COON MEMORIAL HOME (DALHART, TX) Detailed Nursing Home Profile

Process of Care

Heart Failure

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

This Nursing Home:	21.0%
State:	98.7%

Pneumonia

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

Here:	65.0%
State:	96.4%

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

Here:	84.0%
State:	95.2%

Percent of Patients Assessed and Given Pneumococcal Vaccination

Here:	19.0%
Texas:	96.2%

Surgery

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

Here:	40.0%
Texas:	98.4%

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

Here:	85.0%
State:	97.0%

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

This Nursing Home:	93.0%
Texas:	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:	93.0%
State:	96.7%

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

Here:	100.0%
State:	97.6%

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

Here:	100.0%
Texas:	99.9%

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

This Nursing Home:	58.0%
Texas:	95.1%

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

This Nursing Home:	73.0%
State:	99.7%

Outcome of Care

30-Day Mortality Rates from Heart Failure

Here:	11.8%
Texas:	11.2%

30-Day Mortality Rates from Pneumonia

This Nursing Home:	11.4%
State:	11.8%

30-Day Readmission Rates from Heart Failure

This Nursing Home:	26.9%
Texas:	24.2%

30-Day Readmission Rates from Pneumonia

Here:	17.7%
State:	18.0%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	0.320
State:	0.469

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

Here:	0.520
Texas:	0.894

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	0.840
Texas:	1.350

Quality Measures

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

This Nursing Home:	28.2%
State:	20.4%

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

Here:	9.1%
Texas:	7.2%

Percent of long-stay residents who lose too much weight

Here:	3.7%
Texas:	6.7%

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

Here:	10.8%
Texas:	3.9%

Percent of long-stay residents with a urinary tract infection

This Nursing Home:	13.0%
Texas:	8.3%

Percent of long-stay residents who have depressive symptoms

Here:	11.1%
Texas:	9.3%

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

This Nursing Home:	100.0%
Texas:	91.6%

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

This Nursing Home:	100.0%
State:	91.1%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	44.0%
State:	28.5%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: Between 100 and 299
Survey Response Rate: 31%

How often did nurses communicate well with patients?

Sometimes or never

This Nursing Home:	7%
State:	5%

Usually

Here:	21%
State:	17%

Always

Here:	72%
Texas:	78%

How often did doctors communicate well with patients?

Sometimes or never

This Nursing Home:	3%
Texas:	4%

Usually

Here:	11%
State:	13%

Always

This Nursing Home:	86%
State:	83%

How often did patients receive help quickly from hospital staff?

Sometimes or never

Here:	11%
State:	10%

Usually

This Nursing Home:	35%
State:	23%

Always

This Nursing Home:	54%
Texas:	67%

How often was patients' pain well controlled?

Sometimes or never

Here:	12%
State:	7%

Usually

This Nursing Home:	26%
State:	21%

Always

This Nursing Home:	62%
State:	72%

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

Sometimes or never

This Nursing Home:	22%
State:	19%

Usually

Here:	21%
Texas:	17%

Always

This Nursing Home:	57%
Texas:	64%

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

Sometimes or never

Here:	9%
Texas:	9%

Usually

This Nursing Home:	20%
State:	18%

Always

This Nursing Home:	71%
Texas:	73%

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

Sometimes or never

This Nursing Home:	12%
Texas:	8%

Usually

This Nursing Home:	43%
State:	25%

Always

Here:	45%
State:	67%

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

Yes

This Nursing Home:	85%
State:	83%

Here:	15%
Texas:	17%

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

6 or lower

This Nursing Home:	9%
Texas:	8%

7 or 8

Here:	29%
State:	21%

9 or 10

This Nursing Home:	62%
Texas:	71%

Would patients recommend the hospital to friends and family?

Here:	8%
Texas:	5%

Yes, probably

Here:	35%
State:	23%

Yes, definitely

This Nursing Home:	57%
Texas:	72%

Complaint Deficiency

Approved construction type or materials
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
A two-hour-resistant firewall in common walls
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Approved construction type or materials
- Harm: Minimal harm or potential for actual harm
- Scope: Some
A two-hour-resistant firewall in common walls
- 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
Provide doctors orders for the resident's immediate care, at the time the resident was admitted
- 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
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Heating and ventilation systems that have been properly installed according to the manufacturer's instructions
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed
- Harm: Minimal harm or potential for actual harm
- Scope: Some
A two-hour-resistant firewall in common walls
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene
- 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: Some
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs
- 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: Some
Proper construction of ducts through walls designed to prevent smoke passage
- 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: Many
Exits that are accessible at all times
- Harm: Potential for minimal harm
- Scope: Many
An externally vented heating system
- Harm: Potential for minimal harm
- Scope: Many
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured
- Harm: Potential for minimal harm
- Scope: Many
Assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Post nurse staffing information/data on a daily basis
- Harm: Potential for minimal 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: Many
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs
- 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: Some
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: Some
Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality
- Harm: Potential for minimal harm
- Scope: Many
Make sure each resident receives an accurate assessment by a qualified health professional
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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: Many
Assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene
- 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
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: Some
Use a registered nurse at least 8 hours a day, 7 days a week
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Dispose of garbage and refuse properly
- Harm: Potential for minimal harm
- Scope: Many
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: 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: Some
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Be administered in an acceptable way that maintains the well-being of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Employ or obtain outside professional resources providing services in the nursing home that meet professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Give or get quality lab services/tests in a timely manner to meet the needs of residents
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Keep complete, dated lab records in the resident's file
- 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

COON MEMORIAL HOME - DALHART, TX

Process of Care

Heart Failure

Pneumonia

Surgery

Outcome of Care

Staff Information

Quality Measures

Hospital Consumer Assessment of Healthcare Providers

Complaint Deficiency

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