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CHARLES COLE MEMORIAL HOSPITAL - COUDERSPORT, PA

 



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Address
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

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

Staff Information

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

1.030
Pennsylvania:

0.760
Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day
Here:

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
Pennsylvania:

0.090

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
Here:

18%
Pennsylvania:

18%
Always
This Nursing Home:

80%
Pennsylvania:

77%

How often did doctors communicate well with patients?

Sometimes or never
This Nursing Home:

4%
Pennsylvania:

5%
Usually
Here:

14%
State:

16%
Always
Here:

82%
State:

79%

How often did patients receive help quickly from hospital staff?

Sometimes or never
Here:

6%
State:

10%
Usually
Here:

22%
Pennsylvania:

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%
State:

24%
Always
This Nursing Home:

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%
State:

19%
Always
Here:

62%
State:

60%

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

Sometimes or never
Here:

10%
State:

9%
Usually
This Nursing Home:

16%
State:

20%
Always
Here:

74%
State:

71%

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

Sometimes or never
Here:

8%
State:

14%
Usually
This Nursing Home:

34%
Pennsylvania:

34%
Always
This Nursing Home:

58%
State:

52%

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

Yes
Here:

87%
Pennsylvania:

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%
Pennsylvania:

10%
7 or 8
This Nursing Home:

30%
State:

24%
9 or 10
Here:

62%
Pennsylvania:

66%

Would patients recommend the hospital to friends and family?

No
This Nursing Home:

4%
State:

5%
Yes, probably
This Nursing Home:

36%
State:

28%
Yes, definitely
This Nursing Home:

60%
Pennsylvania:

67%

Quality Measures

Percent of long-stay residents who lose too much weight
This Nursing Home:

6.5%
State:

7.4%
Percent of long-stay residents with a urinary tract infection
This Nursing Home:

2.9%
State:

5.3%
Percent of long-stay residents who have depressive symptoms
This Nursing Home:

8.3%
State:

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

13.5%
State:

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

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
Here:

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
This Nursing Home:

83.8%
State:

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

92.0%
State:

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

20.0%
Pennsylvania:

22.2%

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%
Pennsylvania:

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

0.068%
Pennsylvania:

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

0.065%
State:

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

3.400%
State:

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

4.400%
Pennsylvania:

3.106%

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
This Nursing Home:

96.0%
Pennsylvania:

96.6%

Heart Failure

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

100.0%
State:

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

94.0%
State:

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

91.0%
State:

93.4%

Pneumonia

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

96.0%
Pennsylvania:

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

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
This Nursing Home:

91.0%
State:

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

98.0%
State:

96.6%

Surgery

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

97.0%
State:

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%
State:

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

98.0%
State:

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%
State:

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

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
This Nursing Home:

98.0%
State:

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%
State:

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%
Pennsylvania:

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

100.0%
Pennsylvania:

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
This Nursing Home:

13.5%
Pennsylvania:

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

20.7%
Pennsylvania:

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

26.1%
Pennsylvania:

24.8%
30-Day Readmission Rates from Pneumonia
This Nursing Home:

19.0%
State:

18.6%

Complaint Deficiency

1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents: 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)

Make sure that each resident who enters the nursing home without a catheter is not given a catheter, and receive proper services to prevent urinary tract infections and restore normal bladder function: Few (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: 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)

At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor: Few (Minimal harm or potential for actual harm)

Proper stairway enclosures and vertical shafts: Many (Potential for minimal harm)

Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour: Few (Minimal harm or potential for actual harm)

Smoke barrier doors that can resist smoke for at least 20 minutes: Few (Minimal harm or potential for actual harm)

Exit stairways and towers that are smoke proof: Many (Potential for minimal harm)

Properly located and lighted Exit signs: Few (Minimal harm or potential for actual harm)

Heating and ventilation systems that have been properly installed according to the manufacturer's instructions: Few (Minimal harm or potential for actual harm)

Proper medical gas storage and administration areas: Few (Minimal harm or potential for actual harm)

Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality: Few (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)

Make sure that each resident gets a nutritional and well balanced diet, unless it is not possible to do so: Few (Minimal harm or potential for actual harm)

Make sure that doctors visit residents regularly, as required: Few (Minimal harm or potential for actual harm)

1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews: Many (Minimal harm or potential for actual harm)

Keep each resident's personal and medical records private and confidential: Some (Minimal harm or potential for actual harm)

Determine if it is safe for the resident to self-administer drugs: Few (Minimal harm or potential for actual harm)

Provide housekeeping and maintenance services: Some (Minimal harm or potential for actual harm)

Make sure services provided by the nursing facility meet professional standards of quality: Some (Minimal harm or potential for actual harm)

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores: Few (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)

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)

Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%: Some (Minimal harm or potential for actual harm)

Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature: Some (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)

Keep accurate, complete and organized clinical records on each resident that meet professional standards: Few (Minimal harm or potential for actual harm)

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