Hospital Information 2004

Samaritan Medical Center

PFI # 0367

Revised: 8/05

Complaints:

Complaint Information: 2004
Complaint Investigations Completed: 3
Complaints with Statements of Deficiencies (SOD) issued: 2
% of Complaints with SODs Issued 67%
Regional % of Complaints with SODs issued: 52.6%

Areas Cited:

SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted
3/15/2004   Citations for Two Complaints Included in the Article 28 Survey Conducted 11/21 –12/1/2003 6/14/2004

Areas Cited as a Result of Surveys:

Date of Survey Type Areas Cited: Date Plan of Correction Accepted
11/21 - 12/1/2003 Article 28 Survey 405.2(a) - Governing Body 6/14/2004
    405.5(a) - Nursing Services - Organization & Staffing  
    405.5(b) - Nursing Services - Delivery of Services  
    405.5(c) - Nursing Services - Administration of Drugs  
    405.5(e) - Nursing Services - Quality Assurance  
    405.6(a) - Quality Assurance  
    405.6(b) - Quality Assurance  
    405.7(b) - Patients' Rights - Hospital Responsibilities  
    405.8(a) - Incident Reporting  
    405.11(b) - Infection Control - Nosocomial Surveillance, Prevention and Control  
    405.17(a) - Pharmaceutical Services - Organization & Direction  
    405.17(b) - Pharmaceutical Services - Operation & Service  
9/28 - 9/30/2004 Article 28 Follow-Up 400.21(a) - Advance Directives 12/16/2004
    405.2(h) - Governing Body - Hospital Service Contracts  
    405.10(a) - Medical Records - General Requirements  
    405.24(g) - Environmental Health – Emergency Preparedness  
    711.2(a) - Pertinent Technical Standards  
    711.2(b) - Pertinent Technical Standards  

Most Recent Survey Date: 9/28 - 9/30/2004 – Article 28 Follow-Up

Areas Cited as a Result of Incident Investigations:

SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted
8/10/2004 405.8(a) Incident Reporting 8/31/2004