Hospital Information 2004

Our Lady of Lourdes Memorial Hospital, Inc.

PFI # 0043

Revised: 6/05

Complaints:

Complaint Information: 2004
Complaint Investigations Completed: 2
Complaints with Statements of Deficiencies (SOD) issued: 2
% of Complaints with SODs Issued 100%
Regional % of Complaints with SODs issued: 52.6%

Areas Cited:

SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted
2/9/2004 405.5.(b) Nursing Services - Delivery of Services 4/7/2004
  405.6(a) Quality Assurance  
  405.19(e) Emergency Services - Patient Care  
11/5/2004 405.5(b) Nursing Services - Delivery of Services No POC Required

Areas Cited as a Result of Surveys:

Date of Survey Type Areas Cited: Date Plan of Correction Accepted
None

Most Recent Survey Date: 7/21/2004 - Annual Compliance Review - Resident Work Hours

Areas Cited as a Result of Incident Investigations:

SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted
9/03/2004 405.8(a) Incident Reporting 9/28/2004