) Hospital responsibilities
(b) (4) Hospital responsibilities
 
  405.19 Emergency services
(b) (1) (i) Organization
(f) (3) Quality assurance
 
9/22/03 405.7 Patients’ rights
(b) (3) Hospital responsibilities
2/24/04
7/14/03 405.7 Patients’ rights
(b) (24) Hospital responsibilities
 
  405.10 Medical record
(a) (3) General requirements
(a) (4) General requirements
 
7/3/03 405.3 Administration
(d) (8) Records and reports
9/5/03
  405.7 Patients’ rights
(b) (3) Hospital responsibilities
 
  405.19 Emergency services
(e) (1) Patient care
 

Areas Cited as a Result of Surveys: ER SURVEY

Date of Survey Type Areas Cited Date Plan of Correction Accepted
1/13/03 405.2 Governing body
(c) (2) Compliance with laws
3/11/03
  405.3 Administration
(a) Chief executive officer
 
  405.5 Nursing services
(b) (4) Delivery of services
(e) Quality assurance
 
  405.7 Patients’ rights
(b) (3) Hospital responsibilities
(b) (4) Hospital responsibilities
 
  405.19 Emergency services
(b) (1) (i) Organization
(f) (3)Quality assurance
 

Most Recent Survey Date:

Areas Cited as a Result of Incident Investigations:

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