Hospital Name: BERTRAND CHAFFEE HOSPITAL

PFI # 0280

Complaints:

Complaint Information: 2000
Complaint Investigations Completed 0
Complaints with Statements of Deficiencies (SOD) Issued 0
% of Complaints with SODs Issued 0%
Regional % of Complaints with SODs Issued 40.6%

Areas Cited as a Result of Surveys:

DATE OF SURVEY Type of Survey Areas Cited: Date Plan of Correction Accepted
9/11/00 - Title 18 482.23 - Nursing Services Staffing and Delivery of Care 10/23/00
9/11/00 - Recertification/Title 18/Art 28 482.41(b) - Operator Life Safety from Fire 10/23/00
9/11/00 - Recertification/Title 18/Art 28 482.41© - Operator Facilities 10/23/00
9/11/00 - Recertification/Title 18/Art 28 482.51(a) - Medical Staff Organization & Staffing 10/23/00
9/11/00 - Recertification/Title 18/Art 28 482.23(b) - Staffing and Delivery of Care 10/23/00
9/11/00 - Recertification/Title 18/Art 28 482.22(b) - Medical Staff Accountability 10/23/00
9/11/00 - Title 18 482.54(a) - Outpatient Services Organization 10/23/00
9/11/00 - Title 18 482.41 - Physical Environment Facilities 10/23/00
9/11/00 - Recertification/Title 18/Art 28 482.28(b) - Nursing Services Diets 10/23/00
9/11/00 - Title 18 482.28(b) - Food & Dietitic Services Diets 10/23/00
9/11/00 - Article 28 405.20(a) - Outpt Services General Requirements Organization 10/23/00
9/11/00 - Title 18 482.22 - Med Staff Organization & Accountability 10/23/00
9/11/00 - Title 18 712.32 - Standards of Construction Electrical Requirements 10/23/00
9/11/00 - Title 18 482.41 - Physical Environment Life Safety From Fire 10/23/00
9/11/00 - Article 28 700.2 - All facilities General Requirements:Definitions Service Areas 10/23/00
9/11/00 - Article 28 405.4(a) - Medical Staff Medical Staff Accountability 10/23/00
9/11/00 - Article 28 405.5(a) - Nursing Services Organization & Staffing Staffing & Delivery of Care 10/23/00
9/11/00 - Article 28 405.12(a) - Surgical Services Organization & Staffing 10/23/00
9/11/00 - Title 18 711.4 - Structural Equipment & Safety Special Considerations 10/23/00