Hospital Information 2004

Helen Hayes Hospital

PFI # 0775

Revised: July 22, 2005

Complaints:

Complaint Information: 2004
Complaint Investigations Completed: 3
Complaints with Statements of Deficiencies (SOD) issued: 1
% of Complaints with SODs Issued 33%
Regional % of Complaints with SODs issued: 25%

Areas Cited:

SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted
7/14/04 405.2(b)(2) Governing Body 7/22/05
7/14/04 405.5(b)(1)(i)(3) Nursing Services-Delivery of Services 7/22/05
7/14/04 405.10(c)(1) Medical Records - Authentication 7/22/05

Areas Cited as a Result of Surveys:

Date of Survey Type Areas Cited: Date Plan of Correction Accepted
*12/31/04 Article 28 Focused Survey 405.89d) Incident Reporting 1/28/05

Most Recent Survey Date:12/31/04

Areas Cited as a Result of Incident Investigations:

SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted
*12/31/04 See Article 28 Focused Survey-Incident Reporting