Hospital Information 2004

Lawrence Hospital Center

PFI # 1122

Revised: June 27, 2005

Complaints:

Complaint Information: 2004
Complaint Investigations Completed: 6
Complaints with Statements of Deficiencies (SOD) issued: 2
% of Complaints with SODs Issued 33%
Regional % of Complaints with SODs issued: 25%

Areas Cited:

SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted
5/5/04 405.4(a)(1)(i) Medical Staff-Medical Staff Accountability 4/4/05
5/5/04 405.7(b)(3) Patients Rights-Hospital Responsibilities 4/4/05
5/5/04 405.11(b)(3) Infection Control 4/4/05
5/5/04 405.19(e)(1)(2) Emergency Services-Patient Care 4/4/05
       
9/28/04 405.2(b)(2) Governing Body-Organization and Operation 1/24/05
9/28/04 405.2(f)(1) Governing Body-Care of Patients 1/24/05
9/28/04 405.4(a)(1)(ii) Medical Staff-Medical Staff Accountability 1/24/05
9/28/04 405.6(a)(2) Quality Assurance Program 1/24/05
9/28/04 405.7(b)(16) Patients Rights 1/24/05
9/28/04 405.9(f)(1) Admission Discharge-Discharge 1/24/05
9/28/04 405.10(b)(2)(vi) Medical Records-Content 1/24/05
9/28/04 405.20(d)(6) Outpatient Services 1/24/05

Areas Cited as a Result of Surveys:

Date of Survey Type Areas Cited: Date Plan of Correction Accepted
*10/29/04 Article 28 Focused Survey 405.8(a)(d) Incident Reporting 11/18/04

Most Recent Survey Date: 10/29/04

Areas Cited as a Result of Incident Investigations:

SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted
*10/29/04 See Article 28 Focused Survey-Incident Reporting