GENESIS MEDICAL CENTER-DEWITT (DE WITT, IA) Detailed Nursing Home Profile

Use of Medical Imaging

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

This Nursing Home:	8.200%
Iowa:	8.069%

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

Here:	0.014%
State:	0.031%

Complaint Deficiency

Exits that are accessible at all times
- Harm: Immediate jeopardy to resident health or safety
- 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
Have enough nurses to care for every resident in a way that maximizes the resident's well being
- 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
A two-hour-resistant firewall in common walls
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Proper stairway enclosures and vertical shafts
- 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: Some
Smoke barrier doors that can resist smoke for at least 20 minutes
- 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
An approved installation, maintenance and testing program for fire alarm systems
- 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: Few
Properly installed electrical wiring and equipment
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Back-up procedures in place for a faulty automatic sprinkler system
- Harm: Minimal harm or potential for actual harm
- Scope: Many
An approved back-up procedure for a faulty fire alarm system
- 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: Few
Corridors that are separated from common areas by walls constructed to limit the passage of smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Proper stairway enclosures and vertical shafts
- 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
Exits that are accessible at all times
- 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: Many
An approved installation, maintenance and testing program for fire alarm systems
- 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: Some
Restrictions on the use of flammable curtains
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Other fire safety features required by fire safety codes
- 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
A fire alarm system that can be heard throughout the facility
- Harm: Minimal harm or potential for actual harm
- Scope: Many
An approved automatic sprinkler system connected to the fire alarm system
- Harm: Minimal harm or potential for actual harm
- Scope: Some

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	0.900
Iowa:	0.684

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

This Nursing Home:	0.350
Iowa:	0.621

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.250
Iowa:	1.298

Process of Care

Heart Attack

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

Here:	2
Iowa:	6

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

Here:	100.0%
Iowa:	97.2%

Pneumonia

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

This Nursing Home:	100.0%
Iowa:	97.4%

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

This Nursing Home:	93.0%
Iowa:	93.4%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Nursing Home:	92.0%
Iowa:	94.3%

Outcome of Care

30-Day Mortality Rates from Heart Failure

This Nursing Home:	11.8%
Iowa:	12.0%

30-Day Mortality Rates from Pneumonia

This Nursing Home:	11.4%
Iowa:	12.0%

30-Day Readmission Rates from Heart Failure

This Nursing Home:	24.1%
Iowa:	23.7%

30-Day Readmission Rates from Pneumonia

Here:	18.4%
Iowa:	17.9%

Quality Measures

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

This Nursing Home:	1.7%
State:	14.5%

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

Here:	17.5%
State:	11.4%

Percent of long-stay residents who lose too much weight

This Nursing Home:	4.7%
Iowa:	6.7%

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

Here:	31.4%
State:	39.8%

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

This Nursing Home:	7.1%
Iowa:	4.7%

Percent of long-stay residents with a urinary tract infection

Here:	6.3%
Iowa:	8.4%

Percent of long-stay residents who have depressive symptoms

This Nursing Home:	4.9%
Iowa:	7.5%

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

Here:	3.1%
State:	3.9%

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

Here:	100.0%
Iowa:	98.0%

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

Here:	100.0%
State:	97.7%

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

This Nursing Home:	100.0%
Iowa:	91.0%

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

Here:	82.6%
State:	88.8%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	9.7%
Iowa:	21.0%

GENESIS MEDICAL CENTER-DEWITT - DE WITT, IA