BUCHANAN COUNTY HEALTH CENTER (INDEPENDENCE, IA) Detailed Nursing Home Profile

Process of Care

Heart Failure

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

Here:	88.0%
Iowa:	96.9%

Percent of Patients Given Discharge Instructions

Here:	73.0%
State:	90.2%

Pneumonia

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

This Nursing Home:	100.0%
Iowa:	97.4%

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

This Nursing Home:	97.0%
Iowa:	97.8%

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

Here:	100.0%
Iowa:	93.4%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Nursing Home:	86.0%
State:	94.3%

Outcome of Care

30-Day Mortality Rates from Heart Failure

This Nursing Home:	12.8%
State:	12.0%

30-Day Mortality Rates from Pneumonia

Here:	13.1%
Iowa:	12.0%

30-Day Readmission Rates from Heart Failure

Here:	25.3%
Iowa:	23.7%

30-Day Readmission Rates from Pneumonia

This Nursing Home:	16.6%
Iowa:	17.9%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	0.670
Iowa:	0.684

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

This Nursing Home:	0.570
State:	0.621

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.240
Iowa:	1.298

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.020
State:	0.037

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.020
Iowa:	0.043

Quality Measures

Percent of long-stay residents who lose too much weight

Here:	6.7%
Iowa:	6.7%

Percent of long-stay residents with a urinary tract infection

Here:	10.0%
Iowa:	8.4%

Percent of long-stay residents who have depressive symptoms

Here:	6.5%
Iowa:	7.5%

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

This Nursing Home:	9.7%
State:	3.9%

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

Here:	100.0%
Iowa:	98.0%

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

Here:	100.0%
Iowa:	97.7%

Percent of long-stay residents who received an antipsychotic medication

Here:	16.1%
Iowa:	21.0%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: Between 100 and 299
Survey Response Rate: 65%

How often did nurses communicate well with patients?

Sometimes or never

This Nursing Home:	4%
State:	3%

Usually

This Nursing Home:	21%
State:	17%

Always

Here:	75%
State:	80%

How often did doctors communicate well with patients?

Sometimes or never

Here:	4%
State:	3%

Usually

This Nursing Home:	11%
State:	13%

Always

This Nursing Home:	85%
Iowa:	84%

How often did patients receive help quickly from hospital staff?

Sometimes or never

This Nursing Home:	4%
Iowa:	6%

Usually

Here:	26%
Iowa:	25%

Always

This Nursing Home:	70%
Iowa:	69%

How often was patients' pain well controlled?

Sometimes or never

Here:	6%
Iowa:	5%

Usually

This Nursing Home:	20%
State:	24%

Always

This Nursing Home:	74%
State:	71%

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

Sometimes or never

This Nursing Home:	17%
Iowa:	15%

Usually

This Nursing Home:	19%
State:	21%

Always

Here:	64%
State:	64%

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

Sometimes or never

This Nursing Home:	7%
State:	6%

Usually

Here:	12%
State:	16%

Always

This Nursing Home:	81%
Iowa:	78%

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

Sometimes or never

This Nursing Home:	9%
State:	7%

Usually

This Nursing Home:	34%
State:	30%

Always

This Nursing Home:	57%
Iowa:	63%

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

Yes

This Nursing Home:	77%
Iowa:	85%

Here:	23%
State:	15%

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

6 or lower

Here:	12%
Iowa:	6%

7 or 8

This Nursing Home:	20%
Iowa:	20%

9 or 10

This Nursing Home:	68%
Iowa:	74%

Would patients recommend the hospital to friends and family?

Here:	6%
State:	3%

Yes, probably

Here:	23%
State:	22%

Yes, definitely

Here:	71%
State:	75%

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
Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property
- Harm: Potential for minimal harm
- Scope: Some
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: Some
Corridor and hallway doors that block smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Smoke barrier doors that can resist smoke for at least 20 minutes
- 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: Many
Weekly inspections and monthly testing of generators
- 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 a safe, clean, comfortable and homelike environment
- 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: Some
Smoke barrier doors that can resist smoke for at least 20 minutes
- 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
Properly protected cooking facilities
- 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: Some
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: Some
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Portable fire extinguishers
- 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: Some

Use of Medical Imaging

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

Here:	5.200%
Iowa:	8.069%

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

Here:	0.037%
Iowa:	0.138%

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

This Nursing Home:	0.600%
State:	1.519%

BUCHANAN COUNTY HEALTH CENTER - INDEPENDENCE, IA

Process of Care

Heart Failure

Pneumonia

Outcome of Care

Staff Information

Quality Measures

Hospital Consumer Assessment of Healthcare Providers

Complaint Deficiency

Use of Medical Imaging

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