BERGEN REGIONAL MEDICAL CENTER - PARAMUS, NJ
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Address 230 E RIDGEWOOD AVEPhone (make sure to verify first before calling): (201) 967-4000 Number of Certified Beds: 574 Total Number of Residents: 559 Percent of Occupied Beds: 97% Sprinkler Status: Fully Sprinklered Program Participation: Medicare and Medicaid Type of Ownership: Government - County Located Within a Hospital?: Yes Multi Nursing Home Ownership?: No Resident and Family Councils: Both Continuing Care Retirement Community?: No Quality Indicator Survey?: No Special Focus Facility?: No Type: Skilled Nursing Facilities Overall Star Rating: 1 Star Health Inspections Star Rating: 1 Star Nurse Staffing Star Rating: 3 Stars Quality Measures Star Rating: 3 Stars RN Only Star Rating: 4 Stars Inpatient Prospective Payment System (IPPS) - Medicare Provider Charge DataAlcohol/Drug Abuse or Dependence without Rehabilitation Therapy without Major ComplicationsAverage Covered Charges
Average Total Payments
Number of discharges: 156
Average Covered Charges
Average Total Payments
Number of discharges: 14
Average Covered Charges
Average Total Payments
Number of discharges: 20
Average Covered Charges
Average Total Payments
Number of discharges: 11
Average Covered Charges
Average Total Payments
Number of discharges: 12
Average Covered Charges
Average Total Payments
Number of discharges: 11
Average Covered Charges
Average Total Payments
Number of discharges: 14
Average Covered Charges
Average Total Payments
Number of discharges: 30
Average Covered Charges
Average Total Payments
Number of discharges: 12
Average Covered Charges
Average Total Payments
Number of discharges: 14
Average Covered Charges
Average Total Payments
Number of discharges: 34
Average Covered Charges
Average Total Payments
Number of discharges: 11
Average Covered Charges
Average Total Payments
Number of discharges: 19
Average Covered Charges
Average Total Payments
Number of discharges: 12
Average Covered Charges
Average Total Payments
Number of discharges: 14
Employment Full-Time EquivalentAdministrative Staff - Full Time: 13.37Certified Nurse Aides - Full Time: 206.26 Certified Nurse Aides - Part Time: 53.49 Dietitians - Under Contract: 4.57 Food Service Personnel - Full Time: 91.20 Food Service Personnel - Part Time: 9.41 Housekeeping Personnel - Full Time: 76.57 Licensed Practical/ Vocational Nurses - Full Time: 19.06 Licensed Practical/ Vocational Nurses - Part Time: 5.37 Mental Health Services Personnel - Under Contract: 0.34 Nurses With Administrative Duties - Full Time: 15.26 Persons Not Included In Any Other Categories - Full Time: 38.23 Physical Therapists - Under Contract: 4.04 Registered Nurses - Full Time: 54.26 Rn Director Of Nursing - Full Time: 0.80 Social Workers - Full Time: 4.16 Activities Professionals - Full Time: 6.69 Activities Professionals - Part Time: 0.27 Dentists - Under Contract: 0.34 Medical Directors - Part Time: 0.11 Nurses With Administrative Duties - Part Time: 1.20 Occupational Therapists - Under Contract: 0.89 Pharmacists - Under Contract: 0.50 Food Service Personnel - Under Contract: 11.23 Persons Not Included In Any Other Categories - Under Contract: 20.21 Speech Pathologists - Under Contract: 1.20 Housekeeping Personnel - Under Contract: 9.14 Registered Nurses - Under Contract: 4.11 Registered Nurses - Part Time: 18.03 Occupational Therapy Assistants - Under Contract: 1.84 Housekeeping Personnel - Part Time: 2.00 Licensed Practical/ Vocational Nurses - Under Contract: 2.86 Physical Therapy Aide - Under Contract: 3.40 Podiatrists - Part Time: 0.46 Provided Services
Process of CareHeart AttackPercent of Patients Given Aspirin at Arrival
Heart FailurePercent of patients who were given an evaluation of Left Ventricular Systolic Dysfunction (LVSD)
Percent of Patients Given Discharge Instructions
PneumoniaPercent of Patients Given Initial Antibiotic(s) within 6 Hours After Arrival
Percent of Patients Whose Initial ER Blood Culture Was Performed Prior To Administration Of First Dose Of Antibiotics
Percent of Patients Given Smoking Cessation Advice/Counseling
Percent of Patients Given the Most Appropriate Initial Antibiotic(s)
Percent of Patients Assessed and Given Influenza Vaccination
Percent of Patients Assessed and Given Pneumococcal Vaccination
SurgeryPercent of Surgery Patients given an antibiotic at the right time (within one hour before surgery) to help prevent infection
Percent of Surgery Patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)
Percent of Surgery Patients who were given the right kind of antibiotic to help prevent infection
Percent of Surgery Patients who got treatment at right time (within 24 hours before or after surgery) to help prevent blood clot
Percent of Surgery Patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries
Percent of Surgery Patients needing hair removed from the surgical area before surgery who had hair removed using a safer method
Percent of Surgery Patients whose urinary catheters were removed on the first or second day after surgery
Surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on them
Patients having surgery who were actively warmed in the operating room or whose body temperature was near normal
Outcome of Care30-Day Mortality Rates from Heart Attack
30-Day Mortality Rates from Heart Failure
30-Day Mortality Rates from Pneumonia
30-Day Readmission Rates from Heart Attack
30-Day Readmission Rates from Heart Failure
30-Day Readmission Rates from Pneumonia
Hospital Acquired ConditionsFalls and injuries
Severe pressure sores (bed sores)
Hospital Consumer Assessment of Healthcare ProvidersNumber of Completed Surveys: Between 100 and 299Survey Response Rate: 11% How often did nurses communicate well with patients? Sometimes or never
Usually
Always
How often did doctors communicate well with patients? Sometimes or never
Usually
Always
How often did patients receive help quickly from hospital staff? Sometimes or never
Usually
Always
How often was patients' pain well controlled? Sometimes or never
Usually
Always
How often did staff explain about medicines before giving them to patients? Sometimes or never
Usually
Always
How often were the patients' rooms and bathrooms kept clean? Sometimes or never
Usually
Always
How often was the area around patients' rooms kept quiet at night? Sometimes or never
Usually
Always
Were patients given information about what to do during their recovery at home? Yes
No
How do patients rate the hospital overall on a scale from 0 (lowest) to 10 (highest)? 6 or lower
7 or 8
9 or 10
Would patients recommend the hospital to friends and family? No
Yes, probably
Yes, definitely
Use of Medical ImagingOutpatients who had a follow-up mammogram or ultrasound within 45 days after a screening mammogram.
Outpatient CT scans of the chest that were combination (double) scans.
Staff InformationNumber of Registered Nurses Hours Per Resident Per Day
Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day
Total Number of Licensed Staff Hours Per Resident Per Day
Number of ,Certified Nurse Assistant Hours Per Resident Per Day
Number Therapy Hours Per Resident Per Day
Quality MeasuresPercent of long-stay residents whose need for help with daily activities has increased
Percent of long-stay residents who self-report moderate to severe pain
Percent of long-stay high-risk residents with pressure ulcers
Percent of long-stay residents who lose too much weight
Percent of long-stay low-risk residents who lose control of their bowels or bladder
Percent of long-stay residents who have had a catheter inserted and left in their bladder
Percent of long-stay residents with a urinary tract infection
Percent of long-stay residents who have depressive symptoms
Percent of long-stay residents who were physically restrained
Percent of long-stay residents experiencing one or more falls with major injury
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
Percent of short-stay residents who self-report moderate to severe pain
Percent of short-stay residents with Pressure ulcers that are new or worsened
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
Percent of short-stay residents who newly received an antipsychotic medication
Percent of long-stay residents who received an antipsychotic medication
Complaint DeficiencyAn approved installation, maintenance and testing program for fire alarm systems: Few (Minimal harm or potential for actual harm)Properly installed electrical wiring and equipment: Few (Minimal harm or potential for actual harm) Exits that are accessible at all times: Few (Minimal harm or potential for actual harm) Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death: Few (Minimal harm or potential for actual harm) Give the resident's representative the ability to exercise the resident's rights: Few (Minimal harm or potential for actual harm) Properly installed electrical wiring and equipment: Few (Minimal harm or potential for actual harm) Properly hold, secure and manage each resident's personal money which is deposited with the nursing home: Some (Potential for minimal harm) Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detectors: Few (Minimal harm or potential for actual harm) Automatic sprinkler systems that have been maintained in working order: Few (Minimal harm or potential for actual harm) Properly installed electrical wiring and equipment: Few (Minimal harm or potential for actual harm) Protect each resident from all abuse, physical punishment, and being separated from others: Few (Minimal harm or potential for actual harm) Provide housekeeping and maintenance services: Some (Potential for minimal harm) Make sure services provided by the nursing facility meet professional standards of quality: Few (Minimal harm or potential for actual harm) Provide necessary care and services to maintain the highest well being of each resident : Few (Minimal harm or potential for actual harm) Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores: Few (Immediate jeopardy to resident health or safety) Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents: Some (Minimal harm or potential for actual harm) Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%: Some (Minimal harm or potential for actual harm) Store, cook, and serve food in a safe and clean way: Many (Minimal harm or potential for actual harm) Give or get emergency care by a doctor 24 hours a day: Few (Minimal harm or potential for actual harm) Safely provide drugs and other similar products available, which are needed every day and in emergencies, by a licensed pharmacist: Few (Minimal harm or potential for actual harm) Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public: Some (Minimal harm or potential for actual harm) Keep accurate, complete and organized clinical records on each resident that meet professional standards: Few (Minimal harm or potential for actual harm) Resident room doors of proper design and width: Few (Minimal harm or potential for actual harm) Did not have a written emergency evacuation plan: Few (Minimal harm or potential for actual harm) A fire alarm system that can be heard throughout the facility: Few (Minimal harm or potential for actual harm) Posted No-smoking signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed: Some (Potential for minimal harm) Tell the resident completely about his or her health status, care and treatments: Some (Minimal harm or potential for actual harm) Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured: Some (Minimal harm or potential for actual harm) Evaluate a residents decrease in social interaction and increase in depressive behaviors, and if the behavior was avoidable if these problems did not exist before: Some (Minimal harm or potential for actual harm) Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents: Some (Minimal harm or potential for actual harm) Give each resident enough fluids to keep them healthy and prevent dehydration: Some (Minimal harm or potential for actual harm) 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: Few (Minimal harm or potential for actual harm) Store, cook, and serve food in a safe and clean way: Many (Minimal harm or potential for actual harm) Provide routine and 24-hour emergency dental care for each resident: Few (Minimal harm or potential for actual harm) Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards: Few (Minimal harm or potential for actual harm) Have a program that investigates, controls and keeps infection from spreading: Few (Minimal harm or potential for actual harm) Keep all essential equipment working safely: Some (Potential for minimal harm) Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public: Some (Minimal harm or potential for actual harm) Keep accurate, complete and organized clinical records on each resident that meet professional standards: Some (Minimal harm or potential for actual harm) Construction that can resist fire for one hour or an approved fire extinguishing system: Few (Minimal harm or potential for actual harm) Provide housekeeping and maintenance services: Some (Potential for minimal harm) Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured: Few (Minimal harm or potential for actual harm) Make sure services provided by the nursing facility meet professional standards of quality: Few (Minimal harm or potential for actual harm) Store, cook, and serve food in a safe and clean way: Many (Minimal harm or potential for actual harm) Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing: Few (Minimal harm or potential for actual harm) Have a program that investigates, controls and keeps infection from spreading: Few (Minimal harm or potential for actual harm) Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public: Many (Minimal harm or potential for actual harm) Other nearby hospitals and nursing homes
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