Patient Grievance Resolution

Patient Grievance Resolution Process

Your wellbeing is important to Shingletown Medical Center. If you have any complaints about the services we provide, we welcome your feedback so that we can improve our services. You can contact our Compliance Officer at (530) 474-3390 ext 318 or fill out the resolution form below to share your concerns with us.

When a patient tells us about a complaint, we will promptly gather all necessary information and try to resolve the issue immediately. If the patient is still not satisfied, the staff member handling the complaint will explain the grievance procedure, provide a written complaint form, and ask the patient to submit their complaint in writing.

The written complaint will be submitted to the Compliance Officer who will investigate and try to resolve the complaint within 5 days. If the grievance is not resolved, the Compliance Officer will discuss it with the Chief Executive Officer (CEO). The CEO or Compliance Officer will notify the patient of the results in writing within 10 days of the Compliance Officer turning the complaint over to the CEO. The patient will be notified in writing of the final resolution.

The Patient Grievance Resolution Form is intended for use by Managers and above to capture any report or question reported to you about any violation or potential violation of our Code of Conduct, Shingletown Medical Center (SMC) policy, or the law. We encourage you to use this form to document matters which meet the descriptions identified in the dropdown list provided on this form. This will provide SMC with relevant data to help us appropriately manage our relations with our associates and employees, our most important asset. The details of your submission can only be viewed by authorized users. You may be contacted for additional information after further review of your submission.

  • If you believe that Shingletown Medical Center has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with:

    Denise Highfill, Chief Operations Officer

    31292 Alpine Meadows Rd
    Shingletown, CA 96088

    Direct: (530) 474-3390 ext. 318
    Toll Free: 1-800-855-7100 or 711 from a Frontier Communications number

    You can also fax to (530) 474-4899 or email to dhighfill@shingletownmedcenter.org. If you need help filing a grievance, Denise Highfill is available to help you.

    You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, or by mail or phone at:

    U.S. Department of Health and Human Services

    200 Independence Avenue, SW Room
    509F, HHH Building Washington, D.C. 20201

    1-800-368-1019, 800-537-7697 (TDD)

    Complaint forms are available online.

Patient Grievance Resolution Form

 

It is our mission to create a healthier community by increasing access to care for all members of our community regardless of age, gender, ethnicity, orientation, or ability to pay.