BEAR VALLEY COMMUNITY HOSPITAL (BIG BEAR LAKE, CA) Detailed Nursing Home Profile

Complaint Deficiency

Provide a safe, clean, comfortable and homelike environment
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide necessary care and services to maintain the highest well being of each resident
- 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
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
Smoke barrier doors that can resist smoke for at least 20 minutes
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Record of quarterly fire drills for each shift under varying conditions
- 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
An approved automatic sprinkler system connected to the fire alarm system
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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
Back-up procedures in place for a faulty automatic sprinkler system
- Harm: Minimal harm or potential for actual harm
- Scope: Few
An approved back-up procedure for a faulty fire alarm system
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Tell the resident completely about his or her health status, care and treatments
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Give each resident a notice of rights, rules, services and charges. Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for
- 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: Few
Make sure each resident receives an accurate assessment by a qualified health professional
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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
Make sure that residents are safe from serious medication errors
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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
Make sure that special or therapeutic diets are ordered by the attending doctor
- 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
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
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 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
Record of quarterly fire drills for each shift under varying conditions
- Harm: Potential for minimal harm
- Scope: Many
Automatic sprinkler systems that have been maintained in working order
- 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
Smoke barrier doors that can resist smoke for at least 20 minutes
- 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: Few
Record of quarterly fire drills for each shift under varying conditions
- 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
Properly installed electrical wiring and equipment
- 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
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
Provide a safe, clean, comfortable and homelike environment
- 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
Maintain 15 months of resident assessments in the resident's active clinical record
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Provide necessary care and services to maintain the highest well being 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
Make sure that residents are safe from serious medication errors
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide a tasty and well-balanced diet that meets the nutritional needs of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Provide food in a way that meets a resident's needs
- 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: Many
Make sure that doctors visit residents regularly, as required
- 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: Many
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

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

Simple Pneumonia and Pleurisy without Complications

Average Covered Charges

Here:	$13,688
State:	$34,477

Average Total Payments

Here:	$8,705
California:	$5,838

Number of discharges: 12

Here:	100.00%
State:	0.97%

Process of Care

Heart Attack

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

This Nursing Home:	20
State:	9

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

Here:	89.0%
California:	97.2%

Pneumonia

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

Here:	96.0%
State:	96.1%

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

This Nursing Home:	91.0%
California:	96.7%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	82.0%
California:	98.1%

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

Here:	96.0%
California:	95.9%

Percent of Patients Assessed and Given Influenza Vaccination

This Nursing Home:	100.0%
State:	94.3%

Percent of Patients Assessed and Given Pneumococcal Vaccination

Here:	100.0%
State:	95.8%

Surgery

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

Here:	42.0%
California:	96.9%

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

Here:	92.0%
California:	99.8%

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

This Nursing Home:	92.0%
California:	99.6%

Outcome of Care

30-Day Mortality Rates from Pneumonia

This Nursing Home:	13.7%
State:	11.7%

30-Day Readmission Rates from Pneumonia

This Nursing Home:	18.8%
State:	18.3%

Use of Medical Imaging

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

This Nursing Home:	0.800%
State:	8.180%

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

This Nursing Home:	0.124%
California:	0.170%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: Fewer than 100
Survey Response Rate: 42%

How often did nurses communicate well with patients?

Sometimes or never

This Nursing Home:	1%
State:	7%

Usually

This Nursing Home:	15%
State:	21%

Always

Here:	84%
California:	72%

How often did doctors communicate well with patients?

Sometimes or never

Here:	1%
California:	6%

Usually

Here:	14%
California:	17%

Always

This Nursing Home:	85%
State:	77%

How often did patients receive help quickly from hospital staff?

Usually

This Nursing Home:	25%
California:	28%

Always

Here:	75%
State:	59%

How often was patients' pain well controlled?

Sometimes or never

This Nursing Home:	2%
California:	8%

Usually

This Nursing Home:	24%
State:	25%

Always

This Nursing Home:	74%
State:	67%

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

Sometimes or never

This Nursing Home:	20%
State:	23%

Usually

Here:	18%
State:	19%

Always

This Nursing Home:	62%
California:	58%

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

Sometimes or never

Here:	9%
State:	10%

Usually

Here:	26%
State:	21%

Always

This Nursing Home:	65%
State:	69%

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

Sometimes or never

This Nursing Home:	6%
California:	18%

Usually

This Nursing Home:	24%
California:	33%

Always

This Nursing Home:	70%
State:	49%

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

Yes

Here:	85%
State:	81%

This Nursing Home:	15%
State:	19%

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

6 or lower

Here:	7%
State:	10%

7 or 8

This Nursing Home:	18%
California:	24%

9 or 10

Here:	75%
California:	66%

Would patients recommend the hospital to friends and family?

Here:	2%
California:	7%

Yes, probably

This Nursing Home:	23%
State:	24%

Yes, definitely

This Nursing Home:	75%
California:	69%

BEAR VALLEY COMMUNITY HOSPITAL - BIG BEAR LAKE, CA

Complaint Deficiency

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

Process of Care

Heart Attack

Pneumonia

Surgery

Outcome of Care

Use of Medical Imaging

Hospital Consumer Assessment of Healthcare Providers

User Contributions:

Comment about this article, ask questions, or add new information about this topic: