Hospital Complaint and Survey Information - 2003

Catskill Regional Medical Center - Harris

PFI # 0971

Revised: May 2004

Complaint Information:

Calendar Year: 2003
Complaint Investigations Completed: 9
Complaints with Statements of Deficiencies (SOD) issued: 2
% of Complaints with SODs Issued 22%
Regional % of Complaints with SODs issued: 24.5%

Areas Cited

SOD Date Regulatory Citation Areas Cited Date Plan of Correction Accepted
2/20/03 405.4(A)(2) Medical Staff 12/16/03
2/20/03 405.5(a)(5)(ii) Nursing Services - Organization and staffing 12/16/03
2/20/03 405.5(b)(3)(4) Nursing Services-Delivery of Services 12/16/03
2/20/03 405.7(b)(5) Patients Rights 12/16/03
2/20/03 405.9(f)(1) Admission/Discharge 12/16/03
2/20/03 405.22(f)(2)(i)(b) Critical Care and Special Care Services 12/16/03
6/4/03 405.10(c)(1) Medical Records-Authentication 5/17/04
6/4/03 405.19(d)(1)(ii) Emergency Services - Staffing 5/17/04
6/4/03 405.19(e)(1)(2) Emergency Services-Patient Care 5/17/04

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