Hospital Information 2004

Hospital Name: KENMORE MERCY HOSPITAL

PFI # 0267

Complaints:

Complaint Information: 2004
Complaint Investigations Completed 13
Complaints with Statements of Deficiencies (SOD) Issued 4
% of Complaints with SODs Issued 3 0%
Regional % of Complaints with SODs Issued 35.5%

Areas Cited:

SOD Date Regulatory Citation Areas Cited Date Plan of Correction Accepted
9/13/2004 405.9 Admission/Discharge Discharge 9/29/04
9/13/2004 405.4 Medical Staff

Medical Staff Accountability

9/29/04
8/18/2004 405.6 Quality Assurance Program

QA Committee

10/20/04
8/18/2004 405.5 Nursing Services

Delivery of Services

10/20/04
8/18/2004 405.4 Medical Staff

Medical Staff Accountability

10/20/04
8/18/2004 405.2 Governing Body

Care of Patients

10/20/04
6/14/2004 405.9 Admission/Discharge Discharge 7/7/04
6/14/2004 405.7 Patients' Rights

Hospital Responsibilities

7/7/04
6/14/2004 405.5 Nursing Services

Delivery of Services

7/7/04
4/6/2004 405.5 Nursing Services

Delivery of Services

4/27/04

Most Recent Survey Date: 9/16/03 (EMTALA)

Areas Cited as a Result of Incident Investigations: 0