STORY COUNTY HOSPITAL LTC (NEVADA, IA) Detailed Nursing Home Profile

Process of Care

Pneumonia

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

This Nursing Home:	93.0%
Iowa:	97.4%

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

This Nursing Home:	91.0%
Iowa:	93.4%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Nursing Home:	82.0%
State:	94.3%

Surgery

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

Here:	54.0%
State:	97.8%

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

This Nursing Home:	100.0%
Iowa:	96.3%

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

Here:	100.0%
Iowa:	98.7%

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%
State:	96.3%

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

Here:	100.0%
Iowa:	97.2%

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

Here:	93.0%
Iowa:	99.8%

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

Here:	100.0%
Iowa:	99.6%

Outcome of Care

30-Day Mortality Rates from Pneumonia

This Nursing Home:	10.4%
State:	12.0%

30-Day Readmission Rates from Pneumonia

This Nursing Home:	17.8%
State:	17.9%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: Fewer than 100
Survey Response Rate: 39%

How often did nurses communicate well with patients?

Sometimes or never

Here:	3%
Iowa:	3%

Usually

Here:	25%
Iowa:	17%

Always

This Nursing Home:	72%
State:	80%

How often did doctors communicate well with patients?

Sometimes or never

This Nursing Home:	1%
State:	3%

Usually

This Nursing Home:	14%
State:	13%

Always

Here:	85%
Iowa:	84%

How often did patients receive help quickly from hospital staff?

Sometimes or never

Here:	1%
State:	6%

Usually

This Nursing Home:	42%
State:	25%

Always

Here:	57%
State:	69%

How often was patients' pain well controlled?

Sometimes or never

This Nursing Home:	8%
State:	5%

Usually

This Nursing Home:	33%
Iowa:	24%

Always

Here:	59%
State:	71%

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

Sometimes or never

Here:	19%
Iowa:	15%

Usually

Here:	25%
Iowa:	21%

Always

This Nursing Home:	56%
State:	64%

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

Sometimes or never

Here:	7%
State:	6%

Usually

This Nursing Home:	11%
Iowa:	16%

Always

Here:	82%
State:	78%

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

Sometimes or never

Here:	5%
Iowa:	7%

Usually

This Nursing Home:	38%
Iowa:	30%

Always

Here:	57%
State:	63%

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

Yes

This Nursing Home:	89%
State:	85%

This Nursing Home:	11%
State:	15%

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

6 or lower

Here:	7%
Iowa:	6%

7 or 8

Here:	26%
State:	20%

9 or 10

This Nursing Home:	67%
State:	74%

Would patients recommend the hospital to friends and family?

This Nursing Home:	5%
Iowa:	3%

Yes, probably

This Nursing Home:	23%
State:	22%

Yes, definitely

Here:	72%
State:	75%

Complaint Deficiency

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
Proper exit design
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide housekeeping and maintenance services
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Exits that are accessible at all times
- 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
Develop policies and procedures for influenza and pneumococcal immunizations
- 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
Make sure that a working call system is available in each resident's room or bathroom and bathing area
- 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
An approved automatic sprinkler system connected to the fire alarm system
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Properly installed electrical wiring and equipment
- 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
A fire alarm system that can be heard throughout the facility
- 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: Few
Properly installed electrical wiring and equipment
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide a safe, clean, comfortable and homelike environment
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured
- Harm: Potential for minimal 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
Safely provide drugs and other similar products available, which are needed every day and in emergencies, by a licensed pharmacist
- Harm: Potential for minimal harm
- Scope: Some
Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Reasonably accommodate the needs and preferences of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide housekeeping and maintenance services
- 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 free from accident hazards and risks and provides supervision to prevent avoidable accidents
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Post nurse staffing information/data on a daily basis
- Harm: Potential for minimal harm
- Scope: Some
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: Some
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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
Emergency lighting that can last at least 1 1/2 hours
- Harm: Minimal harm or potential for actual harm
- Scope: Many
A fire alarm system that can be heard throughout the facility
- Harm: Minimal harm or potential for actual harm
- Scope: Many
An approved automatic sprinkler system connected to the fire alarm system
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Properly installed electrical wiring and equipment
- Harm: Minimal harm or potential for actual harm
- Scope: Few

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	0.510
Iowa:	0.684

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

This Nursing Home:	0.570
Iowa:	0.621

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.090
State:	1.298

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	0.030
State:	0.037

Number Therapy Hours Per Resident Per Day

Here:	0.030
Iowa:	0.043

Quality Measures

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

Here:	4.4%
Iowa:	14.5%

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

This Nursing Home:	5.6%
State:	11.4%

Percent of long-stay residents who lose too much weight

This Nursing Home:	9.3%
Iowa:	6.7%

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

This Nursing Home:	5.9%
State:	4.7%

Percent of long-stay residents with a urinary tract infection

Here:	5.6%
Iowa:	8.4%

Percent of long-stay residents who have depressive symptoms

Here:	4.0%
State:	7.5%

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

This Nursing Home:	5.6%
Iowa:	3.9%

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

This Nursing Home:	100.0%
Iowa:	98.0%

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

Here:	100.0%
State:	97.7%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	7.4%
State:	21.0%

STORY COUNTY HOSPITAL LTC - NEVADA, IA

Process of Care

Pneumonia

Surgery

Outcome of Care

Hospital Consumer Assessment of Healthcare Providers

Complaint Deficiency

Staff Information

Quality Measures

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