MUNCY VALLEY HOSPITAL SNU (MUNCY, PA) Detailed Nursing Home Profile

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: Between 100 and 299
Survey Response Rate: 37%

How often did nurses communicate well with patients?

Sometimes or never

Here:	3%
State:	5%

Usually

This Nursing Home:	21%
State:	18%

Always

This Nursing Home:	76%
Pennsylvania:	77%

How often did doctors communicate well with patients?

Sometimes or never

Here:	6%
Pennsylvania:	5%

Usually

Here:	17%
State:	16%

Always

This Nursing Home:	77%
Pennsylvania:	79%

How often did patients receive help quickly from hospital staff?

Sometimes or never

Here:	7%
Pennsylvania:	10%

Usually

This Nursing Home:	27%
Pennsylvania:	26%

Always

Here:	66%
Pennsylvania:	64%

How often was patients' pain well controlled?

Sometimes or never

Here:	2%
State:	7%

Usually

This Nursing Home:	30%
State:	24%

Always

Here:	68%
Pennsylvania:	69%

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

Sometimes or never

This Nursing Home:	19%
Pennsylvania:	21%

Usually

This Nursing Home:	20%
State:	19%

Always

This Nursing Home:	61%
State:	60%

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

Sometimes or never

Here:	7%
Pennsylvania:	9%

Usually

Here:	14%
State:	20%

Always

This Nursing Home:	79%
Pennsylvania:	71%

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

Sometimes or never

This Nursing Home:	14%
State:	14%

Usually

This Nursing Home:	42%
Pennsylvania:	34%

Always

Here:	44%
State:	52%

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

Yes

This Nursing Home:	80%
Pennsylvania:	83%

This Nursing Home:	20%
Pennsylvania:	17%

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

6 or lower

Here:	8%
State:	10%

7 or 8

Here:	22%
State:	24%

9 or 10

Here:	70%
Pennsylvania:	66%

Would patients recommend the hospital to friends and family?

Here:	6%
State:	5%

Yes, probably

Here:	22%
Pennsylvania:	28%

Yes, definitely

This Nursing Home:	72%
State:	67%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	0.730
Pennsylvania:	0.760

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

This Nursing Home:	0.930
State:	0.830

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.660
State:	1.587

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.100
State:	0.089

Number Therapy Hours Per Resident Per Day

Here:	0.100
State:	0.090

Quality Measures

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

Here:	9.2%
State:	15.9%

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

This Nursing Home:	6.1%
Pennsylvania:	10.2%

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

This Nursing Home:	6.7%
Pennsylvania:	5.9%

Percent of long-stay residents who lose too much weight

Here:	5.3%
State:	7.4%

Percent of long-stay low-risk residents who lose control of their bowels or bladder

This Nursing Home:	51.9%
State:	56.0%

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

This Nursing Home:	4.1%
State:	3.9%

Percent of long-stay residents with a urinary tract infection

This Nursing Home:	4.4%
State:	5.3%

Percent of long-stay residents who have depressive symptoms

Here:	3.6%
Pennsylvania:	4.6%

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

This Nursing Home:	3.5%
State:	3.0%

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

Here:	100.0%
Pennsylvania:	95.1%

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

This Nursing Home:	99.1%
Pennsylvania:	94.5%

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

Here:	5.8%
Pennsylvania:	21.2%

Percent of short-stay residents with Pressure ulcers that are new or worsened

Here:	4.2%
Pennsylvania:	1.6%

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

This Nursing Home:	92.7%
State:	85.6%

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

Here:	88.9%
State:	84.4%

Percent of short-stay residents who newly received an antipsychotic medication

This Nursing Home:	6.7%
Pennsylvania:	2.6%

Percent of long-stay residents who received an antipsychotic medication

Here:	16.1%
State:	22.2%

Complaint Deficiency

Restrictions on the use of flammable curtains
- Harm: Minimal harm or potential for actual harm
- Scope: Few
A two-hour-resistant firewall in common walls
- 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 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
Have a program that investigates, controls and keeps infection from spreading
- 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
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
An approved automatic sprinkler system connected to the fire alarm system
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Properly installed electrical wiring and equipment
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Proper stairway enclosures and vertical shafts
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly located and lighted Exit signs
- 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 protected cooking facilities
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly constructed piped-in oxygen systems
- 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
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: 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
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

Process of Care

Heart Failure

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

Here:	100.0%
State:	99.3%

Percent of Patients Given Discharge Instructions

Here:	96.0%
State:	93.4%

Pneumonia

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

This Nursing Home:	100.0%
Pennsylvania:	96.6%

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

Here:	100.0%
Pennsylvania:	97.4%

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

Here:	97.0%
Pennsylvania:	95.7%

Percent of Patients Assessed and Given Pneumococcal Vaccination

Here:	100.0%
State:	96.6%

Surgery

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

Here:	100.0%
Pennsylvania:	99.9%

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

Here:	100.0%
Pennsylvania:	99.8%

Outcome of Care

30-Day Mortality Rates from Heart Failure

This Nursing Home:	10.3%
State:	10.9%

30-Day Mortality Rates from Pneumonia

Here:	11.6%
State:	11.8%

30-Day Readmission Rates from Heart Failure

Here:	23.1%
Pennsylvania:	24.8%

30-Day Readmission Rates from Pneumonia

This Nursing Home:	16.4%
Pennsylvania:	18.6%

Use of Medical Imaging

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

Here:	4.400%
State:	8.255%

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

Here:	0.084%
State:	0.151%

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

Here:	0.009%
Pennsylvania:	0.023%

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

This Nursing Home:	8.200%
State:	5.987%

MUNCY VALLEY HOSPITAL SNU - MUNCY, PA

Hospital Consumer Assessment of Healthcare Providers

Staff Information

Quality Measures

Complaint Deficiency

Process of Care

Heart Failure

Pneumonia

Surgery

Outcome of Care

Use of Medical Imaging

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