Hospital Complaint and Survey Information - 2003
Hospital Name: LUTHERAN MEDICAL CENTER
PFI #1304
Revised: 2/05
Complaints:
| Complaint Information: | 2003 |
|---|---|
| Complaint Investigations Completed: | 14 |
| Complaints with Statements of Deficiencies (SOD) issued: | 5 |
| % of Complaints with SODs Issued | 35% |
| Regional % of Complaints with SODs issued: | 19.1% |
Areas Cited:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |
|---|---|---|---|
| 02/06/03 | 405.03(b)(4) | Administration | 04/10/03 |
| 405.04(a)(1) | Medical Staff | ||
| 405.06(a)(2) | Quality Assurance Program | ||
| 405.11(e) | Infection Control | ||
| 06/18/03 | 405.04 | Medical Staff | 08/12/03 |
| 405.04 | Medical Staff | ||
| 07/28/03 | 405.03(b)(6) | Administration | 10/08/03 |
| 405.06(a)(2)(iii) | Quality Assurance Program | ||
| 405.07(b)(3) | Patients' Rights | ||
| 12/15/03 | 405.10(a)(1) | Medical Records | 4/8/04 |
| 405.07(b)(3) | Patient Right's | ||
| 405.08(a) | Incident Reporting | ||
| 12/18/03 | 405.07(b)(14) | Patient Right's | 2/13/04 |
| 405.07(b)(15) | Patient Right's | ||
| 405.20(a)(3) | Outpatient Services | ||
| 405.20(a)(2) | Outpatient Services |
Areas Cited as a Result of A-28 Surveys:
| Date of Survey | Type | Regulatory Citations: | 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 |
|---|---|---|---|
| 02/10/03 | 405.07 | Patients' Rights | 04/10/03 |
| 405.09 | Admission/Discharge | ||
| 405.10 | Medical Records | ||
