POWELL VALLEY CARE CENTER (POWELL, WY) Detailed Nursing Home Profile

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: Between 100 and 299
Survey Response Rate: 41%

How often did nurses communicate well with patients?

Sometimes or never

This Nursing Home:	4%
Wyoming:	4%

Usually

Here:	23%
State:	18%

Always

This Nursing Home:	73%
Wyoming:	78%

How often did doctors communicate well with patients?

Sometimes or never

Here:	5%
Wyoming:	4%

Usually

Here:	17%
Wyoming:	16%

Always

This Nursing Home:	78%
State:	80%

How often did patients receive help quickly from hospital staff?

Sometimes or never

This Nursing Home:	12%
Wyoming:	7%

Usually

Here:	22%
State:	22%

Always

Here:	66%
State:	71%

How often was patients' pain well controlled?

Sometimes or never

Here:	7%
State:	7%

Usually

This Nursing Home:	24%
Wyoming:	24%

Always

This Nursing Home:	69%
State:	69%

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

Sometimes or never

This Nursing Home:	17%
State:	17%

Usually

This Nursing Home:	23%
Wyoming:	19%

Always

Here:	60%
State:	64%

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

Sometimes or never

Here:	11%
Wyoming:	8%

Usually

This Nursing Home:	30%
Wyoming:	19%

Always

This Nursing Home:	59%
Wyoming:	73%

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

Sometimes or never

This Nursing Home:	9%
Wyoming:	8%

Usually

Here:	34%
State:	32%

Always

This Nursing Home:	57%
State:	60%

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

Yes

This Nursing Home:	87%
State:	86%

This Nursing Home:	13%
Wyoming:	14%

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

6 or lower

This Nursing Home:	10%
State:	9%

7 or 8

Here:	30%
State:	26%

9 or 10

Here:	60%
Wyoming:	65%

Would patients recommend the hospital to friends and family?

This Nursing Home:	5%
Wyoming:	5%

Yes, probably

This Nursing Home:	28%
Wyoming:	28%

Yes, definitely

This Nursing Home:	67%
Wyoming:	67%

Quality Measures

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

Here:	5.0%
State:	16.3%

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

Here:	29.7%
Wyoming:	16.0%

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

Here:	8.3%
State:	4.7%

Percent of long-stay residents who lose too much weight

Here:	3.4%
State:	8.9%

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

Here:	1.2%
State:	4.3%

Percent of long-stay residents with a urinary tract infection

Here:	6.8%
Wyoming:	6.4%

Percent of long-stay residents who have depressive symptoms

Here:	7.0%
State:	8.0%

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

Here:	6.8%
Wyoming:	5.3%

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

Here:	100.0%
Wyoming:	96.6%

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

Here:	97.7%
State:	93.0%

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

Here:	80.0%
Wyoming:	74.6%

Percent of long-stay residents who received an antipsychotic medication

Here:	13.6%
Wyoming:	17.9%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	1.110
Wyoming:	0.945

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

Here:	0.410
Wyoming:	0.485

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.530
Wyoming:	1.429

Complaint Deficiency

Signs that state that exit doors are to be kept closed
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Proper backup exit lighting
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
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: Some
Make sure each resident receives an accurate assessment by a qualified health professional
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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 safe, easy to use, clean and comfortable for residents, staff and the public
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Keep accurate, complete and organized clinical records on each resident that meet professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Construction that can resist fire for one hour or an approved fire extinguishing system
- 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
Provide care by qualified persons according to each resident's written plan of care
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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
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: Some
Put firmly secured handrails on each side of hallways
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Give or get quality lab services/tests in a timely manner to meet the needs of residents
- 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: Many
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: Few
Make sure each resident receives an accurate assessment by a qualified health professional
- Harm: Potential for minimal harm
- Scope: Many
Allow the resident the right to participate in the planning or revision of the resident's care plan
- 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
Provide care by qualified persons according to each resident's written plan of care
- 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
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
Make sure that residents are safe from serious medication errors
- 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: Some
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Some
1) Receive registry verification that a nurse aide has met the required training and skills that the State requires; and 2) ensure nurse aides receive the required retraining after 24 months if nursing related services were not provided for monetary compensation
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Keep accurate, complete and organized clinical records on each resident that meet 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%
Wyoming:	93.6%

Pneumonia

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

Here:	100.0%
State:	97.7%

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

Here:	100.0%
State:	96.2%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Nursing Home:	93.0%
Wyoming:	95.4%

Surgery

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

This Nursing Home:	97.0%
State:	97.0%

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

Here:	100.0%
State:	95.3%

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

This Nursing Home:	100.0%
Wyoming:	98.3%

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

Here:	100.0%
Wyoming:	93.9%

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

This Nursing Home:	100.0%
Wyoming:	95.2%

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

This Nursing Home:	100.0%
Wyoming:	99.7%

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

This Nursing Home:	92.0%
Wyoming:	91.4%

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

This Nursing Home:	87.0%
Wyoming:	94.2%

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

This Nursing Home:	100.0%
State:	99.6%

Outcome of Care

30-Day Mortality Rates from Heart Failure

Here:	11.5%
Wyoming:	12.6%

30-Day Mortality Rates from Pneumonia

This Nursing Home:	14.3%
Wyoming:	12.0%

30-Day Readmission Rates from Heart Failure

This Nursing Home:	23.7%
State:	23.9%

30-Day Readmission Rates from Pneumonia

This Nursing Home:	18.5%
State:	17.8%

POWELL VALLEY CARE CENTER - POWELL, WY

Hospital Consumer Assessment of Healthcare Providers

Quality Measures

Staff Information

Complaint Deficiency

Process of Care

Heart Failure

Pneumonia

Surgery

Outcome of Care

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