Hospital Information 2004

Hospital Name: SISTERS OF CHARITY HOSPITAL

PFI # 0218

Complaints:

Complaint Information: 2004
Complaint Investigations Completed 5
Complaints with Statements of Deficiencies (SOD) Issued 2
% of Complaints with SODs Issued 40%
Regional % of Complaints with SODs Issued 35.5%

Areas Cited:

SOD Date Regulatory Citation Areas Cited Date Plan of Correction Accepted
6/29/2004 405.5 Nursing Services Delivery of Services 7/22/2004
6/29/2004 405.4 Medical Staff

Medical Staff Accountability

7/22/2004
6/29/2004 405.10 Medical Records General Requirements 7/22/2004
6/14/2004 405.6 Quality Assurance Program 7/23/04
6/14/2004 405.5 Nursing Services 7/23/04
6/14/2004 405.4 Medical Staff

Medical Staff Accountability

7/23/04

INCIDENTS

Areas Cited:

SOD Date Regulatory Citation Areas Cited Date Plan of Correction Accepted
3/15/2004 405.8 Incident Reporting 5/19/2004
3/15/2004 405.6 Incident Reporting 5/19/2004
11/19/2004 405.8 Incident reporting 01/20/2005
11/19/2004 405.6 Quality Assurance 01/20/2005
11/19/2004

 

405.4 Medical Staff

Medical Staff Accountability

01/20/2005

Most Recent Survey Date: 12/8/04 (EMTALA)