Hospital Complaint and Survey Information - 2003

Hospital Name: MAIMONIDES MEDICAL CENTER

PFI #1305

Revised: 2/05

Complaints:

Complaint Information: 2003
Complaint Investigations Completed: 34
Complaints with Statements of Deficiencies (SOD) issued: 9
% of Complaints with SODs Issued 26%
Regional % of Complaints with SODs issued: 19.1%

Areas Cited:

SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted
1/6/03 405.06(b)(3)(4) Quality Assurance 3/17/03
  405.10(a)(1) Medical Records  
       
1/29/03 405.05 Nursing Services 3/5/03
  405.06(b)(2) Quality Assurance  
       
05/02/03 405.07(b)(3) Patients' Rights 06/19/03
       
05/06/03 405.04(a)(1)(i) Medical Staff 06/19/03
  405.05(b)(1)(ii) Nursing Services  

405.05(b)(4) Nursing Services

05/28/03 405.10 Medical Records 07/07/03
  405.10 Medical Records  
06/03/03 405.11 Infection Control 07/11/03
  405.19 Emergency Services  
06/18/03 405.08 Incident Reporting 08/12/03
10/2/03 405.07(b)(3) Patient Right's 12/3/03
  405.23(b)(5) Food and Dietetic  
  405.05(b)(1) Nursing Services  
12/8/03 405.06(b)(2) Quality Assurance 3/29/04
  405.07(b)(13) Patient Right's  
  405.08(b)(1) Incident Reporting  
  405.10(a)(1) Medical Records  

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
07/11/03 405.05 Nursing Services 10/01/03
  405.06 Quality Assurance Program  
  405.06 Quality Assurance Program