Community Memorial Hospital

PFI # 0401

Revised: 3/03

Complaints:

Complaint Information: 2002
Complaint Investigations Completed: 2
Complaints with Statements of Deficiencies (SOD) issued: 2
% of Complaints with SODs Issued 100%
Regional % of Complaints with SODs issued: 33.8%

Areas Cited:

SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted
05/22/2002 400.21(d) Advance Directives - Policies & Procedures 9/18/2002
  405.4(a) Medical Staff - Medical Staff Accountability  
  405.5(b) Nursing Services - Delivery of Services  
  405.5(e) Nursing Services - Quality Assurance  
  405.6(b) Quality Assurance  
  405.10(b) Medical Records - Content  
  405.43(a) Orders Not to Resuscitate - Policies & Procedures  
09/18/2002 405.2(f) Governing Body - Content 11/18/2002
  405.4(a) Medical Staff - Medical Staff Accountability  
  405.5 Nursing Services  
  405.5(b) Nursing Services - Delivery of Services  
  405.5(e) Nursing Services - Quality Assurance  
  405.6(a) Quality Assurance  
       

Areas Cited as a Result of Surveys:

Date of Survey Type Areas Cited: Date Plan of Correction Accepted
4/8/2002 Article 28 Focus None  
       

Areas Cited as a Result of Incident Investigations:

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