Hospital Information 2004

Nassau University Medical Center

PFI # 0528

Revised: 6/05

Complaints:

Complaint Information: 2004
Complaint Investigations Completed: 20
Complaints with Statements of Deficiencies (SOD) issued: 8
% of Complaints with SODs Issued 40%
Regional % of Complaints with SODs issued: 41.4%

Areas Cited:

SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted
5/20/04 405.5(b)(1) Nursing Services

Delivery of Services

8/6/04
  405.5(b)(1)(i) Nursing Services

Delivery of Services

 
  405.5(b)(2)(i) Nursing Services

Delivery of Services

 
  405.7(b)(14) Patients' Rights

Hospital Responsibilities

 
6/21/04 405.7(b)(3) Patients' Rights

Hospital Responsibilities

8/24/04
5/3/04 405.2(c)(2) Governing Body

Compliance With Federal, State and Local Laws

8/6/04
  405.5(b)(1) Nursing Services

Delivery of Services

 
  405.5(b)(2)(ii) Nursing Services

Delivery of Services

 
  405.5(b)(3) Nursing Services

Delivery of Services

 
  405.5(b)(4) Nursing Services

Delivery of Services

 
  405.5(e) Nursing Services

Quality Assurance

 
  405.7(b)(3) Patients' Rights

Hospital Responsibilities

 
  405.23(a)(2) Food and Dietetic Services

General

 
5/3/04 405.2(c)(2) Governing Body

Compliance With Federal, State and Local Laws

8/6/04
  405.5(b)(1) Nursing Services

Delivery of Services

 
  405.5(b)(4) Nursing Services

Delivery of Services

 
  405.6(a)(2)(i) Quality Assurance Program  
  405.7(b)(3) Patients' Rights

Hospital Responsibilities

 
  405.7(b)(4) Patients' Rights

Hospital Responsibilities

 
  405.9(f)(1) Admission/Discharge

Discharge

 
  405.10(a)(3) Medical Records

General Requirements

 
  405.10(a)(4) Medical Records

General Requirements

 
  405.10(b)(2)(i) Medical Records

Content

 
  405.19(c)(7) Emergency Services

General Policies and Procedures

 
  405.19(e)(2) Emergency Services

Patient Care

 
  405.19(f)(1) Emergency Services

Quality Assurance

 
7/16/04 405.6(a)(2)(i) Quality Assurance Program 9/9/04
  405.7(b)(3) Patients' Rights

Hospital Responsibilities

 
  405.7(b)(4) Patients' Rights

Hospital Responsibilities

 
  405.19(e)(1) Emergency Services

Patient Care

 
  405.19(f)(3) Emergency Services

Quality Assurance

 
12/31/04 405.5(b)(1) Nursing Services

Delivery of Services

3/30/05
9/23/04 405.7(b)(24) Patients' Rights

Hospital Responsibilities

10/12/04
7/22/04 405.2(f)(1) Governing Body

Care of Patients

11/9/04
  405.4(a)(1) Medical Staff

Medical Staff Accountability

 
  405.4(a)(1(ii) Medical Staff

Medical Staff Accountability

 
  405.4(a)(2) Medical Staff

Medical Staff Accountability

 
  405.5(b)(1)(ii) Nursing Services

Delivery of Services

 
  405.7(b)(14) Patients' Rights

Hospital Responsibilities

 
  405.12(b) Surgical Services

Operation and Service Delivery

 

Areas Cited as a Result of Surveys:

Date of Survey Type Areas Cited: Date Plan of Correction Accepted
none

Most Recent Survey Date:

Areas Cited as a Result of Incident Investigations:

SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted
none