COLUSA REGIONAL MEDICAL CENTER (COLUSA, CA) Detailed Nursing Home Profile

Complaint Deficiency

Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents
- Harm: Minimal harm or potential for actual harm
- Scope: Many
A two-hour-resistant firewall in common walls
- 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
Restrictions on the use of highly flammable materials
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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: Few
Corridor and hallway doors that block smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Posted No-smoking signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed
- Harm: Minimal harm or potential for actual harm
- Scope: Few
A two-hour-resistant firewall in common walls
- 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
Record of quarterly fire drills for each shift under varying conditions
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly maintained 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: Many
Weekly inspections and monthly testing of generators
- Harm: Minimal harm or potential for actual harm
- Scope: Many

Process of Care

Heart Attack

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

This Nursing Home:	20
State:	9

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

This Nursing Home:	88.0%
State:	97.2%

Heart Failure

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

This Nursing Home:	76.0%
State:	98.9%

Percent of Patients Given Discharge Instructions

Here:	58.0%
California:	93.5%

Pneumonia

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

This Nursing Home:	79.0%
State:	96.1%

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

Here:	77.0%
California:	96.7%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Nursing Home:	75.0%
State:	98.1%

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

This Nursing Home:	81.0%
State:	95.9%

Percent of Patients Assessed and Given Pneumococcal Vaccination

Here:	88.0%
California:	95.8%

Surgery

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

Here:	91.0%
State:	99.8%

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

This Nursing Home:	100.0%
State:	99.6%

Outcome of Care

30-Day Mortality Rates from Heart Failure

This Nursing Home:	10.4%
California:	10.9%

30-Day Mortality Rates from Pneumonia

Here:	12.7%
California:	11.7%

30-Day Readmission Rates from Heart Failure

This Nursing Home:	26.6%
State:	24.4%

30-Day Readmission Rates from Pneumonia

This Nursing Home:	19.4%
State:	18.3%

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

Cardiac Arrhythmia and Conduction Disorders without Complications

Average Covered Charges

This Nursing Home:	$21,061
California:	$28,713

Average Total Payments

Here:	$6,394
State:	$4,819

Number of discharges: 12

Here:	8.39%
California:	1.18%

Chronic Obstructive Pulmonary Disease without Complications

Average Covered Charges

Here:	$24,275
State:	$35,163

Average Total Payments

Here:	$8,086
State:	$6,206

Number of discharges: 18

Here:	12.59%
State:	1.11%

Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications

Average Covered Charges

Here:	$20,411
State:	$36,899

Average Total Payments

Here:	$8,033
State:	$6,233

Number of discharges: 24

This Nursing Home:	16.78%
State:	3.09%

Heart Failure and Shock with Complications

Average Covered Charges

This Nursing Home:	$30,393
State:	$47,292

Average Total Payments

Here:	$11,538
State:	$8,831

Number of discharges: 12

This Nursing Home:	8.39%
State:	2.91%

Kidney and Urinary Tract Infections without Major Complications

Average Covered Charges

This Nursing Home:	$19,994
State:	$36,114

Average Total Payments

Here:	$8,807
State:	$6,728

Number of discharges: 12

This Nursing Home:	8.39%
State:	2.98%

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

Average Covered Charges

Here:	$17,517
California:	$32,446

Average Total Payments

Here:	$7,746
State:	$5,975

Number of discharges: 21

Here:	14.69%
California:	2.21%

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

Average Covered Charges

This Nursing Home:	$32,394
State:	$50,385

Average Total Payments

This Nursing Home:	$12,480
State:	$9,612

Number of discharges: 12

This Nursing Home:	8.39%
California:	2.35%

Signs and Symptoms without Major Complications

Average Covered Charges

Here:	$18,013
California:	$35,628

Average Total Payments

Here:	$7,600
California:	$6,112

Number of discharges: 17

This Nursing Home:	11.89%
State:	0.53%

Simple Pneumonia and Pleurisy with Complications

Average Covered Charges

Here:	$27,931
California:	$48,755

Average Total Payments

This Nursing Home:	$11,153
California:	$8,695

Number of discharges: 15

Here:	10.49%
California:	2.75%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: Between 100 and 299
Survey Response Rate: 30%

How often did nurses communicate well with patients?

Sometimes or never

Here:	3%
California:	7%

Usually

Here:	23%
California:	21%

Always

Here:	74%
State:	72%

How often did doctors communicate well with patients?

Sometimes or never

This Nursing Home:	4%
California:	6%

Usually

Here:	16%
State:	17%

Always

This Nursing Home:	80%
State:	77%

How often did patients receive help quickly from hospital staff?

Sometimes or never

This Nursing Home:	7%
State:	13%

Usually

Here:	23%
California:	28%

Always

Here:	70%
State:	59%

How often was patients' pain well controlled?

Sometimes or never

This Nursing Home:	5%
State:	8%

Usually

Here:	25%
State:	25%

Always

Here:	70%
California:	67%

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

Sometimes or never

Here:	12%
California:	23%

Usually

Here:	18%
California:	19%

Always

Here:	70%
State:	58%

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

Sometimes or never

This Nursing Home:	6%
California:	10%

Usually

Here:	19%
California:	21%

Always

This Nursing Home:	75%
California:	69%

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

Sometimes or never

Here:	11%
State:	18%

Usually

This Nursing Home:	28%
State:	33%

Always

This Nursing Home:	61%
California:	49%

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

Yes

Here:	80%
California:	81%

This Nursing Home:	20%
State:	19%

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

6 or lower

Here:	9%
State:	10%

7 or 8

Here:	35%
State:	24%

9 or 10

This Nursing Home:	56%
State:	66%

Would patients recommend the hospital to friends and family?

This Nursing Home:	4%
California:	7%

Yes, probably

This Nursing Home:	44%
State:	24%

Yes, definitely

Here:	52%
California:	69%

Quality Measures

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

This Nursing Home:	20.6%
California:	21.2%

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

This Nursing Home:	2.6%
State:	1.2%

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

Here:	97.3%
State:	81.9%

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

Here:	94.6%
State:	79.7%

Hospital Acquired Conditions

Falls and injuries

Here:	1.195%
California:	0.625%

Use of Medical Imaging

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

This Nursing Home:	11.300%
State:	8.180%

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

This Nursing Home:	0.016%
California:	0.170%

COLUSA REGIONAL MEDICAL CENTER - COLUSA, CA

Complaint Deficiency

Process of Care

Heart Attack

Heart Failure

Pneumonia

Surgery

Outcome of Care

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

Hospital Consumer Assessment of Healthcare Providers

Quality Measures

Hospital Acquired Conditions

Use of Medical Imaging

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