SAN MATEO MEDICAL CENTER D/P SNF (SAN MATEO, CA) Detailed Nursing Home Profile

Complaint Deficiency

An approved installation, maintenance and testing program for fire alarm systems
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Proper medical gas storage and administration areas
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Keep each resident's personal and medical records private and confidential
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide access to a telephone for resident to use in private
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Protect each resident from all abuse, physical punishment, and being separated from others
- 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
Reasonably accommodate the needs and preferences 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: Some
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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: Few
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space
- 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
Put firmly secured handrails on each side of hallways
- 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
Corridor and hallway doors that block smoke
- 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
Construction that can resist fire for one hour or an approved fire extinguishing system
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Exit stairways and towers that are smoke proof
- Harm: Minimal harm or potential for actual harm
- Scope: Few
An approved installation, maintenance and testing program for fire alarm systems
- 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: Some
Portable fire extinguishers
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Heating and ventilation systems that have been properly installed according to the manufacturer's instructions
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Restrictions on the use of portable space heaters
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Proper medical gas storage and administration areas
- 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: Some
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
Reasonably accommodate the needs and preferences of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide adequate and comfortable lighting levels in all areas
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Conduct initial and periodic assessments of each resident's functional capacity
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure each resident receives an accurate assessment by a qualified health professional
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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: 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: Some
1) Make sure that each resident's drug regimen is free from unnecessary drugs; 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being
- 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
Give or get specialized rehabilitative services per the patient's assessment or plan of care
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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: Few
Have enough backup water supply for essential areas of the nursing home
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Approved construction type or materials
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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: 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: Few
Smoke barrier doors that can resist smoke for at least 20 minutes
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Construction that can resist fire for one hour or an approved fire extinguishing system
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Properly located and lighted Exit signs
- 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
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
Proper facilities for the use and storage of combustible liquids
- 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
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
Provide activities to meet the interests and needs of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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: Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores
- 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: Some
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Few
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor
- 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 all essential equipment working safely
- 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: Potential for minimal harm
- Scope: Some
Train all employees on what to do in an emergency, and carry out announced staff drills
- Harm: Potential for minimal harm
- Scope: Some
Approved construction type or materials
- 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
Construction that can resist fire for one hour or an approved fire extinguishing system
- 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 maintained smoke detectors
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Posted No-smoking signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed
- 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: Many

Use of Medical Imaging

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

Here:	12.600%
State:	8.180%

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

This Nursing Home:	0.021%
California:	0.170%

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

This Nursing Home:	0.122%
California:	0.043%

Average Medicare Payment

Acute myocardial infarction, discharged alive w/o CC/MCC: $2,844

Acute myocardial infarction, discharged alive w MCC: $16,388

Acute myocardial infarction, discharged alive w CC: $58

Heart failure and shock w/o CC/MCC: $6,094

Heart failure and shock w MCC: $3,735

Heart failure and shock w CC: $8,499

Chronic obstructive pulmonary disease w/o CC/MCC: $6,127

Chronic obstructive pulmonary disease w MCC: $62

Chronic obstructive pulmonary disease w CC: $8,241

Simple pneumonia and pleurisy w MCC: $12,100

Diabetes w MCC: $11,483

Chest Pain: $4,487

Permanent cardiac pacemaker implant w/o CC/MCC: $95

Laparoscopic cholecystectomy w/o c.d.e. w MCC: $20,916

Laparoscopic cholecystectomy w/o c.d.e. w CC: $79

Cholecystectomy except by laparoscope w/o c.d.e. w MCC: $30,134

Hernia procedures except inguinal and femoral w/o CC/MCC: $46

Hernia procedures except inguinal and femoral w MCC: $20,996

Major small and large bowel procedures w/o CC/MCC: $13,699

Major small and large bowel procedures w CC: $10,861

Major small and large bowel procedures w MCC: $21,916

Cervical spinal fusion w/o CC/MCC: $82

Back and neck proc exc spinal fusion w CC/MCC or disc device/neurostim: $7,306

Major joint replacement or reattachment of lower extremity w/o MCC: $16,947

Major joint replacement or reattachment of lower extremity w MCC: $46,660

Revision of hip or knee replacement w CC: $146

Revision of hip or knee replacement w MCC: $38,371

Transurethral procedures w MCC: $107

Other kidney and urinary tract procedures w/o CC/MCC: $11,050

Other kidney and urinary tract procedures w MCC: $132

Female reproductive system reconstructive procedures: $6,894

Uterine and adnexa proc for non-malignancy w/o CC/MCC: $3,581

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: 300 or more
Survey Response Rate: 24%

How often did nurses communicate well with patients?

Sometimes or never

This Nursing Home:	7%
State:	7%

Usually

This Nursing Home:	25%
State:	21%

Always

Here:	68%
California:	72%

How often did doctors communicate well with patients?

Sometimes or never

Here:	7%
California:	6%

Usually

This Nursing Home:	19%
State:	17%

Always

This Nursing Home:	74%
California:	77%

How often did patients receive help quickly from hospital staff?

Sometimes or never

This Nursing Home:	12%
State:	13%

Usually

This Nursing Home:	30%
State:	28%

Always

Here:	58%
California:	59%

How often was patients' pain well controlled?

Sometimes or never

This Nursing Home:	8%
State:	8%

Usually

Here:	25%
State:	25%

Always

Here:	67%
California:	67%

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

Sometimes or never

This Nursing Home:	21%
State:	23%

Usually

Here:	21%
California:	19%

Always

Here:	58%
State:	58%

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

Sometimes or never

Here:	4%
State:	10%

Usually

This Nursing Home:	29%
State:	21%

Always

This Nursing Home:	67%
California:	69%

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

Sometimes or never

Here:	16%
State:	18%

Usually

Here:	34%
California:	33%

Always

Here:	50%
State:	49%

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

Yes

Here:	77%
State:	81%

Here:	23%
California:	19%

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

6 or lower

Here:	10%
California:	10%

7 or 8

This Nursing Home:	26%
California:	24%

9 or 10

Here:	64%
State:	66%

Would patients recommend the hospital to friends and family?

Here:	6%
State:	7%

Yes, probably

Here:	27%
California:	24%

Yes, definitely

This Nursing Home:	67%
State:	69%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	0.740
California:	0.748

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

Here:	0.830
California:	0.900

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.570
State:	1.608

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.100
State:	0.118

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.100
California:	0.126

Quality Measures

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

Here:	24.8%
California:	13.1%

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

This Nursing Home:	8.4%
California:	8.9%

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

Here:	3.4%
California:	7.5%

Percent of long-stay residents who lose too much weight

Here:	7.5%
State:	6.3%

Percent of long-stay low-risk residents who lose control of their bowels or bladder

This Nursing Home:	30.8%
State:	42.7%

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

This Nursing Home:	2.9%
California:	4.0%

Percent of long-stay residents with a urinary tract infection

Here:	5.1%
California:	6.7%

Percent of long-stay residents who have depressive symptoms

Here:	1.1%
State:	2.4%

Percent of long-stay residents who were physically restrained

Here:	0.5%
California:	3.6%

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

This Nursing Home:	1.9%
California:	1.6%

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

Here:	97.2%
State:	93.0%

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

This Nursing Home:	97.2%
State:	94.0%

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

This Nursing Home:	36.2%
State:	21.2%

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

Here:	4.8%
State:	1.2%

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

Here:	35.1%
California:	81.9%

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

Here:	29.3%
State:	79.7%

Percent of long-stay residents who received an antipsychotic medication

Here:	15.1%
California:	19.0%

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

This Nursing Home:	100.0%
State:	99.3%

Percent of Patients Given Aspirin at Discharge

Here:	100.0%
California:	99.0%

Percent of Patients Given Beta Blocker at Discharge

Here:	100.0%
State:	98.5%

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

This Nursing Home:	19
California:	9

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

Here:	100.0%
California:	97.2%

Patients Given a Prescription for a Statin at Discharge

Here:	83.0%
California:	97.5%

Heart Failure

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

This Nursing Home:	100.0%
California:	98.9%

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

This Nursing Home:	90.0%
California:	96.2%

Percent of Patients Given Discharge Instructions

Here:	100.0%
State:	93.5%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Nursing Home:	100.0%
State:	99.4%

Pneumonia

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

This Nursing Home:	96.0%
State:	96.1%

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

Here:	92.0%
California:	96.7%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Nursing Home:	100.0%
State:	98.1%

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

Here:	94.0%
State:	95.9%

Percent of Patients Assessed and Given Influenza Vaccination

This Nursing Home:	93.0%
State:	94.3%

Percent of Patients Assessed and Given Pneumococcal Vaccination

Here:	94.0%
State:	95.8%

Surgery

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

Here:	92.0%
State:	98.1%

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

Here:	87.0%
California:	96.3%

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

Here:	96.0%
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 Nursing Home:	97.0%
California:	96.0%

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

Here:	98.0%
State:	96.9%

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%
State:	99.8%

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

This Nursing Home:	80.0%
State:	93.9%

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

This Nursing Home:	70.0%
State:	96.1%

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

Here:	85.0%
State:	95.1%

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

Here:	94.0%
California:	95.5%

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

Here:	100.0%
State:	99.6%

Outcome of Care

30-Day Mortality Rates from Pneumonia

This Nursing Home:	13.6%
California:	11.7%

30-Day Readmission Rates from Heart Failure

This Nursing Home:	24.6%
California:	24.4%

30-Day Readmission Rates from Pneumonia

This Nursing Home:	18.7%
State:	18.3%

SAN MATEO MEDICAL CENTER D/P SNF - SAN MATEO, CA

Complaint Deficiency

Use of Medical Imaging

Average Medicare Payment

Hospital Consumer Assessment of Healthcare Providers

Staff Information

Quality Measures

Process of Care

Heart Attack

Heart Failure

Pneumonia

Surgery

Outcome of Care

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