CHARLES COLE MEMORIAL HOSPITAL (COUDERSPORT, PA) Detailed Nursing Home Profile

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: 300 or more
Survey Response Rate: 37%

How often did nurses communicate well with patients?

Sometimes or never

This Nursing Home:	2%
Pennsylvania:	5%

Usually

This Nursing Home:	18%
Pennsylvania:	18%

Always

Here:	80%
State:	77%

How often did doctors communicate well with patients?

Sometimes or never

This Nursing Home:	4%
Pennsylvania:	5%

Usually

This Nursing Home:	14%
State:	16%

Always

This Nursing Home:	82%
State:	79%

How often did patients receive help quickly from hospital staff?

Sometimes or never

Here:	6%
Pennsylvania:	10%

Usually

Here:	22%
State:	26%

Always

Here:	72%
Pennsylvania:	64%

How often was patients' pain well controlled?

Sometimes or never

This Nursing Home:	4%
Pennsylvania:	7%

Usually

Here:	22%
Pennsylvania:	24%

Always

Here:	74%
Pennsylvania:	69%

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

Sometimes or never

This Nursing Home:	19%
Pennsylvania:	21%

Usually

This Nursing Home:	19%
Pennsylvania:	19%

Always

Here:	62%
Pennsylvania:	60%

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

Sometimes or never

Here:	10%
Pennsylvania:	9%

Usually

This Nursing Home:	16%
State:	20%

Always

This Nursing Home:	74%
Pennsylvania:	71%

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

Sometimes or never

Here:	8%
Pennsylvania:	14%

Usually

Here:	34%
Pennsylvania:	34%

Always

This Nursing Home:	58%
Pennsylvania:	52%

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

Yes

Here:	87%
State:	83%

Here:	13%
Pennsylvania:	17%

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

6 or lower

Here:	8%
State:	10%

7 or 8

Here:	30%
State:	24%

9 or 10

This Nursing Home:	62%
State:	66%

Would patients recommend the hospital to friends and family?

Here:	4%
State:	5%

Yes, probably

This Nursing Home:	36%
State:	28%

Yes, definitely

This Nursing Home:	60%
Pennsylvania:	67%

Complaint Deficiency

1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents
- 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
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: 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: Few
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Many
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Proper stairway enclosures and vertical shafts
- Harm: Potential for minimal harm
- Scope: Many
Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Smoke barrier doors that can resist smoke for at least 20 minutes
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Exit stairways and towers that are smoke proof
- Harm: Potential for minimal harm
- Scope: Many
Properly located and lighted Exit signs
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Heating and ventilation systems that have been properly installed according to the manufacturer's instructions
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Proper medical gas storage and administration areas
- 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
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
Make sure that each resident gets a nutritional and well balanced diet, unless it is not possible to do so
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that doctors visit residents regularly, as required
- Harm: Minimal harm or potential for actual harm
- Scope: Few
1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Keep each resident's personal and medical records private and confidential
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Determine if it is safe for the resident to self-administer drugs
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide housekeeping and maintenance services
- Harm: Minimal harm or potential for actual 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: Some
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores
- Harm: Minimal harm or potential for actual harm
- 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
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
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
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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
Keep accurate, complete and organized clinical records on each resident that meet professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Few

Use of Medical Imaging

Outpatients with low back pain who had an MRI without trying recommended treatments first, such as physical therapy.

This Nursing Home:	55.600%
Pennsylvania:	36.295%

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

Here:	7.400%
State:	8.255%

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

This Nursing Home:	0.068%
Pennsylvania:	0.151%

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

This Nursing Home:	0.065%
State:	0.023%

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

Here:	3.400%
Pennsylvania:	5.987%

Outpatients with brain CT scans who got a sinus CT scan at the same time

Here:	4.400%
State:	3.106%

Quality Measures

Percent of long-stay residents who lose too much weight

Here:	6.5%
State:	7.4%

Percent of long-stay residents with a urinary tract infection

Here:	2.9%
Pennsylvania:	5.3%

Percent of long-stay residents who have depressive symptoms

Here:	8.3%
Pennsylvania:	4.6%

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

This Nursing Home:	13.5%
Pennsylvania:	3.0%

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

This Nursing Home:	97.3%
Pennsylvania:	95.1%

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

Here:	97.3%
Pennsylvania:	94.5%

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

This Nursing Home:	38.6%
State:	21.2%

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

This Nursing Home:	2.5%
Pennsylvania:	1.6%

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

Here:	83.8%
State:	85.6%

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

Here:	92.0%
Pennsylvania:	84.4%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	20.0%
Pennsylvania:	22.2%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	1.030
State:	0.760

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

This Nursing Home:	1.120
State:	0.830

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	2.150
State:	1.587

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.120
State:	0.089

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.120
State:	0.090

Process of Care

Heart Attack

Average number of minutes before outpatients with chest pain or possible heart attack got an ECG

Here:	8
Pennsylvania:	9

Outpatients with chest pain or possible heart attack who got aspirin within 24 hours of arrival

Here:	96.0%
State:	96.6%

Heart Failure

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

Here:	100.0%
Pennsylvania:	99.3%

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

Here:	94.0%
State:	96.5%

Percent of Patients Given Discharge Instructions

This Nursing Home:	91.0%
Pennsylvania:	93.4%

Pneumonia

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

Here:	96.0%
State:	96.6%

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

Here:	97.0%
State:	97.4%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
State:	98.9%

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

This Nursing Home:	93.0%
Pennsylvania:	95.7%

Percent of Patients Assessed and Given Influenza Vaccination

Here:	91.0%
Pennsylvania:	94.1%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Nursing Home:	98.0%
Pennsylvania:	96.6%

Surgery

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

This Nursing Home:	97.0%
Pennsylvania:	98.6%

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

This Nursing Home:	99.0%
Pennsylvania:	97.5%

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

Here:	98.0%
Pennsylvania:	98.5%

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

Here:	100.0%
Pennsylvania:	98.0%

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

Here:	100.0%
State:	98.6%

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

Here:	100.0%
Pennsylvania:	99.9%

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

Here:	98.0%
Pennsylvania:	95.6%

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

This Nursing Home:	95.0%
Pennsylvania:	96.9%

Outpatients having surgery who got an antibiotic at the right time - within one hour before surgery (higher numbers are better)

This Nursing Home:	82.0%
State:	95.6%

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

Here:	100.0%
State:	99.8%

Outcome of Care

30-Day Mortality Rates from Heart Attack

This Nursing Home:	15.5%
State:	14.8%

30-Day Mortality Rates from Heart Failure

Here:	11.1%
State:	10.9%

30-Day Mortality Rates from Pneumonia

Here:	13.5%
Pennsylvania:	11.8%

30-Day Readmission Rates from Heart Attack

Here:	20.7%
State:	19.2%

30-Day Readmission Rates from Heart Failure

Here:	26.1%
State:	24.8%

30-Day Readmission Rates from Pneumonia

Here:	19.0%
State:	18.6%

CHARLES COLE MEMORIAL HOSPITAL - COUDERSPORT, PA

Hospital Consumer Assessment of Healthcare Providers

Complaint Deficiency

Use of Medical Imaging

Quality Measures

Staff Information

Process of Care

Heart Attack

Heart Failure

Pneumonia

Surgery

Outcome of Care

User Contributions:

Comment about this article, ask questions, or add new information about this topic: