Hospital Information 2004
Hospital Name: MERCY HOSPITAL
PFI # 0213
Complaints:
| Complaint Information: | 2004 |
|---|---|
| Complaint Investigations Completed | 18 |
| Complaints with Statements of Deficiencies (SOD) Issued | 5 |
| % of Complaints with SODs Issued | 27 % |
| Regional % of Complaints with SODs Issued | 35.5% |
Areas Cited:
| SOD Date | Regulatory Citation | Areas Cited | Date Plan of Correction Accepted |
|---|---|---|---|
| 8/12/2004 | 405.4 | Medical Staff
Medical Staff Accountability |
9/16/04 |
| 7/14/2004 | 405.9 | Admission/Discharge
Discharge |
7/14/04 |
| 7/14/2004 | 405.7 | Patients' Rights | 7/14/04 |
| 7/14/2004 | 405.5 | Nursing Services
Delivery of Services |
7/14/04 |
| 7/14/2004 | 405.4 | Medical Staff
Medical Staff Accountability |
7/14/04 |
| 3/12/2004 | 405.24 | Environmental Health
Engineering and Maintenance |
4/2/2004 |
| 2/26/2004 | 405.5 | Nursing Services
Delivery of Services |
4/9/04 |
| 2/26/2004 | 405.4 | Medical Staff
Medical Staff Accountability |
4/9/04 |
| 1/26/2004 | 405.7 | Patients' Rights
Hospital Responsibilities |
2/10/04 |
| 1/26/2004 | 405.5 | Nursing Services
Delivery of Services |
2/10/04 |
INCIDENTS
Areas Cited:
| SOD Date | Regulatory Citation | Areas Cited | Date Plan of Correction Accepted |
|---|---|---|---|
| 12/16/2004 | 405.8 | Incident Reporting | 12/16/04 |
| 11/18/2004 | 405.8 | Incident Reporting | 12/13/04 |
| 11/4/2004 | 405.8 | Incident Reporting | 11/24/04 |
| 11/4/2004 | 405.6 | Quality Assurance | 11/24/04 |
| 10/22/2004 | 405.8 | Incident Reporting | 11/16/04 |
| 10/8/2004 | 405.8 | Incident Reporting | 11/3/04 |
| 10/1/2004 | 405.8 | Incident Reporting | 11/3/04 |
| 7/21/2004 | 405.8 | Incident Reporting | 8/12/04 |
| 7/21/2004 | 405.6 | Quality Assurance Program
QA Committee |
8/12/04 |
| 7/21/2004 | 405.4 | Medical Staff
Medical Staff Accountability |
8/12/04 |
| 7/21/2004 | 405.2 | Governing Body
Care of Patients |
8/12/04 |
| 7/21/2004 | 405.13 | Anesthesia Services
Operation and Service Delivery |
8/12/04 |
| 7/8/2004 | 405.8 | Incident Reporting | 1/19/05 |
| 7/8/2004 | 405.19 | Emergency Services
Patient Care |
1/19/05 |
| 6/4/2004 | 405.2 | Governing Body
Care of Patients |
7/9/04 |
| 6/4/2004 | 405.8 | Incident Reporting | 7/09/04 |
| 6/4/2004 | 405.13 | Anesthesia Services | 7/9/04 |
| 2/2/2004 | 405.7 | Patients' Rights
Hospital Responsibilities |
2/17/04 |
| 2/2/2004 | 405.12 | Surgical Services
Operation and Service |
2/17/04 |
Most Recent Survey Date: 10/13/04 (EMTALA)
