Hospital Information 2004
St. Catherine of Sienna Medical Center
PFI # 0943
Revised: 6/05
Complaints:
| Complaint Information: | 2004 |
|---|---|
| Complaint Investigations Completed: | 14 |
| Complaints with Statements of Deficiencies (SOD) issued: | 5 |
| % of Complaints with SODs Issued | 36% |
| Regional % of Complaints with SODs issued: | 41.4% |
Areas Cited:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |
|---|---|---|---|
| 4/29/04 | 405.4(a)(1)(i) | Medical Staff
Medical Staff Accountability |
6/16/04 |
| 405.4(c)(6) | Medical Staff
Medical Staff Bylaws |
||
| 405.5(b)(1)(i) | Nursing Services
Delivery of Services |
||
| 405.5(b)(2)(i) | Nursing Services
Delivery of Services |
||
| 405.5(c) | Nursing Services
Administration of Drugs |
||
| 405.5(e) | Nursing Services
Quality Assurance |
||
| 405.9(f)(1) | Admission/Discharge | ||
| 4/23/04 | 405.5(b)(4) | Nursing Services
Delivery of Services |
6/16/04 |
| 405.7(b)(3) | Patients' Rights
Hospital Responsibilities |
||
| 405.7(b)(23) | Patients' Rights
Hospital Responsibilities |
||
| 405.10(b)(2)(iv) | Medical Records
Content |
||
| 4/26/04 | 405.7(b)(4) | Patients' Rights
Hospital Responsibilities |
6/16/04 |
| 405.19(e)(2) | Emergency Services
Patient Care |
||
| 1/9/04 | 405.4(a)(1) | Medical Staff
Medical Staff Accountability |
3/14/04 |
| 405.9(f)(1) | Admission/Discharge | ||
| 8/11/04 | 405.4(a)(1)(i) | Medical Staff
Medical Staff Accountability |
10/22/04 |
| 405.6(a)(2)(i) | Quality Assurance Program | ||
| 405.6(a)(2)(ii) | Quality Assurance Program | ||
| 405.6(a)(2)(iii) | Quality Assurance Program | ||
| 405.7(b)(14) | Patients' Rights
Hospital Responsibilities |
||
| 405.8(a) | Incident Reporting |
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 |
|---|---|---|---|
| 10/1/04 | 405.8(a) | Incident Reporting | 10/26/04 |
| 10/8/04 | 405.8(a) | Incident Reporting | 10/26/04 |
