COALINGA REGIONAL MEDICAL CTR DP/SNF (COALINGA, CA) Detailed Nursing Home Profile

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: Fewer than 100
Survey Response Rate: 23%

How often did nurses communicate well with patients?

Sometimes or never

Here:	3%
California:	7%

Usually

This Nursing Home:	8%
State:	21%

Always

Here:	89%
State:	72%

How often did doctors communicate well with patients?

Usually

This Nursing Home:	3%
California:	17%

Always

This Nursing Home:	97%
State:	77%

How often did patients receive help quickly from hospital staff?

Sometimes or never

This Nursing Home:	1%
California:	13%

Usually

Here:	7%
California:	28%

Always

Here:	92%
California:	59%

How often was patients' pain well controlled?

Sometimes or never

Here:	3%
State:	8%

Usually

Here:	10%
State:	25%

Always

Here:	87%
State:	67%

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

Sometimes or never

This Nursing Home:	8%
State:	23%

Usually

This Nursing Home:	18%
California:	19%

Always

This Nursing Home:	74%
State:	58%

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

Sometimes or never

This Nursing Home:	2%
State:	10%

Usually

This Nursing Home:	4%
California:	21%

Always

Here:	94%
California:	69%

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

Sometimes or never

This Nursing Home:	13%
California:	18%

Usually

This Nursing Home:	26%
California:	33%

Always

This Nursing Home:	61%
California:	49%

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

Yes

This Nursing Home:	85%
State:	81%

This Nursing Home:	15%
State:	19%

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

6 or lower

This Nursing Home:	11%
State:	10%

7 or 8

Here:	16%
California:	24%

9 or 10

This Nursing Home:	73%
California:	66%

Would patients recommend the hospital to friends and family?

This Nursing Home:	6%
State:	7%

Yes, probably

Here:	31%
California:	24%

Yes, definitely

This Nursing Home:	63%
State:	69%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	0.560
State:	0.748

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

Here:	0.950
California:	0.900

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.510
State:	1.608

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	0.010
California:	0.118

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.010
State:	0.126

Quality Measures

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

Here:	9.1%
California:	13.1%

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

Here:	10.4%
State:	8.9%

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

Here:	16.7%
California:	7.5%

Percent of long-stay residents who lose too much weight

Here:	4.7%
California:	6.3%

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

Here:	29.0%
State:	42.7%

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

Here:	7.5%
State:	4.0%

Percent of long-stay residents with a urinary tract infection

This Nursing Home:	15.6%
California:	6.7%

Percent of long-stay residents who have depressive symptoms

Here:	15.6%
State:	2.4%

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

Here:	3.1%
State:	1.6%

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

This Nursing Home:	100.0%
California:	93.0%

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

Here:	98.4%
California:	94.0%

Percent of long-stay residents who received an antipsychotic medication

Here:	12.7%
State:	19.0%

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

Kidney and Urinary Tract Infections without Major Complications

Average Covered Charges

Here:	$10,487
California:	$36,114

Average Total Payments

This Nursing Home:	$9,347
State:	$6,728

Number of discharges: 12

This Nursing Home:	100.00%
California:	2.98%

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

This Nursing Home:	75.0%
California:	99.3%

Percent of Patients Given Aspirin at Discharge

Here:	67.0%
State:	99.0%

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

This Nursing Home:	100.0%
California:	96.8%

Percent of Patients Given Beta Blocker at Discharge

Here:	100.0%
California:	98.5%

Percent of Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival

This Nursing Home:	67.0%
State:	83.0%

Patients Given a Prescription for a Statin at Discharge

This Nursing Home:	100.0%
State:	97.5%

Heart Failure

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

This Nursing Home:	15.0%
State:	98.9%

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

Here:	100.0%
California:	96.2%

Percent of Patients Given Discharge Instructions

Here:	85.0%
California:	93.5%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
California:	99.4%

Pneumonia

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

This Nursing Home:	75.0%
California:	96.1%

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

This Nursing Home:	86.0%
California:	96.7%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Nursing Home:	100.0%
State:	98.1%

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

Here:	74.0%
State:	95.9%

Percent of Patients Assessed and Given Influenza Vaccination

This Nursing Home:	50.0%
California:	94.3%

Percent of Patients Assessed and Given Pneumococcal Vaccination

Here:	81.0%
State:	95.8%

Outcome of Care

30-Day Mortality Rates from Heart Failure

This Nursing Home:	10.3%
State:	10.9%

30-Day Mortality Rates from Pneumonia

This Nursing Home:	11.7%
State:	11.7%

30-Day Readmission Rates from Heart Failure

This Nursing Home:	27.3%
California:	24.4%

30-Day Readmission Rates from Pneumonia

Here:	18.9%
State:	18.3%

Complaint Deficiency

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: Some
Listen to the resident or family groups or act on their complaints or suggestions
- 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
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 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: 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
Store, cook, and serve food in a safe and clean way
- 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: Few
Keep all essential equipment working safely
- Harm: Minimal harm or potential for actual 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: Few
Approved construction type or materials
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Corridor and hallway doors that block smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Signs that state that exit doors are to be kept closed
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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
Properly located and lighted Exit signs
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Did not have a written emergency evacuation plan
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Record of quarterly fire drills for each shift under varying conditions
- Harm: Minimal harm or potential for actual harm
- Scope: Some
A fire alarm system that can be heard throughout the facility
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Properly maintained smoke detectors
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Properly working alarms on sprinkler valves
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Properly protected cooking facilities
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Exits that are free from obstructions and can be used at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Proper medical gas storage and administration areas
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Weekly inspections and monthly testing of generators
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Properly installed electrical wiring and equipment
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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: Few
Approved construction type or materials
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Corridor and hallway doors that block smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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: 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
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Heating and ventilation systems that have been properly installed according to the manufacturer's instructions
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Exits that are free from obstructions and can be used at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Proper medical gas storage and administration areas
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Weekly inspections and monthly testing of generators
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Properly installed electrical wiring and equipment
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Corridor and hallway doors that block smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Construction that can resist fire for one hour or an approved fire extinguishing system
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Resident room doors of proper design and width
- Harm: Minimal harm or potential for actual harm
- Scope: Few
An approved installation, maintenance and testing program for fire alarm systems
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly maintained smoke detectors
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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
Make sure each resident receives an accurate assessment by a qualified health professional
- 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
Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients
- Harm: Minimal harm or potential for actual harm
- Scope: Many
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
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

Use of Medical Imaging

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

Here:	11.000%
California:	8.180%

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

Here:	0.649%
California:	0.170%

COALINGA REGIONAL MEDICAL CTR DP/SNF - COALINGA, CA

Hospital Consumer Assessment of Healthcare Providers

Staff Information

Quality Measures

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

Process of Care

Heart Attack

Heart Failure

Pneumonia

Outcome of Care

Complaint Deficiency

Use of Medical Imaging

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