KINGSTON HOSPITAL
PFI # 0990
Revised: April 2002
Complaints:
| Complaint Information: | 2001 |
| Complaint Investigations Completed: | 8 |
| Complaints with Statements of Deficiencies (SOD) issued: | 4 |
| % of Complaints with SODs Issued | 50% |
| Regional % of Complaints with SODs issued: | 27.3% |
Areas Cited:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |
| 6/29/01 | 405.7(b)(15)(16) | Patients' Rights | 11/19/01 |
| 405.10(a)(3) | Medical Records | ||
| 405.12(b)(2)(4) | Surgical Services | ||
| 6/29/01 | 405.7(b)(15) | Patients' Rights | 12/31/01 |
| 10/2/01 | 405.2(b)(1) | Governing Body | 12/4/01 |
| 405.4(a)(1)(i) | Medical Staff | ||
| 405.16(c)(2)(ii) | Laboratory Services | ||
| 10/19/01 | 405.15(4)(iii) | Radiology and Nuclear Medicine Services | Plan of Correction not required |
Areas Cited as a Result of Surveys:
| Date of Survey | Type | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |
| 4/11/01 | Title 18 ESRD Re-certification Survey | 405.2136 COP | Governing Body & Management | 5/24/01 (re-survey) |
| 405.2136 | Health & Safety | |||
| 405.2136(d)(2) | Personnel P/P: Safe and Sanitary Environment | |||
| 405.2136(d)(6) | Personnel P/P: Staff Education | |||
| 405.2136(g)(I) | Medical Supervision: Plans of Care | |||
| 405.2137 COP | Long Term Program & Care Plan | |||
| 405.2137(b) | PCP: Written Assessment Based | |||
| 405.2137(b)(1) PCP: Individualized | ||||
| 405.2140(d)(5) ER: Patients Informed |
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 |