Hospital Information 2004
Brookhaven Memorial Hospital
PFI # 0885
Revised: 6/05
Complaints:
| Complaint Information: | 2004 |
|---|---|
| Complaint Investigations Completed: | 14 |
| Complaints with Statements of Deficiencies (SOD) issued: | 8 |
| % of Complaints with SODs Issued | 57% |
| Regional % of Complaints with SODs issued: | 41.4% |
Areas Cited:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |
|---|---|---|---|
| 4/30/04 | 405.7(b)(15) | Patients' Rights
Hospital Responsibilities |
5/26/04 |
| 8/27/04 | 405.4(a)(1)(i) | Medical Staff
Medical Staff Accountability |
9/22/04 |
| 405.5(b)(4) | Nursing Services
Delivery of Services |
||
| 405.6(b)(4) | Quality Assurance Program
Activities |
||
| 405.7(b)(3) | Patients' Rights
Hospital Responsibilities |
||
| 8/9/04 | 405.4(c) | Medical Staff
Medical Staff Bylaws |
10/6/04 |
| 405.5(b)(1) | Nursing Services
Delivery of Services |
||
| 405.5(b)(1)(ii) | Nursing Services
Delivery of Services |
||
| 405.6(b)(1) | Quality Assurance Program
Activities |
||
| 405.7(b)(3) | Patients' Rights
Hospital Responsibilities |
||
| 4/19/04 | 405.19(e)(2) | Emergency Services
Patient Care |
6/17/04 |
| 12/29/04 | 405.5(b)(4) | Nursing Services
Delivery of Services |
2/23/05 |
| 11/19/04 | 405.5(b)(4) | Nursing Services
Delivery of Services |
1/19/05 |
| 405.19(c)(6)(v) | Emergency Services
General Policies and Procedures |
||
| 405.19(e)(2) | Emergency Services
Patient Care |
||
| 11/29/04 | 405.19(e)(1) | Emergency Services
Patient Care |
2/28/05 |
| 4/21/05 | 405.5(b)(1)(i) | Nursing Services
Delivery of Services |
5/20/05 |
| 405.5(c) | Nursing Services | ||
| 405.7(b)(14) | Patients' Rights
Hospital Responsibilities |
||
| 405.19(f)(3) | Emergency Services
Quality Assurance |
||
| 405.23(a)(2) | Food and Dietetic Services
General |
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 |
|---|---|---|---|
| 12/17/03 | 405.2(b)(6) | Governing Body
Organization and Operation |
5/19/04 |
| 405.2(f)(1) | Governing Body
Care of Patients |
||
| 405.4(a(1)(ii)) | Medical Staff
Medical Staff Accountability |
||
| 405.6 | Quality Assurance Program | ||
| 405.7(b)(3) | Patients' Rights
Hospital Responsibilities |
||
| 405.7(b)(8) | Patients' Rights
Hospital Responsibilities |
||
| 405.7(b)(9) | Patients' Rights
Hospital Responsibilities |
||
| 405.8(d) | Incident Reporting | ||
| 405.15(a)(3) | Radiologic and Nuclear Medicine Services | ||
| 9/1/04 | 405.8(a) | Incident Reporting | 9/22/04 |
