NORTH VALLEY HOSPITAL (TONASKET, WA) Detailed Nursing Home Profile

Use of Medical Imaging

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

This Nursing Home:	6.700%
Washington:	8.405%

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

This Nursing Home:	0.124%
Washington:	0.091%

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

Here:	8.400%
State:	2.223%

Complaint Deficiency

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
Did not have a written emergency evacuation plan
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly protected cooking facilities
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Proper medical gas storage and administration areas
- 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: Few
Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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
Provide housekeeping and maintenance services
- 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
Portable fire extinguishers
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Exits that are free from obstructions and can be used at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Weekly inspections and monthly testing of generators
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Listen to the resident or family groups or act on their complaints or suggestions
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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 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
Develop policies and procedures for influenza and pneumococcal immunizations
- 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
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: Some
Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detectors
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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: Few
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly sized and located linen or trash receptacles
- 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: Few
Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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
Have a program that investigates, controls and keeps infection from spreading
- 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:	91.0%
State:	99.2%

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

This Nursing Home:	100.0%
Washington:	95.4%

Percent of Patients Given Discharge Instructions

This Nursing Home:	82.0%
Washington:	88.9%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
State:	99.2%

Pneumonia

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Nursing Home:	64.0%
Washington:	96.2%

Outcome of Care

30-Day Mortality Rates from Pneumonia

This Nursing Home:	11.2%
State:	12.5%

30-Day Readmission Rates from Heart Failure

Here:	24.1%
State:	24.0%

30-Day Readmission Rates from Pneumonia

Here:	18.6%
Washington:	17.7%

Quality Measures

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

Here:	19.1%
State:	13.3%

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

This Nursing Home:	16.7%
Washington:	14.6%

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

Here:	2.3%
State:	6.0%

Percent of long-stay residents who lose too much weight

This Nursing Home:	11.5%
Washington:	7.5%

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

Here:	4.1%
Washington:	4.7%

Percent of long-stay residents with a urinary tract infection

This Nursing Home:	9.6%
Washington:	8.3%

Percent of long-stay residents who have depressive symptoms

Here:	7.8%
Washington:	13.2%

Percent of long-stay residents who were physically restrained

This Nursing Home:	1.9%
Washington:	0.8%

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

This Nursing Home:	9.6%
Washington:	3.0%

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

Here:	100.0%
Washington:	95.1%

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

This Nursing Home:	96.2%
Washington:	95.7%

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

Here:	10.0%
State:	27.2%

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

This Nursing Home:	5.0%
State:	1.5%

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

Here:	95.0%
Washington:	89.4%

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

This Nursing Home:	71.4%
Washington:	87.7%

Percent of long-stay residents who received an antipsychotic medication

Here:	13.7%
Washington:	22.9%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	1.020
Washington:	1.030

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

Here:	0.090
State:	0.679

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	1.110
Washington:	1.696

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	0.040
Washington:	0.132

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.040
Washington:	0.134

NORTH VALLEY HOSPITAL - TONASKET, WA