Hospital Information 2004

Northern Westchester Hospital

PFI # 1117

Revised: June 29, 2005

Complaints:

Complaint Information: 2004
Complaint Investigations Completed: 5
Complaints with Statements of Deficiencies (SOD) issued: 2
% of Complaints with SODs Issued 40%
Regional % of Complaints with SODs issued: 25%

Areas Cited:

SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted
9/8/04 405.4(a)(1)(i) Medical Staff-Medical staff Accountability 5/3/05
9/8/04 405.6(b)(5) Quality Assurance Program-Activities 5/3/05
9/8/04 405.8(a) Incident Reporting 5/3/05
9/8/04 405.20(d)(2) Outpatient Services 5/3/05
       
12/23/04 405.2(f)(4)(i) Governing Body-Care of Patients 4/12/05
12/23/04 405.4(a)(1)(i) Medical Staff-Medical Staff Accountability 4/12/05
12/23/04 405.5(b)(1)(i) Nursing Services-Delivery of Services 4/12/05
12/23/04 405.5(c) Nursing Services-Administration of Drugs 4/12/05
12/23/04 405.10(a)(3) Medical Records-General Requirements 4/12/05
12/23/04 405.10(b)(2)(vii) Medical Records-Content 4/12/05
12/23/04 405.19(e)(1) Emergency Services-Patient Care 4/12/05

Areas Cited as a Result of Surveys:

Date of Survey Type Areas Cited: Date Plan of Correction Accepted
None

Most Recent Survey Date: 12/23/04

Areas Cited as a Result of Incident Investigations:

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