Hospital Information 2004

Good Samaritan Hospital

PFI # 0925

Revised: 6/05

Complaints:

Complaint Information: 2004
Complaint Investigations Completed: 22
Complaints with Statements of Deficiencies (SOD) issued: 9
% of Complaints with SODs Issued 41%
Regional % of Complaints with SODs issued: 41.4%

Areas Cited:

SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted
3/24/04 405.2(h)(1) Governing Body

Hospital Service Contracts

5/6/04
  405.5(b)(1) Nursing Services

Delivery Of Services

 
  405.5(b)(2) Nursing Services

Delivery Of Services

 
  405.5(b)(4) Nursing Services

Delivery Of Services

 
  405.5(e)(1) Nursing Services

Quality Assurance

 
  405.7(b)(3) Patients' Rights

Hospital Responsibilities

 
  405.24(c)(2)(i) Environmental Health

Engineering and Maintenance

 
1/20/04 405.7(b)(24) Patients' Rights

Hospital Responsibilities

2/10/04
2/17/04 405.19(e)(2) Emergency Services

Patient Care

3/25/04
9/28/04 405.4(a)(1)(i) Medical Staff

Medical Staff Accountability

12/3/04
2/21/05 405.2(f)(1) Governing Body

Care Of Patients

5/24/05
  405.4(a)(1)(ii) Medical Staff

Medical Staff Accountability

 
  405.4(a)(2) Medical Staff

Medical Staff Accountability

 
  405.5(b)(1)(i) Nursing Services

Delivery Of Services

 
  405.5(b)(2)(ii) Nursing Services

Delivery of Services

 
  405.5(b)(4) Nursing Services

Delivery of Services

 
  405.5(c ) Nursing Services

Delivery Of Services

 
  405.6(a)(2)(i) Quality Assurance Program

Quality Assurance Committee

 
  405.7(b)(3) Patients' Rights

Hospital Responsibilities

 
  405.7(b)(14) Patients' Rights

Hospital Responsibilities

 
11/16/04 405.7(b)(8) Patients' Rights

Hospital Responsibilities

12/9/04
  405.10(a)(3) Medical Records

General Requirements

 
12/27/04 405.19(e)(1) Emergency Services

Patient Care

4/21/05
4/15/05 405.5(b)(1) Nursing Services

Delivery Of Services

5/20/05
  405.5(b)(4) Nursing Services

Delivery Of Services

 
10/15/04 405.10(a)(3) Medical Records

General Requirements

11/2/04
  405.10(b)(2)(vii) Medical Records

Content

 
  405.12(b)(4) Surgical Services

Operation and Service Delivery

 

Areas Cited as a Result of Surveys: Working Hours

Date of Survey Type Areas Cited: Date Plan of Correction Accepted
2/13/04 405.4(b)(6)(ii)(b) Medical Staff

Organization

4/15/04

Most Recent Survey Date:

Areas Cited as a Result of Incident Investigations:

SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted
9/13/04 405.8(a) Incident Reporting 11/2/04