Hospital Complaint and Survey Information - 2003
Cortland Memorial Hospital, Inc.
PFI # 0158
Revised: 2/04
Complaint Information:
| Calendar Year: | 2003 |
|---|---|
| Complaint Investigations Completed: | 1 |
| Complaints with Statements of Deficiencies (SOD) issued: | 1 |
| % of Complaints with SODs Issued | 100% |
| Regional % of Complaints with SODs issued: | 38.9% |
Areas Cited
| SOD Date | Regulatory Citation | Areas Cited | Date Plan of Correction Accepted |
|---|---|---|---|
| 2/24/2003 | 405.2(f) | Governing Body - Care of Patients | 4/30/2003 |
| 405.19(d) | Emergency Services - Staffing | ||
| 405.19(e) | Emergency Services - Patient Care | ||
| 405.19(f) | Emergency Services - Quality Assurance |
Areas Cited as a Result of Surveys:
| Date of Survey | Type | Areas Cited | Date Plan of Correction Accepted |
|---|---|---|---|
| 1/27/2003 | Article 28 Focused | 405.2(b) - Governing Body - Organization & Operation | 11/17/2003 |
| 405.6(a) - Quality Assurance | |||
| 405.6(b) - Quality Assurance | |||
| 405.7(b) - Patients' Rights - Hospital Responsibilities |
Areas Cited as a Result of Incident Investigations:
| SOD Date | Regulatory Citation | Areas Cited | Date Plan of Correction Accepted |
|---|---|---|---|
| 12/4/2003 | 405.2(f) | Governing Body - Care of Patients | |
| 405.3(d) | Administration - Records and Reports | ||
| 405.4(a) | Medical Staff - Medical Staff Accountability | ||
| 405.4(c) | Medical Staff - Medical Staff Bylaws | ||
| 405.5(a) | Nursing Services - Organization & Staffing | ||
| 405.5(b) | Nursing Services - Delivery of Services | ||
| 405.5(e) | Nursing Services - Quality Assurance | ||
| 405.6(a) | Quality Assurance | ||
| 405.7(c) | Patients' Rights - Hospital Responsibilities | ||
| 405.8(a) | Incident Reporting | ||
| 405.10(b) | Medical Records - Content | ||
| 405.15(a) | Radiology/Nuclear Medicine - General Provisions | ||
| 405.16 | Laboratory Services | ||
