Hospital Information 2004

Westchester Medical Center

PFI # 1139

Revised: July 25, 2005

Complaints:

Complaint Information: 2004
Complaint Investigations Completed: 27
Complaints with Statements of Deficiencies (SOD) issued: 4
% of Complaints with SODs Issued 14.8%
Regional % of Complaints with SODs issued: 25%

Areas Cited:

SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted
1/27/04 405.5(b)(4) Nursing Services-Delivery of Services 6/27/05
       
3/25/04 405.11 Infection Control 4/11/05
3/25/04 405.12 Surgical Services 4/11/05
       
6/1/04 405.2(f)(1) Governing Body-Care of Patients 4/26/05
6/1/04 405.4(a)(1)(i)(ii) Medical Staff-Medical Staff Accountability 4/26/05
6/1/04 405.5(b)(2)(i)(4) Nursing Services-Delivery of Services 4/26/05
6/1/04 405.6(a)(2)(i)(iii)(iv)(vi)(vii) Quality Assurance Program 4/26/05
6/1/04 405.11(b)(2) Infection Control 4/26/05
       
6/22/04 400.3(a)(2) Inspection, Reproduction and Reports 11/9/04
6/22/04 405.10(a)(3) Medical Records-General Requirements 11/9/04
6/22/04 405.23(a)(2) Food and Dietetic Services-General 11/9/04

Areas Cited as a Result of Surveys:

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

Most Recent Survey Date:6/22/04

Areas Cited as a Result of Incident Investigations:

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