SIDNEY REGIONAL MEDICAL CENTER (SIDNEY, NE) Detailed Nursing Home Profile

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: Between 100 and 299
Survey Response Rate: 34%

How often did nurses communicate well with patients?

Sometimes or never

Here:	3%
Nebraska:	3%

Usually

This Nursing Home:	19%
State:	16%

Always

This Nursing Home:	78%
Nebraska:	81%

How often did doctors communicate well with patients?

Sometimes or never

This Nursing Home:	4%
Nebraska:	2%

Usually

This Nursing Home:	15%
State:	14%

Always

This Nursing Home:	81%
State:	84%

How often did patients receive help quickly from hospital staff?

Sometimes or never

This Nursing Home:	5%
Nebraska:	5%

Usually

This Nursing Home:	26%
State:	23%

Always

This Nursing Home:	69%
State:	72%

How often was patients' pain well controlled?

Sometimes or never

Here:	5%
Nebraska:	4%

Usually

This Nursing Home:	28%
State:	25%

Always

This Nursing Home:	67%
State:	71%

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

Sometimes or never

Here:	16%
State:	15%

Usually

This Nursing Home:	19%
State:	21%

Always

Here:	65%
State:	64%

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

Sometimes or never

This Nursing Home:	7%
State:	6%

Usually

Here:	19%
Nebraska:	16%

Always

This Nursing Home:	74%
State:	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:	30%
Nebraska:	30%

Always

Here:	61%
State:	63%

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

Yes

This Nursing Home:	85%
State:	87%

This Nursing Home:	15%
Nebraska:	13%

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

6 or lower

Here:	6%
Nebraska:	5%

7 or 8

This Nursing Home:	30%
State:	21%

9 or 10

This Nursing Home:	64%
Nebraska:	74%

Would patients recommend the hospital to friends and family?

Here:	3%
State:	2%

Yes, probably

Here:	35%
State:	23%

Yes, definitely

Here:	62%
Nebraska:	75%

Process of Care

Heart Failure

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

Here:	50.0%
State:	97.3%

Percent of Patients Given Discharge Instructions

Here:	38.0%
State:	93.5%

Pneumonia

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

Here:	86.0%
State:	97.3%

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

Here:	82.0%
Nebraska:	98.1%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	21.0%
State:	97.1%

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

Here:	82.0%
State:	94.1%

Percent of Patients Assessed and Given Pneumococcal Vaccination

Here:	50.0%
Nebraska:	93.9%

Surgery

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

Here:	72.0%
Nebraska:	97.5%

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

This Nursing Home:	72.0%
State:	98.5%

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:	100.0%

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

Here:	100.0%
Nebraska:	99.8%

Outcome of Care

30-Day Mortality Rates from Heart Failure

Here:	10.2%
Nebraska:	12.4%

30-Day Mortality Rates from Pneumonia

This Nursing Home:	13.2%
Nebraska:	12.3%

30-Day Readmission Rates from Heart Failure

This Nursing Home:	24.0%
State:	24.4%

30-Day Readmission Rates from Pneumonia

This Nursing Home:	18.9%
Nebraska:	18.4%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	0.540
State:	0.754

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

Here:	0.610
State:	0.781

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.150
Nebraska:	1.534

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	0.010
Nebraska:	0.061

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.010
Nebraska:	0.069

Quality Measures

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

This Nursing Home:	21.4%
Nebraska:	14.1%

Percent of long-stay residents who lose too much weight

This Nursing Home:	11.4%
Nebraska:	6.9%

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

This Nursing Home:	3.4%
Nebraska:	5.5%

Percent of long-stay residents with a urinary tract infection

Here:	14.6%
State:	7.3%

Percent of long-stay residents who have depressive symptoms

This Nursing Home:	14.6%
State:	8.0%

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

Here:	8.3%
Nebraska:	4.1%

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

This Nursing Home:	97.9%
Nebraska:	97.0%

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

Here:	97.9%
Nebraska:	95.9%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	18.8%
State:	22.6%

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
Review or revise the resident's care plan after any major change in a resident's physical or mental health
- 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
At least two compartments on every floor to protect residents from smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Record of quarterly fire drills for each shift under varying conditions
- Harm: Minimal harm or potential for actual harm
- Scope: Many
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
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
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 free from accident hazards and risks and provides supervision to prevent avoidable accidents
- 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: Some
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: Many
Proper medical gas storage and administration areas
- Harm: Minimal harm or potential for actual harm
- Scope: Some
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents
- 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
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
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
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: Many
Smoke barrier doors that can resist smoke for at least 20 minutes
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Record of quarterly fire drills for each shift under varying conditions
- Harm: Minimal harm or potential for actual 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
Provide housekeeping and maintenance services
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Conduct initial and periodic assessments of each resident's functional capacity
- 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
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 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: Few
Post nurse staffing information/data on a daily basis
- Harm: Potential for minimal harm
- Scope: Many
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature
- 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: Few
Have enough backup water supply for essential areas of the nursing home
- 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.

This Nursing Home:	5.300%
Nebraska:	9.790%

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

This Nursing Home:	0.128%
Nebraska:	0.126%

Outpatients who got cardiac imaging stress tests before low-risk outpatient surgery

Here:	5.700%
Nebraska:	5.403%

SIDNEY REGIONAL MEDICAL CENTER - SIDNEY, NE

Hospital Consumer Assessment of Healthcare Providers

Process of Care

Heart Failure

Pneumonia

Surgery

Outcome of Care

Staff Information

Quality Measures

Complaint Deficiency

Use of Medical Imaging

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