SAN GORGONIO MEMORIAL HOSPITAL (BANNING, CA) Detailed Hospital Profile

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: 300 or more
Survey Response Rate: 28%

How often did nurses communicate well with patients?

Sometimes or never

This Hospital:	8%
California:	7%

Usually

This Hospital:	25%
State:	21%

Always

This Hospital:	67%
State:	72%

How often did doctors communicate well with patients?

Sometimes or never

Here:	8%
California:	6%

Usually

This Hospital:	23%
State:	17%

Always

This Hospital:	69%
California:	77%

How often did patients receive help quickly from hospital staff?

Sometimes or never

This Hospital:	19%
State:	13%

Usually

Here:	27%
State:	28%

Always

This Hospital:	54%
California:	59%

How often was patients' pain well controlled?

Sometimes or never

This Hospital:	12%
California:	8%

Usually

Here:	28%
California:	25%

Always

This Hospital:	60%
California:	67%

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

Sometimes or never

Here:	31%
California:	23%

Usually

This Hospital:	20%
State:	19%

Always

Here:	49%
State:	58%

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

Sometimes or never

Here:	13%
California:	10%

Usually

Here:	23%
California:	21%

Always

This Hospital:	64%
California:	69%

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

Sometimes or never

Here:	27%
California:	18%

Usually

This Hospital:	37%
State:	33%

Always

Here:	36%
State:	49%

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

Yes

Here:	78%
State:	81%

Here:	22%
State:	19%

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

6 or lower

This Hospital:	19%
State:	10%

7 or 8

This Hospital:	35%
State:	24%

9 or 10

This Hospital:	46%
California:	66%

Would patients recommend the hospital to friends and family?

This Hospital:	15%
State:	7%

Yes, probably

Here:	36%
California:	24%

Yes, definitely

Here:	49%
California:	69%

Complaint Deficiency

Immediately tell the resident, the resident's doctor and a family member of the resident of situations (injury/decline/room, etc.) that affect the resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Keep each resident free from physical restraints, unless needed for medical treatment
- 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: Few
Provide activities to meet the interests and needs of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Assess the resident when the resident enters the nursing home, in a timely manner
- 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
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses
- 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: Few
Have a program that investigates, controls and keeps infection from spreading
- 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
Approved construction type or materials
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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
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: Few
Properly installed electrical wiring and equipment
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Tell the resident completely about his or her health status, care and treatments
- 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: 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: Few
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 necessary care and services to maintain the highest well being of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses
- 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: Some
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Signs that state that exit doors are to be kept closed
- 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: Some
Heating and ventilation systems that have been properly installed according to the manufacturer's instructions
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Other fire safety features required by fire safety codes
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Weekly inspections and monthly testing of generators
- Harm: Potential for minimal 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: 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: 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
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses
- 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
Have enough nurses to care for every resident in a way that maximizes the resident's well being
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature
- 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: Many
Smoke barrier doors that can resist smoke for at least 20 minutes
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Rooms that can be unlocked from inside without a key
- 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

Use of Medical Imaging

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

Here:	7.600%
California:	8.180%

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

Here:	0.138%
State:	0.170%

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

Here:	0.217%
State:	0.043%

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

This Hospital:	2.000%
California:	1.898%

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

This Hospital:	100.0%
State:	99.3%

Percent of Patients Given Aspirin at Discharge

This Hospital:	98.0%
California:	99.0%

Percent of Patients Given Beta Blocker at Discharge

This Hospital:	96.0%
California:	98.5%

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

This Hospital:	8
California:	9

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

This Hospital:	100.0%
State:	97.2%

Patients Given a Prescription for a Statin at Discharge

This Hospital:	82.0%
California:	97.5%

Heart Failure

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

This Hospital:	99.0%
California:	98.9%

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

Here:	100.0%
California:	96.2%

Percent of Patients Given Discharge Instructions

Here:	88.0%
California:	93.5%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
California:	99.4%

Pneumonia

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

This Hospital:	97.0%
State:	96.1%

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

This Hospital:	97.0%
State:	96.7%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	100.0%
State:	98.1%

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

Here:	90.0%
California:	95.9%

Percent of Patients Assessed and Given Influenza Vaccination

Here:	94.0%
California:	94.3%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Hospital:	97.0%
California:	95.8%

Surgery

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

Here:	100.0%
California:	98.1%

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

This Hospital:	95.0%
State:	96.3%

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

This Hospital:	69.0%
California:	98.2%

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

This Hospital:	100.0%
State:	96.0%

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

Here:	100.0%
California:	96.9%

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%
California:	99.8%

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

Here:	87.0%
California:	93.9%

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

Here:	94.0%
State:	96.1%

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

Here:	100.0%
California:	95.1%

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

This Hospital:	100.0%
California:	95.5%

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

Here:	100.0%
California:	99.6%

Outcome of Care

30-Day Mortality Rates from Heart Attack

Here:	15.8%
State:	14.9%

30-Day Mortality Rates from Heart Failure

This Hospital:	12.9%
California:	10.9%

30-Day Mortality Rates from Pneumonia

Here:	16.9%
California:	11.7%

30-Day Readmission Rates from Heart Attack

Here:	19.5%
State:	19.3%

30-Day Readmission Rates from Heart Failure

Here:	24.2%
State:	24.4%

30-Day Readmission Rates from Pneumonia

Here:	19.0%
State:	18.3%

Quality Measures

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

This Hospital:	46.9%
State:	21.2%

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

This Hospital:	93.5%
California:	81.9%

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

This Hospital:	94.6%
State:	79.7%

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

Acute Myocardial Infarction, Discharged Alive with Major Complications

Average Covered Charges

Here:	$38,298
California:	$83,364

Average Total Payments

Here:	$12,084
State:	$15,491

Number of discharges: 13

Here:	3.43%
State:	0.94%

Acute Myocardial Infarction, Discharged Alive without Complications

Average Covered Charges

Here:	$22,406
State:	$40,505

Average Total Payments

This Hospital:	$6,167
State:	$6,444

Number of discharges: 14

This Hospital:	3.69%
California:	0.21%

Chest Pain

Average Covered Charges

Here:	$17,097
State:	$29,034

Average Total Payments

This Hospital:	$4,330
State:	$4,742

Number of discharges: 27

This Hospital:	7.12%
California:	2.11%

Chronic Obstructive Pulmonary Disease with Major Complications

Average Covered Charges

Here:	$26,113
State:	$58,013

Average Total Payments

Here:	$8,957
State:	$10,305

Number of discharges: 21

This Hospital:	5.54%
State:	2.00%

Chronic Obstructive Pulmonary Disease without Complications

Average Covered Charges

Here:	$23,236
State:	$35,163

Average Total Payments

Here:	$5,365
California:	$6,206

Number of discharges: 15

This Hospital:	3.96%
State:	1.11%

Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications

Average Covered Charges

Here:	$21,930
California:	$36,899

Average Total Payments

Here:	$5,595
State:	$6,233

Number of discharges: 19

This Hospital:	5.01%
California:	3.09%

G.I. Hemorrhage with Complications

Average Covered Charges

Here:	$28,251
California:	$46,039

Average Total Payments

This Hospital:	$7,632
State:	$8,685

Number of discharges: 12

This Hospital:	3.17%
State:	1.95%

Heart Failure and Shock with Complications

Average Covered Charges

This Hospital:	$25,218
California:	$47,292

Average Total Payments

Here:	$7,366
State:	$8,831

Number of discharges: 18

Here:	4.75%
State:	2.91%

Heart Failure and Shock with Major Complications

Average Covered Charges

This Hospital:	$34,478
California:	$70,963

Average Total Payments

Here:	$12,159
California:	$13,159

Number of discharges: 31

This Hospital:	8.18%
State:	3.03%

Intracranial Hemorrhage or Cerebral Infarction with Complications

Average Covered Charges

Here:	$27,788
California:	$55,669

Average Total Payments

This Hospital:	$8,401
California:	$9,837

Number of discharges: 13

Here:	3.43%
State:	1.65%

Kidney and Urinary Tract Infections without Major Complications

Average Covered Charges

Here:	$21,441
California:	$36,114

Average Total Payments

This Hospital:	$5,940
California:	$6,728

Number of discharges: 13

Here:	3.43%
State:	2.98%

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

Average Covered Charges

This Hospital:	$18,511
California:	$32,446

Average Total Payments

Here:	$5,395
State:	$5,975

Number of discharges: 19

This Hospital:	5.01%
California:	2.21%

Renal Failure with Major Complications

Average Covered Charges

Here:	$46,494
State:	$72,128

Average Total Payments

Here:	$12,460
California:	$14,548

Number of discharges: 12

This Hospital:	3.17%
State:	1.48%

Respiratory System Diagnosis with Ventilator Support 96+ Hours

Average Covered Charges

This Hospital:	$136,134
California:	$262,024

Average Total Payments

Here:	$41,168
California:	$48,700

Number of discharges: 15

This Hospital:	3.96%
California:	0.44%

Respiratory System Diagnosis with Ventilator Support <96 Hours

Average Covered Charges

This Hospital:	$71,848
State:	$120,888

Average Total Payments

Here:	$18,645
California:	$21,006

Number of discharges: 15

Here:	3.96%
State:	0.92%

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

Average Covered Charges

This Hospital:	$41,083
State:	$90,173

Average Total Payments

Here:	$14,689
California:	$16,748

Number of discharges: 32

This Hospital:	8.44%
State:	7.21%

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

Average Covered Charges

Here:	$24,182
State:	$50,385

Average Total Payments

This Hospital:	$8,605
California:	$9,612

Number of discharges: 15

This Hospital:	3.96%
State:	2.35%

Simple Pneumonia and Pleurisy with Complications

Average Covered Charges

This Hospital:	$32,106
California:	$48,755

Average Total Payments

Here:	$7,668
California:	$8,695

Number of discharges: 39

This Hospital:	10.29%
State:	2.75%

Simple Pneumonia and Pleurisy with Major Complications

Average Covered Charges

Here:	$48,013
California:	$70,362

Average Total Payments

Here:	$11,510
California:	$12,496

Number of discharges: 21

Here:	5.54%
State:	1.89%

Simple Pneumonia and Pleurisy without Complications

Average Covered Charges

This Hospital:	$26,241
California:	$34,477

Average Total Payments

Here:	$5,273
State:	$5,838

Number of discharges: 15

Here:	3.96%
State:	0.97%

SAN GORGONIO MEMORIAL HOSPITAL - BANNING, CA

Hospital Consumer Assessment of Healthcare Providers

Complaint Deficiency

Use of Medical Imaging

Process of Care

Heart Attack

Heart Failure

Pneumonia

Surgery

Outcome of Care

Quality Measures

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

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