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Hospital Information 2004

Hospital Name: WOMAN'S CHRISTIAN ASSOCIATION

PFI # 0103

Complaints:

Complaint Information:	2004
Complaint Investigations Completed	2
Complaints with Statements of Deficiencies (SOD) Issued	1
% of Complaints with SODs Issued	5 0%
Regional % of Complaints with SODs Issued	35.5%

SOD Date	Regulatory Citation	Areas Cited	Date Plan of Correction Accepted
6/3/2004	405.6	Quality Assurance Program QA Committee	7/23/04
6/3/2004	405.4	Medical Staff Medical Staff Accountability	7/23/04

SOD Date

Regulatory Citation

Areas Cited

Date Plan of Correction Accepted

6/3/2004

405.6

Quality Assurance Program

QA Committee

7/23/04

6/3/2004

405.4

Medical Staff

Medical Staff Accountability

7/23/04

Most Recent Survey Date: 8/20/04 (Focus-Stip)

Areas Cited as a Result of Incident Investigations: 0