OAKBEND MEDICAL CENTER (RICHMOND, TX) Detailed Hospital Profile

Hospital Acquired Conditions

Falls and injuries

This Hospital:	0.272%
Texas:	0.881%

Blood infection from a catheter in a large vein

This Hospital:	0.817%
Texas:	0.614%

Severe pressure sores (bed sores)

This Hospital:	0.272%
State:	0.367%

Complaint Deficiency

A two-hour-resistant firewall in common walls
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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: Many
Construction that can resist fire for one hour or an approved fire extinguishing system
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Weekly inspections and monthly testing of generators
- Harm: Potential for minimal harm
- Scope: Many
Ensure the activities program is directed by a qualified professional
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Make sure that each resident who enters the nursing home without a catheter is not given a catheter, and receive proper services to prevent urinary tract infections and restore normal bladder function
- Harm: Immediate jeopardy to resident health or safety
- 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: Some
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
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: Some
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Train all employees on what to do in an emergency, and carry out announced staff drills
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Emergency lighting that can last at least 1 1/2 hours
- 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 hallway dispensers for alcohol-based hand rub
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Give each resident a notice of rights, rules, services and charges. Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for
- Harm: Potential for minimal harm
- Scope: Many
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Many
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: Some
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Train all employees on what to do in an emergency, and carry out announced staff drills
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Corridor and hallway doors that block smoke
- Harm: Potential for minimal harm
- Scope: Many
Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour
- Harm: Potential for minimal harm
- Scope: Many
A fire alarm system that can be heard throughout the facility
- 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: Many
Properly protected cooking facilities
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Exits that are free from obstructions and can be used at all times
- Harm: Potential for minimal harm
- Scope: Many
Proper medical gas storage and administration areas
- Harm: Potential for minimal harm
- Scope: Many
Weekly inspections and monthly testing of generators
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Make sure each resident receives an accurate assessment by a qualified health professional
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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: Some
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure medically necessary lab services/tests are ordered by the attending physician
- Harm: Potential for minimal harm
- Scope: Some

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

This Hospital:	100.0%
Texas:	99.2%

Percent of Patients Given Aspirin at Discharge

This Hospital:	100.0%
State:	98.8%

Percent of Patients Given Beta Blocker at Discharge

This Hospital:	100.0%
State:	98.9%

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

This Hospital:	7
State:	8

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

This Hospital:	34
Texas:	111

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

Here:	99.0%
Texas:	95.6%

Patients Given a Prescription for a Statin at Discharge

Here:	91.0%
State:	97.4%

Heart Failure

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

This Hospital:	99.0%
Texas:	98.7%

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

This Hospital:	98.0%
State:	96.8%

Percent of Patients Given Discharge Instructions

This Hospital:	97.0%
State:	93.1%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	97.0%
State:	99.5%

Pneumonia

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

This Hospital:	89.0%
Texas:	96.4%

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

Here:	97.0%
State:	97.4%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	95.0%
State:	98.9%

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

Here:	93.0%
State:	95.2%

Percent of Patients Assessed and Given Influenza Vaccination

Here:	91.0%
Texas:	94.7%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Hospital:	94.0%
Texas:	96.2%

Surgery

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

Here:	100.0%
Texas:	98.4%

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

This Hospital:	92.0%
State:	97.0%

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

This Hospital:	95.0%
State:	98.4%

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

This Hospital:	90.0%
State:	96.7%

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

Here:	90.0%
Texas:	97.6%

Percent of all Heart Surgery Patients whose blood sugar is kept under good control in the days right after surgery

This Hospital:	100.0%
Texas:	94.4%

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%
Texas:	99.9%

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

Here:	79.0%
State:	95.1%

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

Here:	90.0%
Texas:	96.7%

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

This Hospital:	100.0%
State:	97.2%

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

Here:	100.0%
Texas:	96.5%

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

Here:	100.0%
Texas:	99.7%

Outcome of Care

30-Day Mortality Rates from Heart Attack

Here:	16.2%
Texas:	15.6%

30-Day Mortality Rates from Heart Failure

This Hospital:	12.5%
Texas:	11.2%

30-Day Mortality Rates from Pneumonia

This Hospital:	13.2%
State:	11.8%

30-Day Readmission Rates from Heart Attack

Here:	20.2%
Texas:	19.3%

30-Day Readmission Rates from Heart Failure

Here:	25.0%
Texas:	24.2%

30-Day Readmission Rates from Pneumonia

Here:	18.0%
Texas:	18.0%

Use of Medical Imaging

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

This Hospital:	13.100%
Texas:	8.275%

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

Here:	0.668%
Texas:	0.250%

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

Here:	0.447%
State:	0.110%

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

This Hospital:	7.000%
Texas:	2.420%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: Between 100 and 299
Survey Response Rate: 26%

How often did nurses communicate well with patients?

Sometimes or never

Here:	7%
State:	5%

Usually

Here:	20%
Texas:	17%

Always

Here:	73%
State:	78%

How often did doctors communicate well with patients?

Sometimes or never

Here:	2%
State:	4%

Usually

This Hospital:	17%
Texas:	13%

Always

Here:	81%
Texas:	83%

How often did patients receive help quickly from hospital staff?

Sometimes or never

Here:	12%
State:	10%

Usually

Here:	31%
State:	23%

Always

This Hospital:	57%
Texas:	67%

How often was patients' pain well controlled?

Sometimes or never

This Hospital:	7%
State:	7%

Usually

This Hospital:	27%
Texas:	21%

Always

This Hospital:	66%
State:	72%

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

Sometimes or never

Here:	17%
State:	19%

Usually

Here:	23%
Texas:	17%

Always

This Hospital:	60%
State:	64%

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

Sometimes or never

This Hospital:	9%
Texas:	9%

Usually

This Hospital:	25%
State:	18%

Always

This Hospital:	66%
Texas:	73%

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

Sometimes or never

Here:	10%
Texas:	8%

Usually

This Hospital:	33%
State:	25%

Always

Here:	57%
State:	67%

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

Yes

Here:	80%
Texas:	83%

This Hospital:	20%
Texas:	17%

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

6 or lower

This Hospital:	9%
State:	8%

7 or 8

This Hospital:	23%
Texas:	21%

9 or 10

This Hospital:	68%
State:	71%

Would patients recommend the hospital to friends and family?

Here:	6%
State:	5%

Yes, probably

Here:	27%
State:	23%

Yes, definitely

Here:	67%
State:	72%

Quality Measures

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

Here:	40.1%
Texas:	20.2%

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

Here:	100.0%
State:	76.2%

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

This Hospital:	100.0%
Texas:	74.3%

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

Atherosclerosis without Major Complications

Average Covered Charges

This Hospital:	$15,563
State:	$21,485

Average Total Payments

Here:	$3,808
State:	$3,893

Number of discharges: 14

Here:	1.31%
Texas:	0.32%

Cardiac Arrhythmia and Conduction Disorders with Complications

Average Covered Charges

Here:	$25,241
State:	$25,580

Average Total Payments

This Hospital:	$5,480
Texas:	$5,548

Number of discharges: 14

Here:	1.31%
Texas:	1.35%

Cardiac Arrhythmia and Conduction Disorders without Complications

Average Covered Charges

This Hospital:	$14,004
Texas:	$17,909

Average Total Payments

This Hospital:	$3,888
Texas:	$3,737

Number of discharges: 14

This Hospital:	1.31%
State:	1.48%

Cellulitis without Major Complications

Average Covered Charges

Here:	$17,028
Texas:	$22,187

Average Total Payments

Here:	$5,335
State:	$5,512

Number of discharges: 27

Here:	2.53%
Texas:	2.13%

Chest Pain

Average Covered Charges

Here:	$20,458
Texas:	$21,153

Average Total Payments

This Hospital:	$3,592
State:	$3,684

Number of discharges: 44

Here:	4.12%
Texas:	1.64%

Chronic Obstructive Pulmonary Disease with Complications

Average Covered Charges

This Hospital:	$24,649
State:	$29,940

Average Total Payments

This Hospital:	$6,360
Texas:	$6,395

Number of discharges: 21

This Hospital:	1.97%
State:	2.05%

Chronic Obstructive Pulmonary Disease with Major Complications

Average Covered Charges

This Hospital:	$32,957
State:	$35,718

Average Total Payments

Here:	$7,715
State:	$7,640

Number of discharges: 19

This Hospital:	1.78%
Texas:	2.27%

Chronic Obstructive Pulmonary Disease without Complications

Average Covered Charges

Here:	$17,353
Texas:	$22,469

Average Total Payments

Here:	$4,708
Texas:	$4,747

Number of discharges: 18

This Hospital:	1.69%
Texas:	1.59%

Circulatory Disorders Except Acute Myocardial Infarction, with Card Cath with Major Complications

Average Covered Charges

This Hospital:	$63,841
State:	$71,511

Average Total Payments

Here:	$13,069
Texas:	$14,371

Number of discharges: 11

Here:	1.03%
State:	0.32%

Esophagitis, Gastroent and Miscellaneous Digestive Disorders with Major Complications

Average Covered Charges

Here:	$30,939
State:	$38,893

Average Total Payments

Here:	$7,761
State:	$8,137

Number of discharges: 15

This Hospital:	1.40%
State:	0.68%

Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications

Average Covered Charges

Here:	$23,374
Texas:	$24,361

Average Total Payments

This Hospital:	$5,083
Texas:	$4,830

Number of discharges: 42

Here:	3.93%
Texas:	3.07%

G.I. Hemorrhage with Complications

Average Covered Charges

Here:	$25,699
State:	$30,533

Average Total Payments

This Hospital:	$6,710
Texas:	$6,742

Number of discharges: 17

This Hospital:	1.59%
State:	1.83%

G.I. Hemorrhage without Complications

Average Covered Charges

This Hospital:	$22,034
Texas:	$21,763

Average Total Payments

This Hospital:	$4,756
State:	$4,668

Number of discharges: 13

Here:	1.22%
Texas:	0.43%

Heart Failure and Shock with Complications

Average Covered Charges

This Hospital:	$26,085
Texas:	$29,852

Average Total Payments

This Hospital:	$6,730
State:	$6,718

Number of discharges: 23

Here:	2.15%
State:	3.09%

Heart Failure and Shock with Major Complications

Average Covered Charges

This Hospital:	$54,816
State:	$46,288

Average Total Payments

This Hospital:	$10,372
Texas:	$9,846

Number of discharges: 22

Here:	2.06%
Texas:	2.71%

Heart Failure and Shock without Complications

Average Covered Charges

This Hospital:	$21,982
Texas:	$20,982

Average Total Payments

Here:	$4,527
Texas:	$4,507

Number of discharges: 23

Here:	2.15%
Texas:	1.18%

Hip and Femur Procedures Except Major Joint with Complications

Average Covered Charges

This Hospital:	$43,083
State:	$55,186

Average Total Payments

This Hospital:	$12,124
State:	$11,865

Number of discharges: 14

This Hospital:	1.31%
State:	1.25%

Hip and Femur Procedures Except Major Joint without Complications

Average Covered Charges

Here:	$35,004
State:	$44,529

Average Total Payments

Here:	$10,102
State:	$9,899

Number of discharges: 15

This Hospital:	1.40%
Texas:	0.35%

Hypertension without Major Complications

Average Covered Charges

This Hospital:	$17,398
State:	$21,529

Average Total Payments

Here:	$4,010
Texas:	$4,067

Number of discharges: 11

This Hospital:	1.03%
Texas:	0.48%

Intracranial Hemorrhage or Cerebral Infarction with Complications

Average Covered Charges

Here:	$31,857
Texas:	$36,171

Average Total Payments

Here:	$7,367
State:	$7,674

Number of discharges: 15

This Hospital:	1.40%
Texas:	1.60%

Intracranial Hemorrhage or Cerebral Infarction without Complications

Average Covered Charges

This Hospital:	$29,310
Texas:	$28,468

Average Total Payments

This Hospital:	$5,357
State:	$5,476

Number of discharges: 14

Here:	1.31%
State:	0.81%

Kidney and Urinary Tract Infections with Major Complications

Average Covered Charges

Here:	$33,030
Texas:	$34,831

Average Total Payments

This Hospital:	$7,881
State:	$7,778

Number of discharges: 13

Here:	1.22%
Texas:	1.15%

Kidney and Urinary Tract Infections without Major Complications

Average Covered Charges

Here:	$18,822
Texas:	$22,532

Average Total Payments

This Hospital:	$5,126
State:	$5,086

Number of discharges: 47

Here:	4.40%
State:	3.62%

Major Joint Replacement or Reattachment of Lower Extremity without Major Complications

Average Covered Charges

Here:	$49,972
State:	$60,653

Average Total Payments

Here:	$13,736
State:	$13,908

Number of discharges: 20

This Hospital:	1.87%
State:	6.27%

Medical Back Problems without Major Complications

Average Covered Charges

Here:	$14,846
State:	$27,706

Average Total Payments

This Hospital:	$5,269
State:	$5,557

Number of discharges: 11

This Hospital:	1.03%
State:	0.64%

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

Average Covered Charges

This Hospital:	$31,093
Texas:	$32,026

Average Total Payments

Here:	$7,447
Texas:	$7,792

Number of discharges: 23

This Hospital:	2.15%
State:	1.15%

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

Average Covered Charges

Here:	$17,969
State:	$20,255

Average Total Payments

This Hospital:	$4,522
State:	$4,589

Number of discharges: 57

This Hospital:	5.34%
Texas:	2.39%

Other Circulatory System Diagnoses with Major Complications

Average Covered Charges

Here:	$35,634
Texas:	$54,093

Average Total Payments

This Hospital:	$11,322
State:	$12,909

Number of discharges: 12

Here:	1.12%
Texas:	0.86%

Other Digestive System Diagnoses with Complications

Average Covered Charges

Here:	$30,732
Texas:	$31,108

Average Total Payments

This Hospital:	$6,515
State:	$6,860

Number of discharges: 13

Here:	1.22%
Texas:	0.55%

Other Vascular Procedures with Complications

Average Covered Charges

This Hospital:	$102,605
Texas:	$76,478

Average Total Payments

This Hospital:	$18,678
Texas:	$16,388

Number of discharges: 16

This Hospital:	1.50%
Texas:	0.60%

Other Vascular Procedures with Major Complications

Average Covered Charges

This Hospital:	$91,511
State:	$86,969

Average Total Payments

This Hospital:	$21,604
Texas:	$21,111

Number of discharges: 19

This Hospital:	1.78%
Texas:	0.69%

Other Vascular Procedures without Complications

Average Covered Charges

This Hospital:	$68,573
State:	$55,182

Average Total Payments

Here:	$10,842
Texas:	$10,883

Number of discharges: 12

Here:	1.12%
Texas:	0.42%

Pulmonary Edema and Respiratory Failure

Average Covered Charges

This Hospital:	$27,110
Texas:	$41,085

Average Total Payments

Here:	$8,365
Texas:	$8,523

Number of discharges: 15

Here:	1.40%
State:	1.20%

Red Blood Cell Disorders without Major Complications

Average Covered Charges

This Hospital:	$26,413
State:	$22,785

Average Total Payments

This Hospital:	$5,200
Texas:	$5,348

Number of discharges: 33

Here:	3.09%
State:	1.52%

Renal Failure with Complications

Average Covered Charges

This Hospital:	$30,004
Texas:	$29,456

Average Total Payments

Here:	$6,692
Texas:	$6,717

Number of discharges: 25

Here:	2.34%
State:	2.33%

Renal Failure with Major Complications

Average Covered Charges

Here:	$31,524
State:	$44,595

Average Total Payments

Here:	$10,284
State:	$10,908

Number of discharges: 21

Here:	1.97%
State:	1.68%

Respiratory Infections and Inflammations with Complications

Average Covered Charges

This Hospital:	$30,606
Texas:	$42,475

Average Total Payments

This Hospital:	$8,614
State:	$9,270

Number of discharges: 15

Here:	1.40%
Texas:	0.80%

Respiratory Infections and Inflammations with Major Complications

Average Covered Charges

This Hospital:	$45,643
Texas:	$61,030

Average Total Payments

This Hospital:	$12,889
State:	$13,022

Number of discharges: 17

This Hospital:	1.59%
State:	0.87%

Respiratory System Diagnosis with Ventilator Support <96 Hours

Average Covered Charges

Here:	$47,432
Texas:	$70,898

Average Total Payments

Here:	$14,773
Texas:	$15,222

Number of discharges: 25

This Hospital:	2.34%
State:	1.10%

Seizures without Major Complications

Average Covered Charges

This Hospital:	$18,408
Texas:	$25,913

Average Total Payments

Here:	$4,976
State:	$5,335

Number of discharges: 18

Here:	1.69%
Texas:	0.63%

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

Average Covered Charges

Here:	$45,804
State:	$55,259

Average Total Payments

This Hospital:	$12,388
State:	$12,623

Number of discharges: 64

This Hospital:	5.99%
Texas:	4.83%

Signs and Symptoms without Major Complications

Average Covered Charges

Here:	$16,514
State:	$21,891

Average Total Payments

This Hospital:	$4,491
State:	$4,614

Number of discharges: 16

Here:	1.50%
Texas:	0.61%

Simple Pneumonia and Pleurisy with Complications

Average Covered Charges

Here:	$25,850
State:	$30,598

Average Total Payments

This Hospital:	$6,496
State:	$6,580

Number of discharges: 52

Here:	4.87%
State:	2.99%

Simple Pneumonia and Pleurisy with Major Complications

Average Covered Charges

This Hospital:	$32,013
State:	$46,624

Average Total Payments

Here:	$9,351
State:	$9,603

Number of discharges: 52

Here:	4.87%
State:	1.99%

Simple Pneumonia and Pleurisy without Complications

Average Covered Charges

This Hospital:	$21,826
State:	$21,702

Average Total Payments

This Hospital:	$4,738
State:	$4,627

Number of discharges: 11

Here:	1.03%
State:	1.33%

Syncope and Collapse

Average Covered Charges

This Hospital:	$25,308
State:	$26,197

Average Total Payments

Here:	$4,699
State:	$4,788

Number of discharges: 28

Here:	2.62%
Texas:	1.55%

Transient Ischemia

Average Covered Charges

This Hospital:	$22,324
Texas:	$26,817

Average Total Payments

This Hospital:	$4,848
Texas:	$4,792

Number of discharges: 27

This Hospital:	2.53%
Texas:	1.11%

OAKBEND MEDICAL CENTER - RICHMOND, TX

Hospital Acquired Conditions

Complaint Deficiency

Process of Care

Heart Attack

Heart Failure

Pneumonia

Surgery

Outcome of Care

Use of Medical Imaging

Hospital Consumer Assessment of Healthcare Providers

Quality Measures

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

User Contributions:

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