CATSKILL REGIONAL MEDICAL CENTER

PFI # 0971

Revised: April 2002

Complaints:

Complaint Information: 2001
Complaint Investigations Completed: 6
Complaints with Statements of Deficiencies (SOD) issued: 1
% of Complaints with SODs Issued 17%
Regional % of Complaints with SODs issued: 27.3%

Areas Cited:

SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted
10/3/01 405.2(f)(I) Governing Body 1/25/02
  405.4(a)(1)(I) (ii) Medical Staff  
  405.5(b) Nursing Services  
  405.16(C)(2)(ii)(iii) Laboratory Services  

Areas Cited as a Result of Surveys:

Date of Survey Type Regulatory Citation Areas Cited: Date Plan of Correction Accepted
3/28/01 Federal EMTALA Follow-up Survey 489.20(i) Hospital Agrees to Comply with 489.24B 4/18/01 (re-survey)
    489.24(c) Hospitals Duties Emergency Medical Condition  
    489.24(d) Restricting Transfer Until Patient Stabilized  

Most Recent Survey Date: see above

Areas Cited as a Result of Incident Investigations:

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