Cortland Memorial Hospital
PFI # 0158
Revised: 4/03
Complaints:
| Complaint Information: | 2002 |
| Complaint Investigations Completed: | 3 |
| Complaints with Statements of Deficiencies (SOD) issued: | 2 |
| % of Complaints with SODs Issued | 67% |
| Regional % of Complaints with SODs issued: | 33.8% |
Areas Cited:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |
| 05/28/2002 | 405.7(b) | Patients' Rights - Hospital Responsibilities | 9/23/02 |
| 405.11(e) | Infection Control - Infection Control Education | ||
| 405.17(a) | Pharmaceutical Services - Organization & Direction | ||
| 06/28/2002 | 400.21(a) | HIV Infection Control | 8/29/2002 |
| 405.6 | Quality Assurance | ||
Areas Cited as a Result of Surveys:
| Date of Survey | Type | Areas Cited: | Date Plan of Correction Accepted |
| 7/30/2002 | Allegation Follow up | SOD Issued by Centers for Medicare & Medicaid Services | Plan of Correction Accepted by Centers for Medicare & Medicaid Services |
Areas Cited as a Result of Incident Investigations:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |
| 04/17/2002 | 405.2(f) | Governing Body - Care of Patients | 7/23/2002 |
| 405.4(a) | Medical Staff - Medical Staff Accountability | ||
| 405.6(a) | Quality Assurance | ||
| 405.6(b) | Quality Assurance | ||
| 405.8(c) | Incident Reporting | ||
| 405.10(b) | Medical Records - Content | ||