MEMORIAL HOSPITAL OF GARDENA (GARDENA, CA) Detailed Hospital Profile

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: 300 or more
Survey Response Rate: 28%

How often did nurses communicate well with patients?

Sometimes or never

This Hospital:	14%
California:	7%

Usually

Here:	20%
California:	21%

Always

This Hospital:	66%
California:	72%

How often did doctors communicate well with patients?

Sometimes or never

This Hospital:	11%
State:	6%

Usually

This Hospital:	14%
State:	17%

Always

Here:	75%
California:	77%

How often did patients receive help quickly from hospital staff?

Sometimes or never

This Hospital:	20%
California:	13%

Usually

Here:	27%
California:	28%

Always

This Hospital:	53%
California:	59%

How often was patients' pain well controlled?

Sometimes or never

This Hospital:	12%
California:	8%

Usually

Here:	24%
California:	25%

Always

Here:	64%
State:	67%

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

Sometimes or never

Here:	33%
California:	23%

Usually

This Hospital:	14%
California:	19%

Always

This Hospital:	53%
California:	58%

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

Sometimes or never

Here:	14%
State:	10%

Usually

This Hospital:	19%
California:	21%

Always

This Hospital:	67%
State:	69%

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

Sometimes or never

This Hospital:	24%
State:	18%

Usually

Here:	29%
California:	33%

Always

Here:	47%
California:	49%

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

Yes

Here:	72%
State:	81%

This Hospital:	28%
State:	19%

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

6 or lower

This Hospital:	17%
State:	10%

7 or 8

Here:	31%
State:	24%

9 or 10

This Hospital:	52%
State:	66%

Would patients recommend the hospital to friends and family?

This Hospital:	14%
California:	7%

Yes, probably

Here:	34%
California:	24%

Yes, definitely

Here:	52%
State:	69%

Hospital Acquired Conditions

Falls and injuries

This Hospital:	0.285%
California:	0.625%

Inpatient Prospective Payment System (IPPS) - Medicare Provider Charge Data

Acute Myocardial Infarction, Discharged Alive with Major Complications

Average Covered Charges

Here:	$39,995
State:	$83,364

Average Total Payments

This Hospital:	$15,512
California:	$15,491

Number of discharges: 17

Here:	1.64%
California:	0.94%

Atherosclerosis without Major Complications

Average Covered Charges

Here:	$18,391
California:	$28,823

Average Total Payments

This Hospital:	$5,303
California:	$4,913

Number of discharges: 32

This Hospital:	3.09%
State:	0.40%

Cardiac Arrhythmia and Conduction Disorders with Complications

Average Covered Charges

This Hospital:	$26,035
California:	$39,980

Average Total Payments

This Hospital:	$7,618
State:	$7,146

Number of discharges: 17

This Hospital:	1.64%
State:	1.30%

Cellulitis without Major Complications

Average Covered Charges

Here:	$28,824
State:	$36,707

Average Total Payments

This Hospital:	$7,636
California:	$7,245

Number of discharges: 30

Here:	2.90%
California:	2.08%

Chronic Obstructive Pulmonary Disease with Complications

Average Covered Charges

This Hospital:	$30,433
State:	$46,809

Average Total Payments

Here:	$8,807
California:	$8,290

Number of discharges: 35

Here:	3.38%
California:	1.75%

Chronic Obstructive Pulmonary Disease with Major Complications

Average Covered Charges

Here:	$28,509
State:	$58,013

Average Total Payments

Here:	$10,367
State:	$10,305

Number of discharges: 46

Here:	4.44%
California:	2.00%

Chronic Obstructive Pulmonary Disease without Complications

Average Covered Charges

This Hospital:	$18,261
State:	$35,163

Average Total Payments

This Hospital:	$6,536
State:	$6,206

Number of discharges: 23

This Hospital:	2.22%
California:	1.11%

Cranial and Peripheral Nerve Disorders without Major Complications

Average Covered Charges

Here:	$24,031
State:	$42,162

Average Total Payments

This Hospital:	$7,830
California:	$7,743

Number of discharges: 16

This Hospital:	1.54%
State:	0.28%

Diabetes with Complications

Average Covered Charges

This Hospital:	$22,692
California:	$38,964

Average Total Payments

This Hospital:	$7,515
California:	$7,470

Number of discharges: 12

This Hospital:	1.16%
California:	0.69%

Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications

Average Covered Charges

Here:	$21,562
California:	$36,899

Average Total Payments

Here:	$6,480
State:	$6,233

Number of discharges: 37

Here:	3.57%
California:	3.09%

G.I. Hemorrhage with Complications

Average Covered Charges

This Hospital:	$30,145
State:	$46,039

Average Total Payments

This Hospital:	$9,126
State:	$8,685

Number of discharges: 32

This Hospital:	3.09%
State:	1.95%

G.I. Hemorrhage with Major Complications

Average Covered Charges

This Hospital:	$52,963
California:	$80,936

Average Total Payments

This Hospital:	$15,607
California:	$15,696

Number of discharges: 17

Here:	1.64%
California:	0.79%

Heart Failure and Shock with Complications

Average Covered Charges

This Hospital:	$24,671
State:	$47,292

Average Total Payments

Here:	$9,255
State:	$8,831

Number of discharges: 37

Here:	3.57%
State:	2.91%

Heart Failure and Shock with Major Complications

Average Covered Charges

This Hospital:	$38,708
State:	$70,963

Average Total Payments

This Hospital:	$13,313
State:	$13,159

Number of discharges: 48

This Hospital:	4.63%
California:	3.03%

Infectious and Parasitic Diseases with O.R. Procedure with Major Complications

Average Covered Charges

This Hospital:	$153,931
California:	$260,329

Average Total Payments

This Hospital:	$39,075
California:	$51,393

Number of discharges: 59

This Hospital:	5.69%
State:	0.87%

Intracranial Hemorrhage or Cerebral Infarction with Major Complications

Average Covered Charges

This Hospital:	$43,184
California:	$95,326

Average Total Payments

This Hospital:	$16,379
State:	$17,327

Number of discharges: 15

This Hospital:	1.45%
California:	1.11%

Kidney and Urinary Tract Infections with Major Complications

Average Covered Charges

Here:	$31,178
State:	$52,262

Average Total Payments

This Hospital:	$10,396
State:	$10,172

Number of discharges: 20

This Hospital:	1.93%
California:	0.99%

Kidney and Urinary Tract Infections without Major Complications

Average Covered Charges

This Hospital:	$25,525
State:	$36,114

Average Total Payments

Here:	$6,891
State:	$6,728

Number of discharges: 18

This Hospital:	1.74%
State:	2.98%

Medical Back Problems without Major Complications

Average Covered Charges

This Hospital:	$23,872
California:	$42,156

Average Total Payments

Here:	$7,416
State:	$6,908

Number of discharges: 13

This Hospital:	1.25%
State:	0.92%

Misc Disorders of Nutrition, Metabolism, Fluids or Electrolytes with Major Complications

Average Covered Charges

Here:	$24,803
California:	$49,218

Average Total Payments

This Hospital:	$9,783
State:	$10,092

Number of discharges: 11

This Hospital:	1.06%
California:	0.94%

Misc Disorders of Nutrition, Metabolism, Fluids or Electrolytes without Major Complications

Average Covered Charges

This Hospital:	$23,272
State:	$32,446

Average Total Payments

This Hospital:	$6,301
State:	$5,975

Number of discharges: 20

Here:	1.93%
State:	2.21%

Other Circulatory System Diagnoses with Major Complications

Average Covered Charges

Here:	$47,362
California:	$89,034

Average Total Payments

Here:	$15,785
State:	$17,349

Number of discharges: 19

Here:	1.83%
California:	0.83%

Other Digestive System Diagnoses with Complications

Average Covered Charges

Here:	$25,775
California:	$49,604

Average Total Payments

Here:	$9,017
California:	$8,812

Number of discharges: 11

This Hospital:	1.06%
State:	0.66%

Peripheral Vascular Disorders with Complications

Average Covered Charges

This Hospital:	$23,955
State:	$46,464

Average Total Payments

Here:	$8,869
State:	$8,334

Number of discharges: 11

This Hospital:	1.06%
California:	0.45%

Pulmonary Edema and Respiratory Failure

Average Covered Charges

Here:	$46,529
California:	$64,758

Average Total Payments

This Hospital:	$11,641
California:	$11,179

Number of discharges: 15

This Hospital:	1.45%
California:	1.15%

Renal Failure with Complications

Average Covered Charges

Here:	$34,432
California:	$48,439

Average Total Payments

This Hospital:	$9,332
California:	$8,967

Number of discharges: 16

Here:	1.54%
California:	1.90%

Renal Failure with Major Complications

Average Covered Charges

This Hospital:	$40,465
California:	$72,128

Average Total Payments

Here:	$14,587
California:	$14,548

Number of discharges: 53

This Hospital:	5.12%
State:	1.48%

Respiratory Infections and Inflammations with Major Complications

Average Covered Charges

This Hospital:	$49,990
California:	$101,885

Average Total Payments

This Hospital:	$16,563
California:	$17,925

Number of discharges: 35

This Hospital:	3.38%
California:	1.30%

Respiratory System Diagnosis with Ventilator Support 96+ Hours

Average Covered Charges

Here:	$120,023
California:	$262,024

Average Total Payments

This Hospital:	$38,468
California:	$48,700

Number of discharges: 12

This Hospital:	1.16%
State:	0.44%

Respiratory System Diagnosis with Ventilator Support <96 Hours

Average Covered Charges

Here:	$68,054
California:	$120,888

Average Total Payments

This Hospital:	$25,843
California:	$21,006

Number of discharges: 14

Here:	1.35%
State:	0.92%

Septicemia or Severe Sepsis with Mechanical Ventilation 96+ Hours

Average Covered Charges

Here:	$163,414
California:	$277,564

Average Total Payments

Here:	$46,652
California:	$53,075

Number of discharges: 29

Here:	2.80%
State:	0.64%

Septicemia or Severe Sepsis without Mechanical Ventilation 96+ Hours with Major Complications

Average Covered Charges

This Hospital:	$51,908
California:	$90,173

Average Total Payments

Here:	$16,886
California:	$16,748

Number of discharges: 183

This Hospital:	17.66%
State:	7.21%

Septicemia or Severe Sepsis without Mechanical Ventilation 96+ Hours without Major Complications

Average Covered Charges

This Hospital:	$42,395
California:	$50,385

Average Total Payments

Here:	$10,108
California:	$9,612

Number of discharges: 25

This Hospital:	2.41%
State:	2.35%

Simple Pneumonia and Pleurisy with Complications

Average Covered Charges

Here:	$32,719
State:	$48,755

Average Total Payments

Here:	$9,201
California:	$8,695

Number of discharges: 18

This Hospital:	1.74%
State:	2.75%

Simple Pneumonia and Pleurisy with Major Complications

Average Covered Charges

Here:	$35,839
State:	$70,362

Average Total Payments

This Hospital:	$12,851
State:	$12,496

Number of discharges: 19

This Hospital:	1.83%
California:	1.89%

Syncope and Collapse

Average Covered Charges

This Hospital:	$20,784
State:	$37,038

Average Total Payments

Here:	$6,469
California:	$6,233

Number of discharges: 21

This Hospital:	2.03%
California:	1.60%

Use of Medical Imaging

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

This Hospital:	0.026%
California:	0.170%

Quality Measures

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

This Hospital:	42.9%
California:	7.5%

Percent of long-stay residents who lose too much weight

This Hospital:	3.1%
California:	6.3%

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

Here:	12.3%
California:	4.0%

Percent of long-stay residents with a urinary tract infection

Here:	10.9%
California:	6.7%

Percent of long-stay residents who were physically restrained

This Hospital:	12.3%
California:	3.6%

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

This Hospital:	100.0%
California:	93.0%

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

Here:	100.0%
State:	94.0%

Percent of long-stay residents who received an antipsychotic medication

This Hospital:	5.0%
California:	19.0%

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

This Hospital:	96.0%
California:	99.3%

Percent of Patients Given Aspirin at Discharge

This Hospital:	97.0%
State:	99.0%

Percent of Patients Given Beta Blocker at Discharge

Here:	100.0%
California:	98.5%

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

This Hospital:	20
California:	9

Average number of minutes before outpatients with chest pain or possible heart attack were transferred to another hospital

This Hospital:	62
California:	78

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

Here:	98.0%
California:	97.2%

Patients Given a Prescription for a Statin at Discharge

Here:	84.0%
California:	97.5%

Heart Failure

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

This Hospital:	99.0%
California:	98.9%

Percent of Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)

Here:	99.0%
State:	96.2%

Percent of Patients Given Discharge Instructions

This Hospital:	91.0%
California:	93.5%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
California:	99.4%

Pneumonia

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

This Hospital:	94.0%
State:	96.1%

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

Here:	98.0%
State:	96.7%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	100.0%
California:	98.1%

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

Here:	98.0%
State:	95.9%

Percent of Patients Assessed and Given Influenza Vaccination

This Hospital:	96.0%
California:	94.3%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Hospital:	94.0%
State:	95.8%

Surgery

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

Here:	100.0%
California:	98.1%

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

This Hospital:	97.0%
State:	96.3%

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

This Hospital:	100.0%
California:	98.2%

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

Here:	94.0%
California:	96.0%

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

Here:	93.0%
State:	96.9%

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

This Hospital:	100.0%
California:	99.8%

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

Here:	91.0%
State:	93.9%

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

This Hospital:	91.0%
California:	96.1%

Outpatients having surgery who got an antibiotic at the right time - within one hour before surgery (higher numbers are better)

Here:	100.0%
California:	95.1%

Outpatients having surgery who got the right kind of antibiotic (higher numbers are better)

Here:	83.0%
State:	95.5%

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

Here:	99.0%
State:	99.6%

Outcome of Care

30-Day Mortality Rates from Heart Attack

Here:	14.6%
California:	14.9%

30-Day Mortality Rates from Heart Failure

This Hospital:	11.4%
California:	10.9%

30-Day Mortality Rates from Pneumonia

Here:	10.3%
California:	11.7%

30-Day Readmission Rates from Heart Failure

This Hospital:	24.9%
California:	24.4%

30-Day Readmission Rates from Pneumonia

This Hospital:	18.7%
California:	18.3%

Complaint Deficiency

Provide a safe, clean, comfortable and homelike environment
- Harm: Potential for minimal harm
- Scope: Some
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: 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
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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: Few
Store, cook, and serve food in a safe and clean way
- Harm: Potential for minimal harm
- Scope: Some
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: Few
Be designed, built, equipped, or well kept to protect the health and safety of residents, workers, and the public
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Keep accurate, complete and organized clinical records on each resident that meet professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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
Provide care for each resident in a way that keeps or builds the resident's quality of life
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Reasonably accommodate the needs and preferences of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide a safe, clean, comfortable and homelike environment
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Make sure each resident receives an accurate assessment by a qualified health professional
- 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
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: Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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: 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
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses
- 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
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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: Many
Have a program that investigates, controls and keeps infection from spreading
- 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
Record of quarterly fire drills for each shift under varying conditions
- 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
Corridors or aisles that are unobstructed and are at least 8 feet in width
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Record of quarterly fire drills for each shift under varying conditions
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly maintained smoke detectors
- Harm: Minimal harm or potential for actual harm
- Scope: Few
An approved automatic sprinkler system connected to the fire alarm system
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly working sprinkler alarm system
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Portable fire extinguishers
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Proper power supply for life support equipment
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Other fire safety features required by fire safety codes
- 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: Many
Provide medically-related social services to help each resident achieve the highest possible quality of life
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Conduct initial and periodic assessments of each resident's functional capacity
- Harm: Potential for minimal harm
- Scope: Some
Make sure each resident receives an accurate assessment by a qualified health professional
- Harm: Potential for minimal harm
- Scope: Some
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: 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 care by qualified persons according to each resident's written plan of care
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide proper discharge planning and communication, of the resident's health status and summary of the resident's stay
- Harm: Potential for minimal 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: Few
Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion
- 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
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public
- Harm: Minimal harm or potential for actual harm
- Scope: Few

MEMORIAL HOSPITAL OF GARDENA - GARDENA, CA

Hospital Consumer Assessment of Healthcare Providers

Hospital Acquired Conditions

Inpatient Prospective Payment System (IPPS) - Medicare Provider Charge Data

Use of Medical Imaging

Quality Measures

Process of Care

Heart Attack

Heart Failure

Pneumonia

Surgery

Outcome of Care

Complaint Deficiency

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