HARMONY MANOR HGH SNF (WINNEMUCCA, NV) Detailed Nursing Home Profile

Process of Care

Heart Attack

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

This Nursing Home:	3
Nevada:	10

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

Here:	100.0%
Nevada:	97.3%

Heart Failure

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

Here:	95.0%
State:	99.6%

Percent of Patients Given Discharge Instructions

This Nursing Home:	68.0%
State:	91.8%

Pneumonia

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

Here:	100.0%
State:	96.4%

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

Here:	75.0%
Nevada:	97.1%

Surgery

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

This Nursing Home:	33.0%
State:	98.4%

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

This Nursing Home:	100.0%
Nevada:	97.4%

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

This Nursing Home:	100.0%
Nevada:	98.3%

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

Here:	42.0%
Nevada:	96.4%

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

Here:	83.0%
State:	98.0%

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

This Nursing Home:	60.0%
State:	99.9%

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

Here:	60.0%
State:	95.0%

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

This Nursing Home:	100.0%
State:	99.9%

Outcome of Care

30-Day Mortality Rates from Pneumonia

Here:	13.9%
Nevada:	13.0%

30-Day Readmission Rates from Heart Failure

Here:	25.2%
Nevada:	25.4%

30-Day Readmission Rates from Pneumonia

Here:	17.9%
State:	19.1%

Use of Medical Imaging

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

Here:	2.900%
Nevada:	7.426%

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

This Nursing Home:	0.041%
Nevada:	0.136%

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

This Nursing Home:	0.027%
State:	0.046%

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

Here:	3.500%
Nevada:	6.151%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	1.080
Nevada:	0.872

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

Here:	0.600
State:	0.815

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.680
Nevada:	1.678

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	0.140
Nevada:	0.133

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.140
Nevada:	0.141

Complaint Deficiency

Keep each resident's personal and medical records private and confidential
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide a safe, clean, comfortable and homelike environment
- Harm: Potential for minimal harm
- Scope: Many
Provide necessary care and services to maintain the highest well being of each resident
- 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: Few
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: Few
Keep each resident's personal and medical records private and confidential
- 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: Few
Provide a safe, clean, comfortable and homelike environment
- Harm: Minimal harm or potential for actual 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: 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
Make sure that each resident gets a nutritional and well balanced diet, unless it is not possible to do so
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Post nurse staffing information/data on a daily basis
- 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
Immediately tell the resident, the resident's doctor and a family member of the resident of situations (injury/decline/room, etc.) that affect the resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure each resident has the right to have a choice over activities, their schedules and health care according to his or her interests, assessment, and plan of care
- 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
Make sure that doctors visit residents regularly, as required
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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: Few
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Few

HARMONY MANOR HGH SNF - WINNEMUCCA, NV