Hospital Information 2004
Mercy Medical Center
PFI # 0513
Revised: 6/05
Complaints:
| Complaint Information: | 2004 |
|---|---|
| Complaint Investigations Completed: | 16 |
| Complaints with Statements of Deficiencies (SOD) issued: | 8 |
| % of Complaints with SODs Issued | 50% |
| Regional % of Complaints with SODs issued: | 41.4% |
Areas Cited:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |
|---|---|---|---|
| 12/19/03 | 405.2(c)(2) | Governing Body
Compliance with Federal, State and Local Laws |
2/10/04 |
| 405.2(d)(2) | Governing Body
Chief Executive Officer |
||
| 405.3(a) | Administration | ||
| 405.7(b)(3) | Patients' Rights
Hospital Responsibilities |
||
| 405.19(c) | Emergency Services
General Policies and Procedures |
||
| 405.19(e)(2) | Emergency Services
Patient Care |
||
| 3/12/04 | 405.5(b)(4) | Nursing Services
Delivery of Services |
4/20/04 |
| 5/20/04 | 405.5(b)(1)(ii) | Nursing Services
Delivery of Services |
NO POC REQUIRED |
| 405.5(b)(4) | Nursing Services
Delivery of Services |
||
| 7/13/04 | 405.19(c) | Emergency Services
General Policies and Procedures |
8/16/04 |
| 11/12/04 | 405.3(a) | Administration | 12/27/04 |
| 405.5(b)(1) | Nursing Services
Delivery of Services |
||
| 405.5(b)(1)(i) | Nursing Services
Delivery of Services |
||
| 405.5(b)(2)(i) | Nursing Services
Delivery of Services |
||
| 405.23(b)(4) | Food and Dietetic Services
Organization |
||
| 9/29/04 | 405.2(f)(1) | Governing Body
Care of Patients |
4/13/05 |
| 405.4(a)(1(ii) | Medical Staff
Medical Staff Accountability |
||
| 405.4(a)(2) | Medical Staff
Medical Staff Accountability |
||
| 405.5(b)(1)(iii) | Nursing Services
Delivery of Services |
||
| 405.5(b)(2) | Nursing Services
Delivery of Services |
||
| 405.7(b)(3) | Patients' Rights
Hospital Responsibilities |
||
| 405.7(b)(14) | Patients' Rights
Hospital Responsibilities |
||
| 2/3/05 | 405.5(b)(4) | Nursing Services
Delivery of Services |
4/20/05 |
| 5/23/05 | 405.13(b) | Anesthesia Services
Operation and Service Delivery |
NO POC REQUIRED |
Areas Cited as a Result of Surveys:
| Date of Survey | Type | Areas Cited: | Date Plan of Correction Accepted |
|---|---|---|---|
| none | |||
Most Recent Survey Date:
Areas Cited as a Result of Incident Investigations:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |
|---|---|---|---|
| 9/1/04 | 405.8(a) | Incident Reporting | 9/22/04 |
