Hospital Information 2004

Mary Immaculate Hospital

PFI # 3013

Revised: 7/05

Complaints

Complaint Information 2004
Complaint Investigations Completed 9
Complaints with Statements of Deficiencies (SOD) issued 6
% of Complaints with SODs Issued 67%
Regional % of Complaints with SODs issued 19%

Areas Cited

SOD Date Regulatory Citation Areas Cited Date Plan of Correction Accepted
7/7/04 405.5(c) Nursing Service 9/17/04
405.7(b)(3) Patients' Rights
7/26/04 405.5(b)(4) Nursing Services 10/6/04
7/26/04 405.9(f)(3)(vi) Admission/Discharge 9/2/04
8/18/04 405.5(b)(1) Nursing Services 10/6/04
11/1/04 405.9(f)(3)(viii) Admission/Discharge 1/31/05
11/1/04 405.9(f)(1) Admission/Discharge 1/20/05

Areas Cited as a Result of A-28 Surveys

Date of Survey Type Regulatory Citations Areas Cited Date Plan of Correction Accepted
None

Most Recent Survey Date: Not specified

Areas Cited as a Result of Incident Investigations

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