BERGEN REGIONAL MEDICAL CENTER (PARAMUS, NJ) Detailed Nursing Home Profile

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	0.770
New Jersey:	0.818

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

Here:	0.380
State:	0.741

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	1.140
State:	1.555

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	0.030
New Jersey:	0.123

Number Therapy Hours Per Resident Per Day

Here:	0.030
State:	0.125

Quality Measures

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

This Nursing Home:	15.9%
New Jersey:	15.2%

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

This Nursing Home:	10.6%
New Jersey:	6.3%

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

This Nursing Home:	10.8%
State:	9.0%

Percent of long-stay residents who lose too much weight

Here:	5.0%
State:	7.4%

Percent of long-stay low-risk residents who lose control of their bowels or bladder

This Nursing Home:	31.4%
State:	32.4%

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

Here:	3.2%
State:	3.1%

Percent of long-stay residents with a urinary tract infection

This Nursing Home:	5.9%
State:	6.8%

Percent of long-stay residents who have depressive symptoms

This Nursing Home:	1.0%
New Jersey:	7.4%

Percent of long-stay residents who were physically restrained

This Nursing Home:	1.5%
State:	2.7%

Percent of long-stay residents experiencing one or more falls with major injury

Here:	2.3%
State:	2.7%

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

This Nursing Home:	98.1%
New Jersey:	95.8%

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

Here:	97.6%
State:	95.5%

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

Here:	29.6%
New Jersey:	17.0%

Percent of short-stay residents with Pressure ulcers that are new or worsened

Here:	3.7%
New Jersey:	1.8%

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

This Nursing Home:	90.1%
New Jersey:	88.2%

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

Here:	74.2%
New Jersey:	87.5%

Percent of short-stay residents who newly received an antipsychotic medication

This Nursing Home:	7.1%
State:	1.9%

Percent of long-stay residents who received an antipsychotic medication

Here:	27.9%
State:	18.1%

Complaint Deficiency

An approved installation, maintenance and testing program for fire alarm systems
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly installed electrical wiring and equipment
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Give the resident's representative the ability to exercise the resident's rights
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly installed electrical wiring and equipment
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly hold, secure and manage each resident's personal money which is deposited with the nursing home
- Harm: Potential for minimal harm
- Scope: Some
Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detectors
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly installed electrical wiring and equipment
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Protect each resident from all abuse, physical punishment, and being separated from others
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide housekeeping and maintenance services
- Harm: Potential for minimal harm
- Scope: Some
Make sure services provided by the nursing facility meet professional standards of quality
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide necessary care and services to maintain the highest well being of each resident
- 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: Minimal harm or potential for actual harm
- Scope: Some
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Give or get emergency care by a doctor 24 hours a day
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Safely provide drugs and other similar products available, which are needed every day and in emergencies, by a licensed pharmacist
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Keep accurate, complete and organized clinical records on each resident that meet professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Resident room doors of proper design and width
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Did not have a written emergency evacuation plan
- Harm: Minimal harm or potential for actual harm
- Scope: Few
A fire alarm system that can be heard throughout the facility
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Posted No-smoking signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed
- Harm: Potential for minimal harm
- Scope: Some
Tell the resident completely about his or her health status, care and treatments
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Evaluate a residents decrease in social interaction and increase in depressive behaviors, and if the behavior was avoidable if these problems did not exist before
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Give each resident enough fluids to keep them healthy and prevent dehydration
- 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: Few
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Provide routine and 24-hour emergency dental care for each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Keep all essential equipment working safely
- Harm: Potential for minimal harm
- Scope: Some
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Keep accurate, complete and organized clinical records on each resident that meet professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Construction that can resist fire for one hour or an approved fire extinguishing system
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide housekeeping and maintenance services
- Harm: Potential for minimal harm
- Scope: Some
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure services provided by the nursing facility meet professional standards of quality
- 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
Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public
- Harm: Minimal harm or potential for actual harm
- Scope: Many

Inpatient Prospective Payment System (IPPS) - Medicare Provider Charge Data

Alcohol/Drug Abuse or Dependence without Rehabilitation Therapy without Major Complications

Average Covered Charges

Here:	$15,955
State:	$33,450

Average Total Payments

This Nursing Home:	$6,333
State:	$5,495

Number of discharges: 156

Here:	40.63%
New Jersey:	0.40%

Cellulitis without Major Complications

Average Covered Charges

This Nursing Home:	$42,658
State:	$40,596

Average Total Payments

This Nursing Home:	$8,103
New Jersey:	$6,234

Number of discharges: 14

This Nursing Home:	3.65%
New Jersey:	2.40%

Chest Pain

Average Covered Charges

This Nursing Home:	$23,906
New Jersey:	$32,970

Average Total Payments

This Nursing Home:	$5,433
New Jersey:	$4,276

Number of discharges: 20

Here:	5.21%
New Jersey:	1.82%

Chronic Obstructive Pulmonary Disease with Major Complications

Average Covered Charges

Here:	$47,483
State:	$62,346

Average Total Payments

This Nursing Home:	$11,432
State:	$8,879

Number of discharges: 11

Here:	2.86%
New Jersey:	2.07%

Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications

Average Covered Charges

This Nursing Home:	$27,296
New Jersey:	$37,750

Average Total Payments

Here:	$7,037
State:	$5,392

Number of discharges: 12

Here:	3.13%
State:	3.49%

Heart Failure and Shock with Major Complications

Average Covered Charges

Here:	$52,303
New Jersey:	$75,197

Average Total Payments

Here:	$13,796
State:	$11,417

Number of discharges: 11

Here:	2.86%
New Jersey:	2.96%

Kidney and Urinary Tract Infections without Major Complications

Average Covered Charges

Here:	$38,127
State:	$40,335

Average Total Payments

Here:	$7,702
State:	$5,798

Number of discharges: 14

Here:	3.65%
State:	2.97%

Misc Disorders of Nutrition, Metabolism, Fluids or Electrolytes without Major Complications

Average Covered Charges

Here:	$21,449
State:	$37,551

Average Total Payments

Here:	$6,755
State:	$5,216

Number of discharges: 30

This Nursing Home:	7.81%
New Jersey:	2.13%

Poisoning and Toxic Effects of Drugs without Major Complications

Average Covered Charges

Here:	$21,825
New Jersey:	$39,732

Average Total Payments

Here:	$5,965
State:	$4,888

Number of discharges: 12

Here:	3.13%
New Jersey:	0.29%

Renal Failure with Complications

Average Covered Charges

Here:	$42,803
State:	$52,443

Average Total Payments

This Nursing Home:	$9,916
New Jersey:	$7,686

Number of discharges: 14

Here:	3.65%
State:	2.07%

Septicemia or Severe Sepsis without Mechanical Ventilation 96+ Hours with Major Complications

Average Covered Charges

Here:	$67,347
State:	$88,530

Average Total Payments

This Nursing Home:	$17,628
New Jersey:	$14,676

Number of discharges: 34

Here:	8.85%
State:	4.36%

Signs and Symptoms without Major Complications

Average Covered Charges

Here:	$25,231
State:	$36,661

Average Total Payments

This Nursing Home:	$6,691
New Jersey:	$5,269

Number of discharges: 11

Here:	2.86%
New Jersey:	0.63%

Simple Pneumonia and Pleurisy with Complications

Average Covered Charges

This Nursing Home:	$46,915
State:	$51,726

Average Total Payments

Here:	$9,852
New Jersey:	$7,544

Number of discharges: 19

Here:	4.95%
New Jersey:	2.50%

Simple Pneumonia and Pleurisy without Complications

Average Covered Charges

This Nursing Home:	$29,974
State:	$37,623

Average Total Payments

This Nursing Home:	$6,793
New Jersey:	$5,339

Number of discharges: 12

This Nursing Home:	3.13%
New Jersey:	0.88%

Syncope and Collapse

Average Covered Charges

This Nursing Home:	$26,112
New Jersey:	$40,180

Average Total Payments

This Nursing Home:	$6,840
New Jersey:	$5,402

Number of discharges: 14

This Nursing Home:	3.65%
State:	2.82%

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

This Nursing Home:	93.0%
New Jersey:	99.3%

Heart Failure

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

Here:	100.0%
State:	99.7%

Percent of Patients Given Discharge Instructions

This Nursing Home:	42.0%
New Jersey:	96.1%

Pneumonia

Percent of Patients Given Initial Antibiotic(s) within 6 Hours After Arrival

This Nursing Home:	95.0%
State:	97.9%

Percent of Patients Whose Initial ER Blood Culture Was Performed Prior To Administration Of First Dose Of Antibiotics

Here:	98.0%
State:	98.3%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	90.0%
New Jersey:	99.8%

Percent of Patients Given the Most Appropriate Initial Antibiotic(s)

Here:	96.0%
New Jersey:	97.0%

Percent of Patients Assessed and Given Influenza Vaccination

This Nursing Home:	81.0%
New Jersey:	96.5%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Nursing Home:	89.0%
State:	97.7%

Surgery

Percent of Surgery Patients given an antibiotic at the right time (within one hour before surgery) to help prevent infection

Here:	100.0%
New Jersey:	98.6%

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

This Nursing Home:	100.0%
New Jersey:	97.6%

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

This Nursing Home:	94.0%
State:	98.4%

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

Here:	95.0%
New Jersey:	97.5%

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

Here:	95.0%
State:	98.2%

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%
State:	99.9%

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

This Nursing Home:	87.0%
New Jersey:	95.3%

Surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on them

Here:	100.0%
New Jersey:	96.9%

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

Here:	100.0%
State:	99.7%

Outcome of Care

30-Day Mortality Rates from Heart Attack

This Nursing Home:	15.5%
State:	14.7%

30-Day Mortality Rates from Heart Failure

Here:	13.1%
New Jersey:	10.7%

30-Day Mortality Rates from Pneumonia

This Nursing Home:	16.0%
New Jersey:	11.0%

30-Day Readmission Rates from Heart Attack

Here:	19.0%
State:	21.0%

30-Day Readmission Rates from Heart Failure

Here:	23.9%
State:	26.5%

30-Day Readmission Rates from Pneumonia

This Nursing Home:	20.1%
New Jersey:	19.5%

Hospital Acquired Conditions

Falls and injuries

This Nursing Home:	1.377%
New Jersey:	0.485%

Severe pressure sores (bed sores)

This Nursing Home:	0.689%
New Jersey:	0.331%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: Between 100 and 299
Survey Response Rate: 11%

How often did nurses communicate well with patients?

Sometimes or never

This Nursing Home:	18%
New Jersey:	7%

Usually

This Nursing Home:	22%
New Jersey:	19%

Always

This Nursing Home:	60%
New Jersey:	74%

How often did doctors communicate well with patients?

Sometimes or never

Here:	14%
State:	6%

Usually

Here:	20%
State:	17%

Always

Here:	66%
State:	77%

How often did patients receive help quickly from hospital staff?

Sometimes or never

This Nursing Home:	35%
State:	15%

Usually

This Nursing Home:	24%
New Jersey:	27%

Always

This Nursing Home:	41%
New Jersey:	58%

How often was patients' pain well controlled?

Sometimes or never

Here:	29%
New Jersey:	9%

Usually

Here:	24%
State:	24%

Always

This Nursing Home:	47%
New Jersey:	67%

How often did staff explain about medicines before giving them to patients?

Sometimes or never

This Nursing Home:	38%
New Jersey:	24%

Usually

This Nursing Home:	21%
State:	18%

Always

Here:	41%
New Jersey:	58%

How often were the patients' rooms and bathrooms kept clean?

Sometimes or never

Here:	31%
New Jersey:	11%

Usually

Here:	26%
New Jersey:	21%

Always

This Nursing Home:	43%
State:	68%

How often was the area around patients' rooms kept quiet at night?

Sometimes or never

This Nursing Home:	20%
State:	16%

Usually

Here:	27%
State:	32%

Always

Here:	53%
State:	52%

Were patients given information about what to do during their recovery at home?

Yes

This Nursing Home:	71%
State:	79%

This Nursing Home:	29%
State:	21%

How do patients rate the hospital overall on a scale from 0 (lowest) to 10 (highest)?

6 or lower

Here:	32%
New Jersey:	12%

7 or 8

Here:	32%
New Jersey:	26%

9 or 10

This Nursing Home:	36%
State:	62%

Would patients recommend the hospital to friends and family?

This Nursing Home:	25%
New Jersey:	7%

Yes, probably

Here:	25%
New Jersey:	28%

Yes, definitely

Here:	50%
State:	65%

Use of Medical Imaging

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

This Nursing Home:	11.800%
State:	11.744%

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

Here:	0.022%
State:	0.027%

BERGEN REGIONAL MEDICAL CENTER - PARAMUS, NJ

Staff Information

Quality Measures

Complaint Deficiency

Inpatient Prospective Payment System (IPPS) - Medicare Provider Charge Data

Process of Care

Heart Attack

Heart Failure

Pneumonia

Surgery

Outcome of Care

Hospital Acquired Conditions

Hospital Consumer Assessment of Healthcare Providers

Use of Medical Imaging

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