COMMUNITY HOSPITAL OF SAN BERNARDINO (SAN BERNARDINO, CA) Detailed Hospital Profile

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: 300 or more
Survey Response Rate: 15%

How often did nurses communicate well with patients?

Sometimes or never

Here:	10%
California:	7%

Usually

This Hospital:	21%
California:	21%

Always

Here:	69%
State:	72%

How often did doctors communicate well with patients?

Sometimes or never

Here:	10%
State:	6%

Usually

This Hospital:	20%
State:	17%

Always

Here:	70%
California:	77%

How often did patients receive help quickly from hospital staff?

Sometimes or never

Here:	19%
State:	13%

Usually

This Hospital:	28%
State:	28%

Always

Here:	53%
State:	59%

How often was patients' pain well controlled?

Sometimes or never

This Hospital:	12%
California:	8%

Usually

Here:	24%
California:	25%

Always

Here:	64%
California:	67%

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

Sometimes or never

This Hospital:	24%
California:	23%

Usually

This Hospital:	16%
California:	19%

Always

This Hospital:	60%
State:	58%

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

Sometimes or never

This Hospital:	14%
State:	10%

Usually

This Hospital:	22%
California:	21%

Always

Here:	64%
California:	69%

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

Sometimes or never

This Hospital:	17%
California:	18%

Usually

This Hospital:	30%
State:	33%

Always

This Hospital:	53%
State:	49%

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

Yes

This Hospital:	78%
State:	81%

Here:	22%
California:	19%

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

6 or lower

This Hospital:	16%
State:	10%

7 or 8

This Hospital:	23%
State:	24%

9 or 10

Here:	61%
California:	66%

Would patients recommend the hospital to friends and family?

This Hospital:	10%
California:	7%

Yes, probably

This Hospital:	29%
California:	24%

Yes, definitely

This Hospital:	61%
State:	69%

Quality Measures

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

Here:	8.5%
State:	7.5%

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

Here:	17.9%
California:	4.0%

Percent of long-stay residents with a urinary tract infection

This Hospital:	6.1%
State:	6.7%

Percent of long-stay residents who were physically restrained

This Hospital:	9.8%
California:	3.6%

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

Here:	100.0%
State:	93.0%

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

This Hospital:	100.0%
California:	94.0%

Percent of long-stay residents who received an antipsychotic medication

This Hospital:	3.8%
State:	19.0%

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

Here:	100.0%
California:	99.3%

Percent of Patients Given Aspirin at Discharge

This Hospital:	100.0%
State:	99.0%

Percent of Patients Given Beta Blocker at Discharge

This Hospital:	100.0%
California:	98.5%

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

Here:	2
California:	9

Average number of minutes before outpatients with chest pain or possible heart attack were transferred to another hospital

This Hospital:	48
California:	78

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

Here:	100.0%
State:	97.2%

Patients Given a Prescription for a Statin at Discharge

This Hospital:	63.0%
California:	97.5%

Heart Failure

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

This Hospital:	98.0%
State:	98.9%

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

Here:	91.0%
California:	96.2%

Percent of Patients Given Discharge Instructions

Here:	100.0%
State:	93.5%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
State:	99.4%

Pneumonia

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

This Hospital:	94.0%
California:	96.1%

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

This Hospital:	90.0%
California:	96.7%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
California:	98.1%

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

This Hospital:	97.0%
California:	95.9%

Percent of Patients Assessed and Given Influenza Vaccination

This Hospital:	98.0%
State:	94.3%

Percent of Patients Assessed and Given Pneumococcal Vaccination

Here:	90.0%
California:	95.8%

Surgery

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

Here:	96.0%
California:	98.1%

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

This Hospital:	90.0%
State:	96.3%

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

This Hospital:	97.0%
California:	98.2%

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

Here:	88.0%
State:	96.0%

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

This Hospital:	90.0%
California:	96.9%

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

Here:	99.0%
California:	99.8%

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

This Hospital:	83.0%
State:	93.9%

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

Here:	69.0%
State:	96.1%

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

This Hospital:	64.0%
California:	95.1%

Outpatients having surgery who got the right kind of antibiotic (higher numbers are better)

Here:	100.0%
California:	95.5%

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

This Hospital:	98.0%
California:	99.6%

Outcome of Care

30-Day Mortality Rates from Heart Attack

Here:	14.9%
State:	14.9%

30-Day Mortality Rates from Heart Failure

This Hospital:	10.3%
California:	10.9%

30-Day Mortality Rates from Pneumonia

Here:	10.5%
California:	11.7%

30-Day Readmission Rates from Heart Failure

Here:	24.8%
California:	24.4%

30-Day Readmission Rates from Pneumonia

This Hospital:	17.8%
State:	18.3%

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

Acute Myocardial Infarction, Discharged Alive with Major Complications

Average Covered Charges

This Hospital:	$89,016
California:	$83,364

Average Total Payments

Here:	$17,823
State:	$15,491

Number of discharges: 11

This Hospital:	1.69%
California:	0.94%

Bronchitis and Asthma without Complications

Average Covered Charges

Here:	$34,805
State:	$35,518

Average Total Payments

This Hospital:	$6,133
State:	$5,397

Number of discharges: 11

This Hospital:	1.69%
State:	0.13%

Cellulitis without Major Complications

Average Covered Charges

This Hospital:	$51,076
California:	$36,707

Average Total Payments

This Hospital:	$8,436
California:	$7,245

Number of discharges: 17

Here:	2.62%
California:	2.08%

Chest Pain

Average Covered Charges

Here:	$30,090
California:	$29,034

Average Total Payments

Here:	$5,540
California:	$4,742

Number of discharges: 27

This Hospital:	4.16%
California:	2.11%

Chronic Obstructive Pulmonary Disease with Complications

Average Covered Charges

Here:	$59,775
California:	$46,809

Average Total Payments

This Hospital:	$9,794
State:	$8,290

Number of discharges: 13

Here:	2.00%
State:	1.75%

Chronic Obstructive Pulmonary Disease with Major Complications

Average Covered Charges

Here:	$60,308
California:	$58,013

Average Total Payments

This Hospital:	$11,997
State:	$10,305

Number of discharges: 20

Here:	3.08%
State:	2.00%

Chronic Obstructive Pulmonary Disease without Complications

Average Covered Charges

This Hospital:	$33,549
State:	$35,163

Average Total Payments

This Hospital:	$7,109
California:	$6,206

Number of discharges: 34

Here:	5.24%
California:	1.11%

Circulatory Disorders Except Acute Myocardial Infarction, with Card Cath without Major Complications

Average Covered Charges

This Hospital:	$34,698
State:	$62,234

Average Total Payments

This Hospital:	$10,803
California:	$9,681

Number of discharges: 28

Here:	4.31%
California:	1.28%

Diabetes with Complications

Average Covered Charges

This Hospital:	$40,499
State:	$38,964

Average Total Payments

Here:	$8,353
State:	$7,470

Number of discharges: 14

This Hospital:	2.16%
State:	0.69%

Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications

Average Covered Charges

Here:	$29,796
California:	$36,899

Average Total Payments

This Hospital:	$7,220
California:	$6,233

Number of discharges: 37

This Hospital:	5.70%
California:	3.09%

G.I. Obstruction without Complications

Average Covered Charges

Here:	$17,793
California:	$30,586

Average Total Payments

This Hospital:	$6,408
State:	$5,436

Number of discharges: 11

This Hospital:	1.69%
State:	0.47%

Heart Failure and Shock with Complications

Average Covered Charges

Here:	$33,762
State:	$47,292

Average Total Payments

Here:	$10,369
California:	$8,831

Number of discharges: 27

This Hospital:	4.16%
California:	2.91%

Heart Failure and Shock with Major Complications

Average Covered Charges

Here:	$79,424
State:	$70,963

Average Total Payments

This Hospital:	$16,536
State:	$13,159

Number of discharges: 26

This Hospital:	4.01%
California:	3.03%

Heart Failure and Shock without Complications

Average Covered Charges

Here:	$31,166
California:	$32,995

Average Total Payments

This Hospital:	$6,912
State:	$5,851

Number of discharges: 11

This Hospital:	1.69%
California:	1.02%

Intracranial Hemorrhage or Cerebral Infarction with Complications

Average Covered Charges

Here:	$33,549
State:	$55,669

Average Total Payments

Here:	$10,941
California:	$9,837

Number of discharges: 18

This Hospital:	2.77%
California:	1.65%

Kidney and Urinary Tract Infections without Major Complications

Average Covered Charges

This Hospital:	$29,785
California:	$36,114

Average Total Payments

Here:	$7,620
State:	$6,728

Number of discharges: 14

Here:	2.16%
State:	2.98%

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

Average Covered Charges

Here:	$29,120
State:	$32,446

Average Total Payments

Here:	$6,965
California:	$5,975

Number of discharges: 27

This Hospital:	4.16%
California:	2.21%

Other Circulatory System Diagnoses with Major Complications

Average Covered Charges

Here:	$134,508
State:	$89,034

Average Total Payments

This Hospital:	$23,338
State:	$17,349

Number of discharges: 14

This Hospital:	2.16%
State:	0.83%

Pulmonary Edema and Respiratory Failure

Average Covered Charges

This Hospital:	$69,064
State:	$64,758

Average Total Payments

Here:	$12,740
California:	$11,179

Number of discharges: 33

This Hospital:	5.08%
California:	1.15%

Red Blood Cell Disorders with Major Complications

Average Covered Charges

Here:	$49,162
California:	$54,654

Average Total Payments

This Hospital:	$12,606
State:	$11,520

Number of discharges: 12

Here:	1.85%
California:	0.36%

Red Blood Cell Disorders without Major Complications

Average Covered Charges

This Hospital:	$29,346
California:	$35,878

Average Total Payments

This Hospital:	$8,015
State:	$7,039

Number of discharges: 31

This Hospital:	4.78%
State:	1.21%

Renal Failure with Major Complications

Average Covered Charges

This Hospital:	$67,864
California:	$72,128

Average Total Payments

Here:	$16,505
State:	$14,548

Number of discharges: 11

Here:	1.69%
State:	1.48%

Respiratory System Diagnosis with Ventilator Support 96+ Hours

Average Covered Charges

This Hospital:	$211,086
California:	$262,024

Average Total Payments

This Hospital:	$42,789
California:	$48,700

Number of discharges: 12

Here:	1.85%
State:	0.44%

Respiratory System Diagnosis with Ventilator Support <96 Hours

Average Covered Charges

This Hospital:	$132,068
State:	$120,888

Average Total Payments

This Hospital:	$26,802
California:	$21,006

Number of discharges: 11

Here:	1.69%
State:	0.92%

Septicemia or Severe Sepsis with Mechanical Ventilation 96+ Hours

Average Covered Charges

Here:	$263,499
California:	$277,564

Average Total Payments

This Hospital:	$53,498
State:	$53,075

Number of discharges: 20

This Hospital:	3.08%
State:	0.64%

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

Average Covered Charges

Here:	$98,212
State:	$90,173

Average Total Payments

This Hospital:	$19,477
State:	$16,748

Number of discharges: 83

Here:	12.79%
State:	7.21%

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

Average Covered Charges

This Hospital:	$36,949
State:	$50,385

Average Total Payments

This Hospital:	$11,100
State:	$9,612

Number of discharges: 19

Here:	2.93%
California:	2.35%

Simple Pneumonia and Pleurisy with Complications

Average Covered Charges

Here:	$39,971
State:	$48,755

Average Total Payments

This Hospital:	$9,486
California:	$8,695

Number of discharges: 24

Here:	3.70%
State:	2.75%

Simple Pneumonia and Pleurisy with Major Complications

Average Covered Charges

Here:	$88,311
State:	$70,362

Average Total Payments

This Hospital:	$14,819
State:	$12,496

Number of discharges: 18

Here:	2.77%
State:	1.89%

Syncope and Collapse

Average Covered Charges

This Hospital:	$36,822
State:	$37,038

Average Total Payments

This Hospital:	$7,232
California:	$6,233

Number of discharges: 15

Here:	2.31%
State:	1.60%

Hospital Acquired Conditions

Falls and injuries

Here:	0.396%
State:	0.625%

Blood infection from a catheter in a large vein

This Hospital:	1.585%
State:	0.530%

Complaint Deficiency

Allow residents to easily view the results of the nursing home's most recent survey
- Harm: Potential for minimal 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
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
A two-hour-resistant firewall in common walls
- 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
Signs that state that exit doors are to be kept closed
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Record of quarterly fire drills for each shift under varying conditions
- Harm: Potential for minimal harm
- Scope: Many
Properly installed electrical wiring and equipment
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly installed hallway dispensers for alcohol-based hand rub
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Keep each resident free from physical restraints, unless needed for medical treatment
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Keep each resident free from drugs that restrain them, unless needed for medical treatment
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide medically-related social services to help each resident achieve the highest possible quality of life
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide a safe, clean, comfortable and homelike environment
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Check and assess each resident's assessment at least every 3 months
- 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
Give the right treatment and services to residents who have mental or psychosocial problems adjusting
- 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: Few
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: Some
Keep all essential equipment working safely
- 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
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action
- Harm: Minimal harm or potential for actual 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: Few
Provide housekeeping and maintenance services
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Keep all essential equipment working safely
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Operate and provide services according to Federal, State, and local laws and 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
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
An approved installation, maintenance and testing program for fire alarm systems
- 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

Use of Medical Imaging

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

Here:	5.400%
California:	8.180%

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

Here:	0.130%
State:	0.170%

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

Here:	5.200%
State:	5.492%

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

Here:	1.200%
California:	1.898%

COMMUNITY HOSPITAL OF SAN BERNARDINO - SAN BERNARDINO, CA

Hospital Consumer Assessment of Healthcare Providers

Quality Measures

Process of Care

Heart Attack

Heart Failure

Pneumonia

Surgery

Outcome of Care

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

Hospital Acquired Conditions

Complaint Deficiency

Use of Medical Imaging

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