HAMMOND-HENRY DISTRICT HSP (GENESEO, IL) Detailed Nursing Home Profile

Use of Medical Imaging

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

Here:	12.300%
State:	8.337%

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

Here:	0.040%
Illinois:	0.171%

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

Here:	0.088%
Illinois:	0.056%

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

This Nursing Home:	5.200%
Illinois:	5.573%

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

Here:	1.100%
State:	2.790%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: 300 or more
Survey Response Rate: 42%

How often did nurses communicate well with patients?

Sometimes or never

Here:	1%
Illinois:	5%

Usually

Here:	19%
Illinois:	18%

Always

This Nursing Home:	80%
State:	77%

How often did doctors communicate well with patients?

Sometimes or never

Here:	2%
State:	4%

Usually

This Nursing Home:	12%
Illinois:	16%

Always

Here:	86%
State:	80%

How often did patients receive help quickly from hospital staff?

Sometimes or never

Here:	4%
Illinois:	11%

Usually

Here:	20%
Illinois:	25%

Always

Here:	76%
State:	64%

How often was patients' pain well controlled?

Sometimes or never

This Nursing Home:	5%
State:	7%

Usually

This Nursing Home:	21%
State:	24%

Always

Here:	74%
State:	69%

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

Sometimes or never

This Nursing Home:	15%
State:	21%

Usually

Here:	20%
State:	19%

Always

Here:	65%
Illinois:	60%

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

Sometimes or never

This Nursing Home:	8%
State:	9%

Usually

This Nursing Home:	21%
Illinois:	19%

Always

This Nursing Home:	71%
State:	72%

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

Sometimes or never

Here:	5%
Illinois:	12%

Usually

Here:	31%
Illinois:	31%

Always

Here:	64%
State:	57%

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

Yes

This Nursing Home:	84%
Illinois:	83%

Here:	16%
Illinois:	17%

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

6 or lower

Here:	5%
State:	9%

7 or 8

This Nursing Home:	21%
State:	24%

9 or 10

This Nursing Home:	74%
State:	67%

Would patients recommend the hospital to friends and family?

Here:	2%
Illinois:	5%

Yes, probably

This Nursing Home:	23%
Illinois:	27%

Yes, definitely

This Nursing Home:	75%
Illinois:	68%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	1.090
State:	0.751

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

Here:	0.520
State:	0.595

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.610
State:	1.342

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	0.040
State:	0.080

Number Therapy Hours Per Resident Per Day

Here:	0.040
Illinois:	0.089

Quality Measures

Percent of long-stay residents who lose too much weight

Here:	16.1%
Illinois:	8.1%

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

This Nursing Home:	4.3%
Illinois:	4.5%

Percent of long-stay residents with a urinary tract infection

Here:	12.9%
State:	6.8%

Percent of long-stay residents who have depressive symptoms

Here:	3.2%
State:	7.7%

Percent of long-stay residents who were physically restrained

This Nursing Home:	6.5%
State:	2.4%

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

This Nursing Home:	12.9%
State:	3.4%

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

Here:	100.0%
Illinois:	93.9%

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

This Nursing Home:	100.0%
State:	92.9%

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

This Nursing Home:	46.4%
Illinois:	19.2%

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

This Nursing Home:	100.0%
State:	81.0%

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

This Nursing Home:	100.0%
State:	80.2%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	19.4%
State:	24.2%

Process of Care

Surgery

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

Here:	92.0%
State:	98.2%

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

Here:	91.0%
Illinois:	97.1%

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

Here:	94.0%
State:	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:	98.0%
State:	96.7%

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

Here:	98.0%
State:	97.4%

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%
Illinois:	99.9%

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

Here:	64.0%
State:	94.3%

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

Here:	93.0%
Illinois:	96.8%

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

Here:	99.0%
State:	99.7%

Outcome of Care

30-Day Mortality Rates from Heart Failure

Here:	12.3%
Illinois:	11.0%

30-Day Mortality Rates from Pneumonia

This Nursing Home:	14.5%
State:	11.7%

30-Day Readmission Rates from Heart Failure

This Nursing Home:	23.6%
Illinois:	25.6%

30-Day Readmission Rates from Pneumonia

This Nursing Home:	17.6%
State:	19.4%

Complaint Deficiency

Properly hold, secure and manage each resident's personal money which is deposited with the nursing home
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide proof that all residents' personal money which is deposited with the nursing home, is secure
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Keep each resident's personal and medical records private and confidential
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Allow residents to easily view the results of the nursing home's most recent survey
- Harm: Potential for minimal harm
- Scope: Many
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: Few
Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property
- Harm: Potential for minimal harm
- Scope: Many
Reasonably accommodate the needs and preferences of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide housekeeping and maintenance services
- 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: Few
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
Develop policies and procedures for influenza and pneumococcal immunizations
- 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: 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: Few
Make sure that doctors visit residents regularly, as required
- 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: Some
Keep all essential equipment working safely
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space
- 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: Potential for minimal harm
- Scope: Many
Approved construction type or materials
- Harm: Minimal harm or potential for actual harm
- Scope: Many
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: Many
Properly installed hallway dispensers for alcohol-based hand rub
- 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
Keep each resident free from physical restraints, unless needed for medical treatment
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Review or revise the resident's care plan after any major change in a resident's physical or mental health
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Allow the resident the right to participate in the planning or revision of the resident's care plan
- Harm: Minimal harm or potential for actual harm
- Scope: Few

HAMMOND-HENRY DISTRICT HSP - GENESEO, IL

Use of Medical Imaging

Hospital Consumer Assessment of Healthcare Providers

Staff Information

Quality Measures

Process of Care

Surgery

Outcome of Care

Complaint Deficiency

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