Hospital Information 2004
John T. Mather Memorial Hospital
PFI # 0895
Revised: 6/05
Complaints:
| Complaint Information: | 2004 |
|---|---|
| Complaint Investigations Completed: | 12 |
| Complaints with Statements of Deficiencies (SOD) issued: | 6 |
| % 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 |
|---|---|---|---|
| 1/29/04 | 405.7(b)(3) | Patients' Rights
Hospital Responsibilities |
5/5/04 |
| 405.9(f)(1) | Admission/Discharge
Discharge |
||
| 6/30/04 | 405.5(b)(1) | Nursing Services
Delivery of Services |
2/9/05 |
| 405.5(b)(1)(i) | Nursing Services
Delivery of Services |
||
| 405.8(b)(1) | Incident Reporting | ||
| 5/26/04 | 405.7(b)(3) | Patients' Rights
Hospital Responsibilities |
NO POC REQUIRED |
| 405.7(b)(4) | Patients' Rights
Hospital Responsibilities |
||
| 405.19(c)(5) | Emergency Services
General Policies and Procedures |
||
| 405.19(e)(1) | Emergency Services
Patient Care |
||
| 11/24/04 | 405.4(c)(6) | Medical Staff
Medical Staff Bylaws |
1/19/05 |
| 405.6(a)(2)(i) | Quality Assurance Program | ||
| 408.8(b)(1) | Incident Reporting | ||
| 1/24/05 | 405.9(g)(8) | Admission/Discharge | 5/24/04 |
| 11/24/04 | 405.7(b)(4) | Patients' Rights
Hospital Responsibilities |
NO POC REQUIRED |
| 405.19(e)(1) | Emergency Services
Patient Care |
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 |
|---|---|---|---|
| 8/24/04 | 405.8(d)(4) | Incident Reporting | 9/21/04 |
| 9/13/04 | 405.8(a) | Incident Reporting | 10/13/04 |
| 9/13/04 | 405.8(a) | Incident Reporting | 10/13/04 |
