Hospital Information 2004

Hospital Name: LOCKPORT MEMORIAL HOSPITAL

PFI # 0565

Complaints:

Complaint Information: 2004
Complaint Investigations Completed 3
Complaints with Statements of Deficiencies (SOD) Issued 1
% of Complaints with SODs Issued 33 %
Regional % of Complaints with SODs Issued 35.5%

Areas Cited:

SOD Date Regulatory Citation Areas Cited Date Plan of Correction Accepted
2/25/2004 405.6 Quality Assurance Program

QA Committee

 4/2/04
2/25/2004 405.4 Medical Staff

Medical Staff Accountability

 4/2/04
2/25/2004 405.10 Medical Records

Content

 4/2/04

Areas Cited as a Result of Surveys:

Date of Survey Type Areas Cited: Date Plan of Correction Accepted
6/18/2004 Title 18/Article 28 482.13 - Notice of Rights 8/11/04
6/18/2004 Title 18/Article 28 405.5 - Nursing Services Delivery of Services 8/11/04
6/18/2004 Title 18/Article 28 405.5 - Nursing Services Administration of Drugs 8/11/04
6/18/2004 Title 18/Article 28 405.6 - Quality Assurance Program 8/11/04
6/18/2004 Title 18/Article 28 405.7 - Patients' Rights Procedural Requirements 8/11/04
6/18/2004 Title 18/Article 28 405.10 - Medical Records General Requirements 8/11/04
6/18/2004 Title 18/Article 28 405.10 - Medical Records Content 8/11/04
6/18/2004 Title 18/Article 28 405.13 - Anesthesia Services

Operation and Service Delivery

 8/11/04
6/18/2004 Title 18/Article 28 405.14 - Respiratory Care Services 8/11/04
6/18/2004 Title 18/Article 28 405.19 - Emergency Services Patient care 8/11/04
6/18/2004 Title 18/Article 28 405.4 - Medical Staff 8/11/04
6/18/2004 Title 18/Article 28 702.3 - Fire and Safety 8/11/04
6/18/2004 Title 18/Article 28 482.57 - Delivery of Services 8/11/04
6/18/2004 Title 18/Article 28 482.21 - Program Activities 8/11/04
6/18/2004 Title 18/Article 28 482.23 - Staffing and Delivery of Care 8/11/04
6/18/2004 Title 18/Article 28 482.23 - Staffing and Delivery of Care 8/11/04
6/18/2004 Title 18/Article 28 482.23 - Preparation and Administration of Drugs 8/11/04
6/18/2004 Title 18/Article 28 482.23 - Preparation and Administration of Drugs 8/11/04
6/18/2004 Title 18/Article 28 482.24 - Content of Record 8/11/04
6/18/2004 Title 18/Article 28 482.41 - Facilities 8/11/04
6/18/2004 Title 18/Article 28 482.43 - Discharge Planning Evaluation 8/11/04
6/18/2004 Title 18/Article 28 482.51 - Delivery of Service 8/11/04
6/18/2004 Title 18/Article 28 418.52 - Delivery of Services 8/11/04
6/18/2004 Title 18/Article 28 482.52 - Delivery of Services 8/11/04
6/18/2004 Title 18/Article 28 482.55 - Organization and Direction 8/11/04
6/18/2004 Title 18/Article 28 405.24 - Environmental Health 8/11/04

Most Recent Survey : 6/18/04

Areas Cited as a Result of Incident Investigations: 0