CHARLES COLE MEMORIAL HOSPITAL - COUDERSPORT, PA

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Addresss:
1001 EAST SECOND STREET
COUDERSPORT, PA, 16915
Phone (make sure to verify first before calling): (814) 274-9300

Number of Certified Beds: 49
Total Number of Residents: 46
Percent of Occupied Beds: 94%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: Non profit - Corporation
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: 2 Stars
Health Inspections Star Rating: 1 Star
Nurse Staffing Star Rating: 4 Stars
Quality Measures Star Rating: 3 Stars
RN Only Star Rating: 4 Stars

Employment Full-Time Equivalent
Administrative Staff - Full Time: 1.14
Certified Nurse Aides - Full Time: 8.96
Certified Nurse Aides - Part Time: 5.51
Food Service Personnel - Full Time: 2.67
Food Service Personnel - Part Time: 1.03
Housekeeping Personnel - Full Time: 3.20
Licensed Practical/ Vocational Nurses - Full Time: 3.99
Licensed Practical/ Vocational Nurses - Part Time: 3.49
Medical Directors - Under Contract: 0.11
Nurses With Administrative Duties - Full Time: 1.14
Registered Nurses - Full Time: 3.93
Rn Director Of Nursing - Full Time: 1.14
Social Workers - Full Time: 1.14
Activities Professionals - Full Time: 0.91
Dentists - Under Contract: 0.04
Podiatrists - Under Contract: 0.03
Physician Extenders - Under Contract: 0.01
Dietitians - Full Time: 0.57
Pharmacists - Full Time: 0.10
Occupational Therapists - Full Time: 0.71
Physical Therapists - Full Time: 1.14
Speech Pathologists - Part Time: 0.29

Number Of Beds
Total: 49
Total Certified: 49

Provided Services
Activities Services Are Provided Onsite To Residents
Clinical Laboratory Services Are Provided Onsite To Residents
Dental Services Are Provided Offsite To Residents
Dental Services Are Provided Onsite To Residents
Diagnostic Xray Services Are Provided Onsite To Residents
Dietary Services Are Provided Onsite To Residents
Housekeeping Services Are Provided Onsite To Residents
Mental Health Services Are Provided Onsite To Residents
Nursing Services Are Provided Onsite To Residents
Occupational Therapy Services Are Provided Onsite To Residents
Pharmacy Services Are Provided Onsite To Residents
Physical Therapy Services Are Provided Onsite To Residents
Physician Extender Services Are Provided Onsite To Residents
Physician Services Are Provided Onsite To Residents
Podiatry Services Are Provided Offsite To Residents
Podiatry Services Are Provided Onsite To Residents
Social Work Services Are Provided Onsite To Residents
Speech/Language Pathology Services Are Provided Onsite To Residents

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: 300 or more
Survey Response Rate: 37%

How often did nurses communicate well with patients?

Sometimes or never
This Nursing Home:

2%
Pennsylvania:

5%
Usually
This Nursing Home:

18%
Pennsylvania:

18%
Always
Here:

80%
State:

77%

How often did doctors communicate well with patients?

Sometimes or never
This Nursing Home:

4%
Pennsylvania:

5%
Usually
This Nursing Home:

14%
State:

16%
Always
This Nursing Home:

82%
State:

79%

How often did patients receive help quickly from hospital staff?

Sometimes or never
Here:

6%
Pennsylvania:

10%
Usually
Here:

22%
State:

26%
Always
Here:

72%
Pennsylvania:

64%

How often was patients' pain well controlled?

Sometimes or never
This Nursing Home:

4%
Pennsylvania:

7%
Usually
Here:

22%
Pennsylvania:

24%
Always
Here:

74%
Pennsylvania:

69%

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

Sometimes or never
This Nursing Home:

19%
Pennsylvania:

21%
Usually
This Nursing Home:

19%
Pennsylvania:

19%
Always
Here:

62%
Pennsylvania:

60%

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

Sometimes or never
Here:

10%
Pennsylvania:

9%
Usually
This Nursing Home:

16%
State:

20%
Always
This Nursing Home:

74%
Pennsylvania:

71%

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

Sometimes or never
Here:

8%
Pennsylvania:

14%
Usually
Here:

34%
Pennsylvania:

34%
Always
This Nursing Home:

58%
Pennsylvania:

52%

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

Yes
Here:

87%
State:

83%
No
Here:

13%
Pennsylvania:

17%

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

6 or lower
Here:

8%
State:

10%
7 or 8
Here:

30%
State:

24%
9 or 10
This Nursing Home:

62%
State:

66%

Would patients recommend the hospital to friends and family?

No
Here:

4%
State:

5%
Yes, probably
This Nursing Home:

36%
State:

28%
Yes, definitely
This Nursing Home:

60%
Pennsylvania:

67%

Complaint Deficiency

Use of Medical Imaging

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

55.600%
Pennsylvania:

36.295%
Outpatients who had a follow-up mammogram or ultrasound within 45 days after a screening mammogram.
Here:

7.400%
State:

8.255%
Outpatient CT scans of the abdomen that were combination (double) scans.
This Nursing Home:

0.068%
Pennsylvania:

0.151%
Outpatient CT scans of the chest that were combination (double) scans.
This Nursing Home:

0.065%
State:

0.023%
Outpatients who got cardiac imaging stress tests before low-risk outpatient surgery
Here:

3.400%
Pennsylvania:

5.987%
Outpatients with brain CT scans who got a sinus CT scan at the same time
Here:

4.400%
State:

3.106%

Quality Measures

Percent of long-stay residents who lose too much weight
Here:

6.5%
State:

7.4%
Percent of long-stay residents with a urinary tract infection
Here:

2.9%
Pennsylvania:

5.3%
Percent of long-stay residents who have depressive symptoms
Here:

8.3%
Pennsylvania:

4.6%
Percent of long-stay residents experiencing one or more falls with major injury
This Nursing Home:

13.5%
Pennsylvania:

3.0%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
This Nursing Home:

97.3%
Pennsylvania:

95.1%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
Here:

97.3%
Pennsylvania:

94.5%
Percent of short-stay residents who self-report moderate to severe pain
This Nursing Home:

38.6%
State:

21.2%
Percent of short-stay residents with Pressure ulcers that are new or worsened
This Nursing Home:

2.5%
Pennsylvania:

1.6%
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Here:

83.8%
State:

85.6%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
Here:

92.0%
Pennsylvania:

84.4%
Percent of long-stay residents who received an antipsychotic medication
This Nursing Home:

20.0%
Pennsylvania:

22.2%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day
This Nursing Home:

1.030
State:

0.760
Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day
This Nursing Home:

1.120
State:

0.830
Total Number of Licensed Staff Hours Per Resident Per Day
Here:

2.150
State:

1.587
Number of ,Certified Nurse Assistant Hours Per Resident Per Day
This Nursing Home:

0.120
State:

0.089
Number Therapy Hours Per Resident Per Day
This Nursing Home:

0.120
State:

0.090

Process of Care

Heart Attack

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

8
Pennsylvania:

9
Outpatients with chest pain or possible heart attack who got aspirin within 24 hours of arrival
Here:

96.0%
State:

96.6%

Heart Failure

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

100.0%
Pennsylvania:

99.3%
Percent of Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)
Here:

94.0%
State:

96.5%
Percent of Patients Given Discharge Instructions
This Nursing Home:

91.0%
Pennsylvania:

93.4%

Pneumonia

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

96.0%
State:

96.6%
Percent of Patients Whose Initial ER Blood Culture Was Performed Prior To Administration Of First Dose Of Antibiotics
Here:

97.0%
State:

97.4%
Percent of Patients Given Smoking Cessation Advice/Counseling
Here:

100.0%
State:

98.9%
Percent of Patients Given the Most Appropriate Initial Antibiotic(s)
This Nursing Home:

93.0%
Pennsylvania:

95.7%
Percent of Patients Assessed and Given Influenza Vaccination
Here:

91.0%
Pennsylvania:

94.1%
Percent of Patients Assessed and Given Pneumococcal Vaccination
This Nursing Home:

98.0%
Pennsylvania:

96.6%

Surgery

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

97.0%
Pennsylvania:

98.6%
Percent of Surgery Patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)
This Nursing Home:

99.0%
Pennsylvania:

97.5%
Percent of Surgery Patients who were given the right kind of antibiotic to help prevent infection
Here:

98.0%
Pennsylvania:

98.5%
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%
Pennsylvania:

98.0%
Percent of Surgery Patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries
Here:

100.0%
State:

98.6%
Percent of Surgery Patients needing hair removed from the surgical area before surgery who had hair removed using a safer method
Here:

100.0%
Pennsylvania:

99.9%
Percent of Surgery Patients whose urinary catheters were removed on the first or second day after surgery
Here:

98.0%
Pennsylvania:

95.6%
Surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on them
This Nursing Home:

95.0%
Pennsylvania:

96.9%
Outpatients having surgery who got an antibiotic at the right time - within one hour before surgery (higher numbers are better)
This Nursing Home:

82.0%
State:

95.6%
Patients having surgery who were actively warmed in the operating room or whose body temperature was near normal
Here:

100.0%
State:

99.8%

Outcome of Care

30-Day Mortality Rates from Heart Attack
This Nursing Home:

15.5%
State:

14.8%
30-Day Mortality Rates from Heart Failure
Here:

11.1%
State:

10.9%
30-Day Mortality Rates from Pneumonia
Here:

13.5%
Pennsylvania:

11.8%
30-Day Readmission Rates from Heart Attack
Here:

20.7%
State:

19.2%
30-Day Readmission Rates from Heart Failure
Here:

26.1%
State:

24.8%
30-Day Readmission Rates from Pneumonia
Here:

19.0%
State:

18.6%

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