SULLIVAN COUNTY MEMORIAL HOSPITAL (MILAN, MO) Detailed Hospital Profile

Outcome of Care

30-Day Mortality Rates from Heart Failure

Here:	11.6%
Missouri:	11.6%

30-Day Mortality Rates from Pneumonia

Here:	13.3%
Missouri:	11.9%

30-Day Readmission Rates from Heart Failure

Here:	25.5%
Missouri:	24.9%

30-Day Readmission Rates from Pneumonia

Here:	18.8%
Missouri:	18.9%

Complaint Deficiency

Keep each resident free from physical restraints, unless needed for medical treatment
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Listen to the resident or family groups or act on their complaints or suggestions
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Make sure each resident receives an accurate assessment by a qualified health professional
- 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: Minimal harm or potential for actual harm
- Scope: Some
Maintain 15 months of resident assessments in the resident's active clinical record
- Harm: Minimal harm or potential for actual harm
- Scope: Many
1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day
- Harm: Minimal harm or potential for actual harm
- Scope: Many
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
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: Many
Construction that can resist fire for one hour or an approved fire extinguishing system
- 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: Some
Proper backup exit lighting
- 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
Portable fire extinguishers
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Approved construction type or materials
- Harm: Minimal harm or potential for actual harm
- Scope: Many
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: Many
Signs that state that exit doors are to be kept closed
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Exits that are accessible at all times
- 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
Weekly inspections and monthly testing of generators
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Maintain 15 months of resident assessments in the resident's active clinical record
- Harm: Potential for minimal harm
- Scope: Many
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

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: Fewer than 100
Survey Response Rate: 31%

How often did nurses communicate well with patients?

Sometimes or never

This Hospital:	4%
Missouri:	5%

Usually

This Hospital:	14%
State:	18%

Always

Here:	82%
State:	77%

How often did doctors communicate well with patients?

Usually

This Hospital:	9%
Missouri:	15%

Always

Here:	91%
Missouri:	81%

How often did patients receive help quickly from hospital staff?

Usually

This Hospital:	21%
State:	26%

Always

This Hospital:	79%
State:	65%

How often was patients' pain well controlled?

Sometimes or never

Here:	4%
State:	7%

Usually

Here:	35%
Missouri:	24%

Always

Here:	61%
Missouri:	69%

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

Sometimes or never

Here:	8%
Missouri:	21%

Usually

Here:	19%
State:	18%

Always

Here:	73%
State:	61%

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

Sometimes or never

This Hospital:	12%
Missouri:	9%

Usually

Here:	28%
State:	19%

Always

Here:	60%
Missouri:	72%

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

Sometimes or never

Here:	13%
State:	11%

Usually

Here:	32%
State:	31%

Always

Here:	55%
Missouri:	58%

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

Yes

Here:	67%
Missouri:	84%

This Hospital:	33%
Missouri:	16%

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

6 or lower

Here:	5%
State:	9%

7 or 8

Here:	36%
State:	23%

9 or 10

This Hospital:	59%
Missouri:	68%

Would patients recommend the hospital to friends and family?

Here:	1%
State:	5%

Yes, probably

This Hospital:	33%
Missouri:	27%

Yes, definitely

Here:	66%
Missouri:	68%

SULLIVAN COUNTY MEMORIAL HOSPITAL - MILAN, MO

Outcome of Care

Complaint Deficiency

Hospital Consumer Assessment of Healthcare Providers

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