Hospital Information 2004

Clifton-Fine Hospital

PFI # 0817

Revised: 8/05

Complaints:

Complaint Information: 2004
Complaint Investigations Completed: 0
Complaints with Statements of Deficiencies (SOD) issued: 0
% of Complaints with SODs Issued 0%
Regional % of Complaints with SODs issued: 52.6%

Areas Cited:

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

Areas Cited as a Result of Surveys:

Date of Survey Type Areas Cited: Date Plan of Correction Accepted
8/10 - 17/2004 Article 28 Survey & Medicare Recertification 400.21(d) - Advance Directives - Policies & Procedures 11/1/2004
    407.4(a) - Governing Body  
    407.6(a) - Quality Assurance and Utilization Review  
    407.9(b) - Nursing Services - Staffing and Delivery of Care  
    407.11(c) - Clinical and Ancillary Support Services - Operation & Service Delivery  
    711.2(a) - Pertinent Technical Standards  
    485.618(d) - Personnel  
    485.635(a) - Patient Care Policies  
    485.635(d) - Nursing Services  
    485.641(b) - Quality Assurance  

Most Recent Survey Date: 8/10 - 17/2004 - Article 28 Survey & Medicare Recertification

Areas Cited as a Result of Incident Investigations:

SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted
9/3/2004 405.8(a) Incident Reporting 9/16/2004