Hospital Information 2004

Hospital Name: Strong Health-Strong Memorial

PFI # 0413

Revised: 7/2005

Complaints:

Complaint Information: 2004
Complaint Investigations Completed 20
Complaints with Statements of Deficiencies (SOD) Issued 9
% of Complaints with SODs Issued 45%
Regional % of Complaints with SODs Issued 35.9%

Areas Cited:

SOD Date Regulatory Citation Areas Cited Date Plan of Correction Accepted
10/14/2004 405.19 EMERGENCY SERVICES- PATIENT CARE NO POC REQUIRED
       
7/8/2004 405.7 PATIENTS RIGHTS -HOSPITAL RESPONSIBILITIES 7/28/2004
       
7/8/2004 405.7 PATIENT'S RIGHTS- HOSPITAL RESPONSIBILITIES 9/9/2004
7/8/2004 405.5 NURSING SERVICES -DELIVERY OF SERVICES 9/9/2004
7/8/2004 405.43 ORDERS NOT TO RESUSCITATE 9/9/2004
       
5/19/2004 405.5 NURSING SERVICES -DELIVERY OF SERVICES 6/10/2004
5/19/2004 405.4 MEDICAL STAFF -MEDICAL STAFF ACCOUNTABILITY 6/10/2004
       
4/26/2004 405.7 PATIENTS' RIGHTS -HOSPITAL RESPONSIBILITIES 5/24/2004
4/26/2004 405.5 NURSING SERVICES -DELIVERY OF SERVICES 5/24/2004
       
4/22/2004 405.7 PATIENTS' RIGHTS -HOSPITAL RESPONSIBILITIES 7/21/2004
4/22/2004 405.6 QUALITY ASSURANCE PROGRAM 7/21/2004
4/22/2004 405.4 MEDICAL STAFF -MEDICAL STAFF ACCOUNTABILITY 7/21/2004
       
4/22/2004 405.22 CRITICAL CARE & SPECIAL CARE SERVICES ORGAN TRANSPLANT CENTER-GEN' L REQUIREMENTS 7/21/2004
4/22/2004 405.22 CRITICAL CARE & SPECIAL CARE SERVICES ORGAN TRANSPLANT CENTER-QA AND IMPROVEMENT 7/21/2004
4/22/2004 405.22 CRITICAL CARE & SPECIAL CARE SERVICES ORGAN TRANSPLANT CENTER-ORGAN ACCEPTANCE CRITERIA 7/21/2004
4/22/2004 405.2 GOVERNING BODY -CARE OF PATIENTS 7/21/2004
4/22/2004 405.2 GOVERNING BODY- ORGANIZATION & OPERATION 7/21/2004
4/22/2004 405.10 MEDICAL RECORDS- CONTENT 7/21/2004
4/22/2004 400.2 OTHER LAWS,CODES,RULES AND REGULATION 7/21/2004
       
4/8/2004 405.2 GOVERNING BODY- CARE OF PATIENTS NO POC REQUIRED
       
2/19/2004 405.5 NURSING SERVICES -DELIVERY OF SERVICES 3/16/2004
2/19/2004 405.5 NURSING SERVICES -DELIVERY OF SERVICES 3/16/2004
2/19/2004 405.2 GOVERNING BODY- CARE OF PTS 3/16/2004
2/19/2004 405.19 EMERGENCY SERVICES- PATIENT CARE 3/16/2004

Areas Cited as a Result of Surveys:

Date of Survey Type Areas Cited: Date Plan of Correction Accepted
none

Most Recent Survey Date: 6/14/05

Areas Cited as a Result of Incident Investigations:

SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted
10/28/2004 405.8 INCIDENT REPORTING 24 HOUR REPORTING 11/23/2004
9/13/2004 405.8 INCIDENT REPORTING 24 HOUR REPORTING 9/30/2004