BARNES-KASSON COUNTY HOSPITAL (SUSQUEHANNA, PA) Detailed Nursing Home Profile

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased

Here:	50.0%
State:	15.9%

Percent of long-stay residents who self-report moderate to severe pain

Here:	3.1%
State:	10.2%

Percent of long-stay high-risk residents with pressure ulcers

Here:	5.0%
State:	5.9%

Percent of long-stay residents who have had a catheter inserted and left in their bladder

This Nursing Home:	2.2%
Pennsylvania:	3.9%

Percent of long-stay residents with a urinary tract infection

This Nursing Home:	2.2%
State:	5.3%

Percent of long-stay residents who were physically restrained

This Nursing Home:	2.2%
Pennsylvania:	1.5%

Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine

This Nursing Home:	100.0%
Pennsylvania:	95.1%

Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine

Here:	100.0%
Pennsylvania:	94.5%

Percent of long-stay residents who received an antipsychotic medication

Here:	19.6%
State:	22.2%

Process of Care

Heart Failure

Percent of patients who were given an evaluation of Left Ventricular Systolic Dysfunction (LVSD)

This Nursing Home:	67.0%
State:	99.3%

Percent of Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)

This Nursing Home:	100.0%
Pennsylvania:	96.5%

Percent of Patients Given Discharge Instructions

This Nursing Home:	21.0%
State:	93.4%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
State:	99.4%

Surgery

Percent of Surgery Patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)

Here:	100.0%
Pennsylvania:	97.5%

Percent of Surgery Patients who were given the right kind of antibiotic to help prevent infection

Here:	100.0%
State:	98.5%

Percent of Surgery Patients who got treatment at right time (within 24 hours before or after surgery) to help prevent blood clot

This Nursing Home:	75.0%
State:	98.0%

Percent of Surgery Patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries

This Nursing Home:	60.0%
Pennsylvania:	98.6%

Percent of Surgery Patients needing hair removed from the surgical area before surgery who had hair removed using a safer method

This Nursing Home:	100.0%
Pennsylvania:	99.9%

Percent of Surgery Patients whose urinary catheters were removed on the first or second day after surgery

This Nursing Home:	100.0%
Pennsylvania:	95.6%

Patients having surgery who were actively warmed in the operating room or whose body temperature was near normal

This Nursing Home:	100.0%
State:	99.8%

Outcome of Care

30-Day Mortality Rates from Heart Failure

Here:	11.8%
Pennsylvania:	10.9%

30-Day Mortality Rates from Pneumonia

This Nursing Home:	15.4%
State:	11.8%

30-Day Readmission Rates from Heart Failure

This Nursing Home:	25.5%
State:	24.8%

30-Day Readmission Rates from Pneumonia

Here:	17.3%
State:	18.6%

Complaint Deficiency

Tell the resident completely about his or her health status, care and treatments
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
1) Make sure that each resident's drug regimen is free from unnecessary drugs; 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Quickly tell the resident's doctor the results of lab tests
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Provide housekeeping and maintenance services
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Keep accurate, complete and organized clinical records on each resident that meet professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that each resident who enters the nursing home without a catheter is not given a catheter, and receive proper services to prevent urinary tract infections and restore normal bladder function
- Harm: Minimal harm or potential for actual harm
- Scope: Some
1) Make sure that each resident's drug regimen is free from unnecessary drugs; 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Many

Use of Medical Imaging

Outpatients who had a follow-up mammogram or ultrasound within 45 days after a screening mammogram.

Here:	10.100%
State:	8.255%

Outpatient CT scans of the abdomen that were combination (double) scans.

This Nursing Home:	0.170%
Pennsylvania:	0.151%

Outpatients who got cardiac imaging stress tests before low-risk outpatient surgery

Here:	1.700%
Pennsylvania:	5.987%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	1.010
Pennsylvania:	0.760

Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day

This Nursing Home:	0.330
Pennsylvania:	0.830

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.330
State:	1.587

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	0.060
State:	0.089

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.060
State:	0.090

BARNES-KASSON COUNTY HOSPITAL - SUSQUEHANNA, PA