South Nassau Communities Hospital
PFI # 0527
Revised: 3/02
Complaints:
| Complaint Information: | 2001 |
| Complaint Investigations Completed: | 15 |
| Complaints with Statements of Deficiencies (SOD) issued: | 10 |
| % of Complaints with SODs Issued | 66% |
| Regional % of Complaints with SODs issued: | 54.3% |
Areas Cited:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |
| 9/17/01 | 405.4 | Medical staff (a) Medical staff accountability | 12/19/01 |
| 405.5 | Nursing services (b) Delivery of services (c) Administration of drugs (e) Quality assurance | ||
| 405.6 | Quality assurance program (b) Activities of the quality assurance committee | ||
| 405.7 | Patients’ rights (b) Hospital responsibilities | ||
| 405.8 | Incident reporting (b) Incident to be reported | ||
| 8/06/01 | 405.7 | Patients’ rights (b) Hospital responsibilities | 9/19/01 |
| 405.19 | Emergency services (e) Patient care (f) Quality assurance | ||
| 8/07/01 | 405.4 | Medical staff (a) Medical staff accountability | 10/13/01 |
| 405.5 | Nursing services (b) Delivery of services | ||
| 405.6 | Quality assurance program (b) Activities of the quality assurance committee | ||
| 405.7 | Patients’ rights (b) Hospital responsibilities | ||
| 406.3 | Admission, patient assessment, planning and services | ||
| 5/23/01 | 405.4 | Medical staff (a) Medical staff accountability | 6/15/01 |
| 405.7 | Patients’ rights (b) Hospital responsibilities | ||
| 12/05/00 | 405.4 | Medical staff (a) Medical staff accountability | 2/20/01 |
| 9/12/01 | 405.6 | Quality assurance program (b) Activities of the quality assurance program | 10/16/01 |
| 405.7 | Patients’ rights (b) Hospital responsibilities | ||
| 405.19 | Emergency services (e) Patient care (f) Quality assurance | ||
| 5/23/01 | 405.7 | Patients’ rights (b) Hospital responsibilities | NO POC NEEDED |
| 1/16/01 | 405.7 | Patients’ rights (b) Hospital responsibilities | 6/14/01 |
| 405.8 | Incident reporting (a) Incident to be reported | ||
| 405.10 | Medical records (a) General requirements | ||
| 9/12/01 | 405.5 | Nursing services (b) Delivery of services | 10/23/01 |
| 405.7 | Patients’ rights (b) Hospital responsibilities | ||
| 405.24 | Environmental Health (f) Linen and Laundry | ||
| 10/31/01 | 405.2 | Governing body (c) Compliance with Federal, State, and local laws (d) Chief executive officer | NO POC NEEDED |
| 405.3 | Administration (a) Chief executive officer | ||
| 405.5 | Nursing services (b) Delivery of services | ||
| 405.7 | Patients’ rights (b) Hospital responsibilities |
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 |
| 1/26/01 | 405.4 | Medical staff (a) Medical staff accountability (c) Medical staff bylaws | 3/16/01 |
| 405.6 | Quality assurance program (a) Governing body | ||
| 405.9 | Admission/discharge (f) Discharge | ||
| 405.10 | Medical records (b) Content |