Hospital Information 2004
Vassar Brothers Medical Center
PFI # 0181
Revised: August 8, 2005
Complaints:
| Complaint Information: | 2004 |
|---|---|
| Complaint Investigations Completed: | 6 |
| Complaints with Statements of Deficiencies (SOD) issued: | 4 |
| % of Complaints with SODs Issued | 66.6% |
| Regional % of Complaints with SODs issued: | 25% |
Areas Cited:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |
|---|---|---|---|
| 1/16/04 | 405.5(b)(2)(ii) | Nursing Services-Delivery of Services | N/A |
| 2/10/04 | 405.9(f)(1) | Admissions/Discharge-Discharge | 4/19/04 |
| 4/16/04 | 405.4(a)(1)(i) | Medical Staff-Medical Staff Accountability | 3/14/05 |
| 4/16/04 | 405.5(b)(2)(ii)(3)(4) | Nursing Services-Delivery of Services | 3/14/05 |
| 4/16/04 | 405.5(c) | Nursing Services-Administration of Drugs | 3/14/05 |
| 4/16/04 | 405.7(b)(12)(13) | Patients Rights-Hospital Responsability | 3/14/05 |
| 4/16/04 | 405.9(f)(1) | Admission/Discharge-Discharge | 3/14/05 |
| 4/16/04 | 405.19(e)(5) | Emergency Services-Patient Care | 3/14/05 |
| 4/16/04 | 405.23 | Food & Dietetic Services | 3/14/05 |
| 4/16/04 | 405.24(a)(1) | Environmental Health-Building and Grounds | 3/14/05 |
| 10/18/04 | 405.4 (a)(1)(i) | Medical Staff-Medical Staff Accountability | |
| 10/18/04 | 405.5 (b)(4) | Nursing Services-Delivery of Services |
Areas Cited as a Result of Surveys:
| Date of Survey | Type | Areas Cited: | Date Plan of Correction Accepted |
|---|---|---|---|
| *12/31/04 | Article 28 Focused Survey-Incident Reporting | 405.8(d) Incident Reporting | 2/15/05 |
Most Recent Survey Date: 12/31/04
Areas Cited as a Result of Incident Investigations:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |
|---|---|---|---|
| *12/31/04 See Article 28 Focused Survey-Incident Reporting |


