Hospital Information 2004

Little Falls Hospital

PFI # 0362

Revised: 8/05

Complaints:

Complaint Information: 2004
Complaint Investigations Completed: 1
Complaints with Statements of Deficiencies (SOD) issued: 1
% of Complaints with SODs Issued 100%
Regional % of Complaints with SODs issued: 52.6%

Areas Cited:

SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted

11/22/2004

405.19(c) Emergency Services - General Policies and Procedures 12/14/2004
  405.19(e) Emergency Services - Patient Care  

Areas Cited as a Result of Surveys:

Date of Survey Type Areas Cited: Date Plan of Correction Accepted
3/11/2004 Article 28 Focus 405.2(b) - Governing Body - Organization & Operation 9/14/2004
    405.2(f) - Governing Body - Care of Patients  
    405.4(a) - Medical Staff - Medical Staff Accountability  
    405.5(b) - Nursing Services - Delivery of Services  
    405.6(a) - Quality Assurance  
    405.12(a) - Surgical Services - Organization & Direction  
    405.12(b) - Surgical Services - Operation & Service Delivery  
    405.15(a) - Radiologic & Nuclear Medicine Services - General Provisions  
    405.16(b) - Laboratory Services  
    405.19(e) - Emergency Services - Patient Care  
10/14/2004 EMTALA SOD Issued by the Centers for Medicare & Medicaid Services  

Most Recent Survey Date: 11/22/2004 - EMTALA 1st Followup

Areas Cited as a Result of Incident Investigations:

SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted
None