MERCY HOSPITAL OF THE FRANCISCAN SISTERS (OELWEIN, IA) Detailed Nursing Home Profile

Complaint Deficiency

Make sure services provided by the nursing facility meet professional standards of quality
- 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
Make sure services provided by the nursing facility meet professional standards of quality
- 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
Record of quarterly fire drills for each shift under varying conditions
- Harm: Minimal harm or potential for actual harm
- Scope: Many
A fire alarm system that can be heard throughout the facility
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Develop policies and procedures for influenza and pneumococcal immunizations
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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: Some
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: Few

Process of Care

Heart Failure

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

Here:	100.0%
State:	96.9%

Percent of Patients Given Discharge Instructions

Here:	77.0%
Iowa:	90.2%

Pneumonia

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

Here:	92.0%
Iowa:	93.4%

Percent of Patients Assessed and Given Pneumococcal Vaccination

Here:	91.0%
State:	94.3%

Surgery

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

This Nursing Home:	64.0%
Iowa:	96.3%

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

Here:	64.0%
State:	97.2%

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

Here:	100.0%
State:	99.8%

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

Here:	100.0%
Iowa:	99.6%

Outcome of Care

30-Day Mortality Rates from Heart Failure

This Nursing Home:	11.1%
Iowa:	12.0%

30-Day Mortality Rates from Pneumonia

Here:	11.6%
State:	12.0%

30-Day Readmission Rates from Heart Failure

Here:	22.6%
Iowa:	23.7%

30-Day Readmission Rates from Pneumonia

This Nursing Home:	16.9%
State:	17.9%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: Fewer than 100
Survey Response Rate: 44%

How often did nurses communicate well with patients?

Sometimes or never

Here:	3%
State:	3%

Usually

Here:	10%
Iowa:	17%

Always

This Nursing Home:	87%
State:	80%

How often did doctors communicate well with patients?

Sometimes or never

This Nursing Home:	4%
State:	3%

Usually

This Nursing Home:	10%
Iowa:	13%

Always

Here:	86%
State:	84%

How often did patients receive help quickly from hospital staff?

Sometimes or never

Here:	3%
Iowa:	6%

Usually

Here:	20%
Iowa:	25%

Always

This Nursing Home:	77%
Iowa:	69%

How often was patients' pain well controlled?

Sometimes or never

Here:	4%
Iowa:	5%

Usually

Here:	22%
State:	24%

Always

Here:	74%
State:	71%

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

Sometimes or never

Here:	7%
State:	15%

Usually

Here:	22%
Iowa:	21%

Always

This Nursing Home:	71%
State:	64%

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

Sometimes or never

Here:	5%
State:	6%

Usually

This Nursing Home:	9%
State:	16%

Always

This Nursing Home:	86%
Iowa:	78%

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

Sometimes or never

This Nursing Home:	3%
Iowa:	7%

Usually

This Nursing Home:	16%
State:	30%

Always

Here:	81%
State:	63%

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

Yes

This Nursing Home:	77%
Iowa:	85%

Here:	23%
Iowa:	15%

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

6 or lower

Here:	11%
State:	6%

7 or 8

This Nursing Home:	16%
Iowa:	20%

9 or 10

This Nursing Home:	73%
State:	74%

Would patients recommend the hospital to friends and family?

This Nursing Home:	3%
State:	3%

Yes, probably

Here:	31%
State:	22%

Yes, definitely

Here:	66%
State:	75%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	0.650
Iowa:	0.684

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

Here:	0.760
State:	0.621

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.410
Iowa:	1.298

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	0.020
Iowa:	0.037

Number Therapy Hours Per Resident Per Day

Here:	0.020
State:	0.043

Quality Measures

Percent of long-stay residents who lose too much weight

This Nursing Home:	6.7%
State:	6.7%

Percent of long-stay residents with a urinary tract infection

Here:	10.0%
State:	8.4%

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

Here:	3.3%
State:	3.9%

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

Here:	96.7%
State:	98.0%

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

This Nursing Home:	100.0%
Iowa:	97.7%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	13.3%
Iowa:	21.0%

Use of Medical Imaging

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

This Nursing Home:	12.600%
State:	8.069%

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

This Nursing Home:	0.115%
State:	0.138%

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

This Nursing Home:	0.090%
Iowa:	0.031%

MERCY HOSPITAL OF THE FRANCISCAN SISTERS - OELWEIN, IA

Complaint Deficiency

Process of Care

Heart Failure

Pneumonia

Surgery

Outcome of Care

Hospital Consumer Assessment of Healthcare Providers

Staff Information

Quality Measures

Use of Medical Imaging

User Contributions:

Comment about this article, ask questions, or add new information about this topic: