SIERRA NEVADA MEMORIAL HOSPITAL (GRASS VALLEY, CA) Detailed Hospital Profile

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

Acute Myocardial Infarction, Discharged Alive with Complications

Average Covered Charges

Here:	$37,414
California:	$55,746

Average Total Payments

This Hospital:	$7,895
State:	$9,903

Number of discharges: 19

This Hospital:	1.02%
California:	0.48%

Acute Myocardial Infarction, Discharged Alive with Major Complications

Average Covered Charges

This Hospital:	$49,311
State:	$83,364

Average Total Payments

This Hospital:	$11,973
State:	$15,491

Number of discharges: 27

This Hospital:	1.45%
State:	0.94%

Acute Myocardial Infarction, Discharged Alive without Complications

Average Covered Charges

Here:	$18,010
California:	$40,505

Average Total Payments

This Hospital:	$5,583
California:	$6,444

Number of discharges: 17

This Hospital:	0.91%
State:	0.21%

Atherosclerosis without Major Complications

Average Covered Charges

This Hospital:	$21,264
California:	$28,823

Average Total Payments

Here:	$4,202
California:	$4,913

Number of discharges: 20

Here:	1.08%
State:	0.40%

Cardiac Arrhythmia and Conduction Disorders with Complications

Average Covered Charges

Here:	$26,352
State:	$39,980

Average Total Payments

Here:	$5,850
California:	$7,146

Number of discharges: 61

Here:	3.28%
California:	1.30%

Cardiac Arrhythmia and Conduction Disorders with Major Complications

Average Covered Charges

Here:	$39,444
California:	$59,369

Average Total Payments

This Hospital:	$8,896
State:	$10,810

Number of discharges: 26

Here:	1.40%
State:	0.79%

Cardiac Arrhythmia and Conduction Disorders without Complications

Average Covered Charges

Here:	$19,881
State:	$28,713

Average Total Payments

Here:	$4,312
California:	$4,819

Number of discharges: 60

Here:	3.23%
California:	1.18%

Cellulitis without Major Complications

Average Covered Charges

Here:	$23,112
State:	$36,707

Average Total Payments

This Hospital:	$6,045
State:	$7,245

Number of discharges: 30

Here:	1.61%
State:	2.08%

Chronic Obstructive Pulmonary Disease with Complications

Average Covered Charges

Here:	$30,819
California:	$46,809

Average Total Payments

This Hospital:	$6,997
California:	$8,290

Number of discharges: 44

Here:	2.37%
State:	1.75%

Chronic Obstructive Pulmonary Disease with Major Complications

Average Covered Charges

This Hospital:	$37,442
State:	$58,013

Average Total Payments

This Hospital:	$8,240
California:	$10,305

Number of discharges: 41

Here:	2.21%
State:	2.00%

Chronic Obstructive Pulmonary Disease without Complications

Average Covered Charges

Here:	$23,570
State:	$35,163

Average Total Payments

Here:	$5,096
California:	$6,206

Number of discharges: 40

Here:	2.15%
State:	1.11%

Diabetes with Complications

Average Covered Charges

Here:	$40,710
State:	$38,964

Average Total Payments

Here:	$6,842
State:	$7,470

Number of discharges: 13

This Hospital:	0.70%
State:	0.69%

Esophagitis, Gastroent and Miscellaneous Digestive Disorders with Major Complications

Average Covered Charges

This Hospital:	$52,766
State:	$55,838

Average Total Payments

This Hospital:	$8,325
State:	$10,485

Number of discharges: 13

Here:	0.70%
State:	0.67%

Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications

Average Covered Charges

This Hospital:	$25,356
California:	$36,899

Average Total Payments

Here:	$5,260
California:	$6,233

Number of discharges: 41

This Hospital:	2.21%
California:	3.09%

Fractures of Hip and Pelvis without Major Complications

Average Covered Charges

Here:	$24,707
California:	$33,350

Average Total Payments

This Hospital:	$4,700
California:	$5,631

Number of discharges: 13

Here:	0.70%
California:	0.31%

G.I. Hemorrhage with Complications

Average Covered Charges

This Hospital:	$38,235
California:	$46,039

Average Total Payments

This Hospital:	$7,301
State:	$8,685

Number of discharges: 41

Here:	2.21%
California:	1.95%

G.I. Obstruction with Complications

Average Covered Charges

This Hospital:	$30,458
California:	$44,086

Average Total Payments

This Hospital:	$7,440
State:	$8,042

Number of discharges: 14

Here:	0.75%
State:	0.72%

G.I. Obstruction without Complications

Average Covered Charges

This Hospital:	$23,425
State:	$30,586

Average Total Payments

Here:	$4,590
State:	$5,436

Number of discharges: 16

Here:	0.86%
State:	0.47%

Heart Failure and Shock with Complications

Average Covered Charges

Here:	$37,853
State:	$47,292

Average Total Payments

Here:	$7,265
State:	$8,831

Number of discharges: 61

Here:	3.28%
California:	2.91%

Heart Failure and Shock with Major Complications

Average Covered Charges

This Hospital:	$46,301
State:	$70,963

Average Total Payments

This Hospital:	$10,829
State:	$13,159

Number of discharges: 52

Here:	2.80%
California:	3.03%

Heart Failure and Shock without Complications

Average Covered Charges

Here:	$23,842
State:	$32,995

Average Total Payments

This Hospital:	$4,744
State:	$5,851

Number of discharges: 23

Here:	1.24%
California:	1.02%

Hip and Femur Procedures Except Major Joint with Complications

Average Covered Charges

Here:	$73,701
California:	$88,197

Average Total Payments

This Hospital:	$13,127
State:	$15,201

Number of discharges: 33

This Hospital:	1.78%
State:	1.05%

Hip and Femur Procedures Except Major Joint with Major Complications

Average Covered Charges

This Hospital:	$102,792
California:	$139,101

Average Total Payments

Here:	$21,031
State:	$25,918

Number of discharges: 11

This Hospital:	0.59%
State:	0.25%

Hip and Femur Procedures Except Major Joint without Complications

Average Covered Charges

This Hospital:	$58,006
California:	$68,603

Average Total Payments

Here:	$10,847
California:	$12,359

Number of discharges: 14

This Hospital:	0.75%
California:	0.32%

Intracranial Hemorrhage or Cerebral Infarction with Complications

Average Covered Charges

Here:	$32,843
California:	$55,669

Average Total Payments

This Hospital:	$8,255
State:	$9,837

Number of discharges: 40

Here:	2.15%
California:	1.65%

Intracranial Hemorrhage or Cerebral Infarction with Major Complications

Average Covered Charges

Here:	$45,822
California:	$95,326

Average Total Payments

This Hospital:	$12,716
California:	$17,327

Number of discharges: 12

Here:	0.65%
California:	1.11%

Intracranial Hemorrhage or Cerebral Infarction without Complications

Average Covered Charges

This Hospital:	$24,208
State:	$42,438

Average Total Payments

Here:	$5,723
California:	$6,978

Number of discharges: 25

This Hospital:	1.34%
State:	0.78%

Kidney and Urinary Tract Infections without Major Complications

Average Covered Charges

Here:	$27,717
State:	$36,114

Average Total Payments

This Hospital:	$5,651
State:	$6,728

Number of discharges: 36

Here:	1.94%
State:	2.98%

Major Gastrointestinal Disorders and Peritoneal Infections with Complications

Average Covered Charges

This Hospital:	$34,270
State:	$59,926

Average Total Payments

Here:	$8,675
State:	$10,745

Number of discharges: 11

This Hospital:	0.59%
State:	0.36%

Major Joint Replacement or Reattachment of Lower Extremity without Major Complications

Average Covered Charges

This Hospital:	$82,533
State:	$88,239

Average Total Payments

This Hospital:	$15,454
State:	$17,187

Number of discharges: 167

This Hospital:	8.98%
California:	6.26%

Major Small and Large Bowel Procedures with Complications

Average Covered Charges

This Hospital:	$90,900
State:	$124,615

Average Total Payments

This Hospital:	$19,012
California:	$22,968

Number of discharges: 19

Here:	1.02%
California:	0.69%

Major Small and Large Bowel Procedures with Major Complications

Average Covered Charges

Here:	$138,394
California:	$258,767

Average Total Payments

This Hospital:	$36,087
State:	$49,384

Number of discharges: 13

This Hospital:	0.70%
State:	0.51%

Medical Back Problems without Major Complications

Average Covered Charges

This Hospital:	$35,134
California:	$42,156

Average Total Payments

Here:	$5,698
State:	$6,908

Number of discharges: 14

Here:	0.75%
California:	0.92%

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

Average Covered Charges

This Hospital:	$23,599
State:	$32,446

Average Total Payments

This Hospital:	$4,842
California:	$5,975

Number of discharges: 34

This Hospital:	1.83%
California:	2.21%

Other Digestive System Diagnoses with Complications

Average Covered Charges

Here:	$42,936
California:	$49,604

Average Total Payments

Here:	$7,155
State:	$8,812

Number of discharges: 12

Here:	0.65%
California:	0.66%

Other Kidney and Urinary Tract Diagnoses with Complications

Average Covered Charges

This Hospital:	$32,707
State:	$47,223

Average Total Payments

This Hospital:	$6,928
California:	$9,528

Number of discharges: 11

This Hospital:	0.59%
State:	0.32%

Other Kidney and Urinary Tract Diagnoses with Major Complications

Average Covered Charges

This Hospital:	$49,920
State:	$76,730

Average Total Payments

This Hospital:	$13,622
State:	$15,378

Number of discharges: 25

Here:	1.34%
State:	0.34%

Poisoning and Toxic Effects of Drugs with Major Complications

Average Covered Charges

This Hospital:	$51,101
State:	$68,498

Average Total Payments

This Hospital:	$11,932
State:	$12,969

Number of discharges: 18

This Hospital:	0.97%
California:	0.29%

Poisoning and Toxic Effects of Drugs without Major Complications

Average Covered Charges

Here:	$21,271
State:	$32,752

Average Total Payments

This Hospital:	$5,275
California:	$5,599

Number of discharges: 27

Here:	1.45%
State:	0.35%

Pulmonary Edema and Respiratory Failure

Average Covered Charges

This Hospital:	$46,876
State:	$64,758

Average Total Payments

This Hospital:	$9,286
State:	$11,179

Number of discharges: 14

This Hospital:	0.75%
State:	1.15%

Pulmonary Embolism without Major Complications

Average Covered Charges

Here:	$30,854
State:	$51,386

Average Total Payments

Here:	$7,222
State:	$8,854

Number of discharges: 24

This Hospital:	1.29%
State:	0.29%

Red Blood Cell Disorders with Major Complications

Average Covered Charges

Here:	$33,635
State:	$54,654

Average Total Payments

This Hospital:	$9,035
State:	$11,520

Number of discharges: 13

This Hospital:	0.70%
State:	0.36%

Red Blood Cell Disorders without Major Complications

Average Covered Charges

Here:	$20,916
State:	$35,878

Average Total Payments

Here:	$5,741
California:	$7,039

Number of discharges: 34

Here:	1.83%
California:	1.21%

Renal Failure with Complications

Average Covered Charges

This Hospital:	$30,888
State:	$48,439

Average Total Payments

This Hospital:	$7,169
State:	$8,967

Number of discharges: 27

This Hospital:	1.45%
California:	1.90%

Respiratory Infections and Inflammations with Complications

Average Covered Charges

This Hospital:	$44,450
California:	$70,949

Average Total Payments

Here:	$9,202
State:	$12,543

Number of discharges: 25

This Hospital:	1.34%
California:	1.04%

Respiratory Infections and Inflammations with Major Complications

Average Covered Charges

This Hospital:	$59,691
State:	$101,885

Average Total Payments

Here:	$13,251
California:	$17,925

Number of discharges: 16

This Hospital:	0.86%
State:	1.30%

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

Average Covered Charges

Here:	$52,796
California:	$90,173

Average Total Payments

Here:	$13,456
California:	$16,748

Number of discharges: 182

Here:	9.79%
California:	7.21%

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

Average Covered Charges

This Hospital:	$32,589
California:	$50,385

Average Total Payments

This Hospital:	$7,825
State:	$9,612

Number of discharges: 107

Here:	5.76%
State:	2.35%

Signs and Symptoms without Major Complications

Average Covered Charges

Here:	$29,799
California:	$35,628

Average Total Payments

This Hospital:	$4,829
California:	$6,112

Number of discharges: 11

Here:	0.59%
State:	0.53%

Simple Pneumonia and Pleurisy with Complications

Average Covered Charges

Here:	$32,049
State:	$48,755

Average Total Payments

Here:	$7,156
California:	$8,695

Number of discharges: 89

This Hospital:	4.79%
California:	2.75%

Simple Pneumonia and Pleurisy with Major Complications

Average Covered Charges

Here:	$48,654
State:	$70,362

Average Total Payments

Here:	$10,452
State:	$12,496

Number of discharges: 31

This Hospital:	1.67%
California:	1.89%

Simple Pneumonia and Pleurisy without Complications

Average Covered Charges

Here:	$21,499
California:	$34,477

Average Total Payments

Here:	$5,105
California:	$5,838

Number of discharges: 48

Here:	2.58%
State:	0.97%

Syncope and Collapse

Average Covered Charges

This Hospital:	$27,435
State:	$37,038

Average Total Payments

This Hospital:	$5,158
State:	$6,233

Number of discharges: 29

This Hospital:	1.56%
State:	1.60%

Transient Ischemia

Average Covered Charges

This Hospital:	$22,050
California:	$37,396

Average Total Payments

Here:	$5,271
California:	$6,120

Number of discharges: 15

This Hospital:	0.81%
State:	0.94%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: 300 or more
Survey Response Rate: 32%

How often did nurses communicate well with patients?

Sometimes or never

This Hospital:	4%
State:	7%

Usually

This Hospital:	21%
California:	21%

Always

Here:	75%
State:	72%

How often did doctors communicate well with patients?

Sometimes or never

This Hospital:	5%
State:	6%

Usually

This Hospital:	17%
State:	17%

Always

Here:	78%
State:	77%

How often did patients receive help quickly from hospital staff?

Sometimes or never

Here:	9%
State:	13%

Usually

Here:	27%
California:	28%

Always

This Hospital:	64%
State:	59%

How often was patients' pain well controlled?

Sometimes or never

This Hospital:	5%
California:	8%

Usually

This Hospital:	24%
State:	25%

Always

Here:	71%
California:	67%

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

Sometimes or never

Here:	20%
California:	23%

Usually

This Hospital:	20%
California:	19%

Always

Here:	60%
California:	58%

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

Sometimes or never

Here:	8%
California:	10%

Usually

This Hospital:	20%
State:	21%

Always

Here:	72%
California:	69%

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

Sometimes or never

This Hospital:	12%
State:	18%

Usually

Here:	37%
State:	33%

Always

Here:	51%
State:	49%

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

Yes

This Hospital:	85%
State:	81%

Here:	15%
California:	19%

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

6 or lower

Here:	9%
California:	10%

7 or 8

Here:	24%
State:	24%

9 or 10

Here:	67%
California:	66%

Would patients recommend the hospital to friends and family?

Here:	5%
California:	7%

Yes, probably

This Hospital:	24%
State:	24%

Yes, definitely

Here:	71%
State:	69%

Complaint Deficiency

Store, cook, and serve food in a safe and clean way
- 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: Few
An approved automatic sprinkler system connected to the fire alarm system
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly working alarms on sprinkler valves
- 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
A fire alarm system that can be heard throughout the facility
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Portable fire extinguishers
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Exits that are free from obstructions and can be used at all times
- 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
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Be designed, built, equipped, or well kept to protect the health and safety of residents, workers, and the public
- Harm: Minimal harm or potential for actual harm
- Scope: Many
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: Some
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Some

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

This Hospital:	100.0%
California:	99.3%

Percent of Patients Given Aspirin at Discharge

Here:	100.0%
California:	99.0%

Percent of Patients Given Beta Blocker at Discharge

Here:	97.0%
State:	98.5%

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

Here:	17
California:	9

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

This Hospital:	98.0%
California:	97.2%

Outpatients with chest pain or possible heart attack who got drugs to break up blood clots within 30 minutes of arrival

This Hospital:	76
California:	69

Patients Given a Prescription for a Statin at Discharge

This Hospital:	100.0%
California:	97.5%

Median Time to Fibrinolysis

This Hospital:	25
California:	27

Heart Failure

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

This Hospital:	99.0%
State:	98.9%

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

Here:	97.0%
State:	96.2%

Percent of Patients Given Discharge Instructions

Here:	98.0%
State:	93.5%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
State:	99.4%

Pneumonia

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

Here:	99.0%
California:	96.1%

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

Here:	96.0%
California:	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:	95.0%
California:	95.9%

Percent of Patients Assessed and Given Influenza Vaccination

This Hospital:	95.0%
California:	94.3%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Hospital:	98.0%
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:	98.0%
California:	98.1%

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

This Hospital:	96.0%
State:	96.3%

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

This Hospital:	97.0%
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

Here:	95.0%
State:	96.0%

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

This Hospital:	97.0%
State:	96.9%

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

Here:	100.0%
State:	99.8%

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

Here:	93.0%
California:	93.9%

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

This Hospital:	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:	90.0%
State:	95.1%

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

Here:	98.0%
California:	95.5%

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

This Hospital:	100.0%
State:	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

Here:	12.4%
State:	10.9%

30-Day Mortality Rates from Pneumonia

Here:	10.9%
State:	11.7%

30-Day Readmission Rates from Heart Attack

This Hospital:	19.1%
State:	19.3%

30-Day Readmission Rates from Heart Failure

Here:	25.1%
State:	24.4%

30-Day Readmission Rates from Pneumonia

Here:	21.0%
California:	18.3%

Hospital Acquired Conditions

Falls and injuries

This Hospital:	0.388%
California:	0.625%

Blood infection from a catheter in a large vein

Here:	0.777%
State:	0.530%

Infection from a Urinary Catheter

Here:	0.388%
California:	0.608%

Signs of Uncontrolled Blood Sugar

This Hospital:	0.194%
State:	0.246%

Quality Measures

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

Here:	36.2%
California:	21.2%

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

Here:	0.5%
State:	1.2%

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

Here:	99.3%
California:	81.9%

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

Here:	100.0%
State:	79.7%

Percent of short-stay residents who newly received an antipsychotic medication

This Hospital:	0.8%
California:	2.2%

Use of Medical Imaging

Outpatients with low back pain who had an MRI without trying recommended treatments first, such as physical therapy.

Here:	35.400%
State:	33.932%

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

This Hospital:	7.500%
State:	8.180%

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

This Hospital:	0.126%
California:	0.170%

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

This Hospital:	0.061%
California:	0.043%

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

Here:	4.600%
California:	5.492%

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

Here:	1.000%
State:	1.898%

SIERRA NEVADA MEMORIAL HOSPITAL - GRASS VALLEY, CA

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

Hospital Consumer Assessment of Healthcare Providers

Complaint Deficiency

Process of Care

Heart Attack

Heart Failure

Pneumonia

Surgery

Outcome of Care

Hospital Acquired Conditions

Quality Measures

Use of Medical Imaging

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