Mercy Medical Center

PFI # 0513

Revised: 3/02

Complaints:

Complaint Information: 2001
Complaint Investigations Completed: 10
Complaints with Statements of Deficiencies (SOD) issued: 6
% of Complaints with SODs Issued 60%
Regional % of Complaints with SODs issued: 54.3%

Areas Cited:

SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted
4/20/01 405.4 Medical staff (c) Medical staff bylaws 6/14/01
  405.6 Quality assurance program (b) Activities of the quality assurance program  
  405.7 Patients’ rights (b) Hospital responsibilities  
  405.8 Incident reporting (a) Incident required to be reported  
  405.10 Medical records (a) General requirements (b) Content  
3/01/00 405.6 Quality assurance program (b) Activities of the quality assurance program 5/24/01
  405.7 Patients’ rights (b) Hospital responsibilities  
  405.19 Emergency services (e) Patient care (f) Quality assurance  
3/09/01 405.5 Nursing services (b) Delivery of services 6/14/01
  405.7 Patients’ rights (b) Hospital responsibilities  
  405.10 Medical records (a) General requirements  
3/01/01 405.10 Medical records (a) General requirements 4/30/01
4/2/01 405.3 Administration (e) Other reporting requirements 8/21/01
  405.7 Patients’ right (b) Hospital responsibilities  
  405.19 Emergency services (c) General policies and procedures (e) Patient care  
7/11/01 405.19 Emergency services (e) Patient care (f) Quality assurance 9/10/01

Areas Cited as a Result of Surveys:

Date of Survey Type Areas Cited: Date Plan of Correction Accepted
       

Most Recent Survey Date:

Areas Cited as a Result of Incident Investigations:

SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted