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