St. Clare's Hospital

PFI # 0830

Revised:

Complaints:

Complaint Information: 2002
Complaint Investigations Completed: 3
Complaints with Statements of Deficiencies (SOD) issued: 3
% of Complaints with SODs Issued 100%
Regional % of Complaints with SODs issued: 35.2%

Areas Cited:

SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted
7/24/02 405.19 Emergency Services 8/19/02
7/24/02 405.6 Quality Assurance 8/19/02
8/21/02 405.6 Quality Assurance 9/23/02
8/21/02 405.19 Emergency Services 9/23/02
9/25/02 405.2 Governing Body 10/30/02
9/25/02 405.4 Medical Staff 10/30/02
9/25/02 405.19 Emergency Services 10/30/02

Areas Cited as a Result of Surveys:

Date of Survey Type Areas Cited: Date Plan of Correction Accepted
       
       
       
       
       

Most Recent Survey Date: 9/01 Validation

Areas Cited as a Result of Incident Investigations:

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