GLENDIVE MEDICAL CENTER N H (GLENDIVE, MT) Detailed Nursing Home Profile

Complaint Deficiency

A two-hour-resistant firewall in common walls
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Signs that state that exit doors are to be kept closed
- 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
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: Some
Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property
- Harm: Potential for minimal harm
- Scope: Some
Keep accurate, complete and organized clinical records on each resident that meet professional standards
- Harm: Potential for minimal harm
- Scope: Some
A two-hour-resistant firewall in common walls
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Approved construction type or materials
- 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
Two separate exits in rooms of more than 1000 square feet
- 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
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Proper medical gas storage and administration areas
- 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
Keep each resident's personal and medical records private and confidential
- Harm: Potential for minimal 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
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
Store, cook, and serve food in a safe and clean way
- 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: Potential for minimal 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
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
Properly constructed linen or trash chutes
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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: Some
Determine if it is safe for the resident to self-administer drugs
- 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: Some
Provide care by qualified persons according to each resident's written plan of care
- 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: Many
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Few

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	1.110
Montana:	0.883

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

Here:	0.350
State:	0.533

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.450
Montana:	1.405

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	0.370
Montana:	0.101

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.370
State:	0.118

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: Between 100 and 299
Survey Response Rate: 27%

How often did nurses communicate well with patients?

Sometimes or never

This Nursing Home:	7%
State:	5%

Usually

This Nursing Home:	24%
Montana:	20%

Always

This Nursing Home:	69%
Montana:	75%

How often did doctors communicate well with patients?

Sometimes or never

This Nursing Home:	10%
State:	5%

Usually

This Nursing Home:	22%
State:	15%

Always

Here:	68%
Montana:	80%

How often did patients receive help quickly from hospital staff?

Sometimes or never

Here:	11%
Montana:	7%

Usually

Here:	26%
Montana:	24%

Always

This Nursing Home:	63%
State:	69%

How often was patients' pain well controlled?

Sometimes or never

Here:	7%
State:	8%

Usually

This Nursing Home:	30%
State:	24%

Always

Here:	63%
State:	68%

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

Sometimes or never

Here:	25%
State:	20%

Usually

This Nursing Home:	23%
State:	18%

Always

This Nursing Home:	52%
Montana:	62%

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

Sometimes or never

Here:	8%
Montana:	8%

Usually

Here:	20%
Montana:	20%

Always

This Nursing Home:	72%
Montana:	72%

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

Sometimes or never

Here:	10%
State:	11%

Usually

Here:	38%
State:	31%

Always

This Nursing Home:	52%
State:	58%

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

Yes

This Nursing Home:	75%
Montana:	82%

Here:	25%
State:	18%

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

6 or lower

Here:	18%
Montana:	11%

7 or 8

This Nursing Home:	30%
State:	23%

9 or 10

This Nursing Home:	52%
Montana:	66%

Would patients recommend the hospital to friends and family?

Here:	10%
Montana:	5%

Yes, probably

Here:	45%
State:	28%

Yes, definitely

This Nursing Home:	45%
State:	67%

Process of Care

Heart Failure

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

This Nursing Home:	58.0%
State:	96.4%

Pneumonia

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

This Nursing Home:	95.0%
State:	98.0%

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

This Nursing Home:	100.0%
State:	96.6%

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

Here:	67.0%
State:	92.5%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Nursing Home:	89.0%
Montana:	95.7%

Surgery

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

Here:	92.0%
Montana:	98.1%

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

This Nursing Home:	97.0%
Montana:	97.8%

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

This Nursing Home:	95.0%
Montana:	98.6%

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

Here:	95.0%
State:	96.5%

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

Here:	95.0%
Montana:	97.8%

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

This Nursing Home:	100.0%
State:	99.6%

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

This Nursing Home:	88.0%
Montana:	95.5%

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

Here:	100.0%
State:	99.8%

Outcome of Care

30-Day Mortality Rates from Heart Failure

This Nursing Home:	13.0%
Montana:	12.4%

30-Day Mortality Rates from Pneumonia

Here:	15.3%
Montana:	12.1%

30-Day Readmission Rates from Heart Failure

This Nursing Home:	25.3%
Montana:	22.5%

30-Day Readmission Rates from Pneumonia

Here:	20.7%
State:	17.4%

Quality Measures

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

Here:	13.3%
State:	13.7%

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

This Nursing Home:	6.5%
State:	4.3%

Percent of long-stay residents who lose too much weight

This Nursing Home:	7.9%
State:	8.9%

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

Here:	12.5%
State:	5.2%

Percent of long-stay residents with a urinary tract infection

Here:	5.3%
State:	6.5%

Percent of long-stay residents who have depressive symptoms

Here:	2.9%
Montana:	8.3%

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

Here:	2.6%
Montana:	4.6%

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

This Nursing Home:	100.0%
State:	95.9%

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

Here:	97.4%
Montana:	91.2%

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

This Nursing Home:	79.2%
Montana:	81.3%

Percent of long-stay residents who received an antipsychotic medication

Here:	30.6%
State:	19.6%

GLENDIVE MEDICAL CENTER N H - GLENDIVE, MT

Complaint Deficiency

Staff Information

Hospital Consumer Assessment of Healthcare Providers

Process of Care

Heart Failure

Pneumonia

Surgery

Outcome of Care

Quality Measures

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