Hospital Information 2004
Columbia Memorial Hospital
PFI # 0146
Revised: 6/05
Complaints:
| Complaint Information: | 2004 |
|---|---|
| Complaint Investigations Completed: | 10 |
| Complaints with Statements of Deficiencies (SOD) issued: | 5 |
| % of Complaints with SODs Issued | 50% |
| Regional % of Complaints with SODs issued: | 28.8% |
Areas Cited:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |
|---|---|---|---|
| 03/22/04 | 405.2 | Governing Body | 04/27/04 |
| 405.6 | Quality Assurance Program | ||
| 405.7 | Patients' Rights | ||
| 405.10 | Medical Records | ||
| 405.19 | Emergency Services | ||
| 03/22/04 | 405.2 | Governing Body | 04/27/04 |
| 405.6 | Quality Assurance | ||
| 405.7 | Patients' Rights | ||
| 405.10 | Medical Records | ||
| 405.19 | Emergency Services | ||
| 11/29/04 | 405.6 | Quality Assurance Program | No POC Required |
| 12/14/04 | 405.6 | Quality Assurance Program | 02/16/05 |
| 405.9 | Admission/Discharge | ||
| 12/28/04 | 405.6 | Quality Assurance Program | 02/23/05 |
| 405.19 | Emergency Services |
Areas Cited as a Result of Surveys: None
| Date of Survey | Type | Areas Cited: | Date Plan of Correction Accepted |
|---|---|---|---|
| none | |||
Most Recent Survey Date: JCAHO 5/02
Areas Cited as a Result of Incident Investigations:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |
|---|---|---|---|
| 8/17/04 | 405.2 | Governing Body | Pending |
| 405.4 | Medical Staff | ||
| 8/17/04 | 405.6 | Quality Assurance | Pending |
| 405.7 | Patients' Rights |
