PELLA REGIONAL HEALTH CENTER (PELLA, IA) Detailed Nursing Home Profile

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: 300 or more
Survey Response Rate: 44%

How often did nurses communicate well with patients?

Sometimes or never

Here:	2%
State:	3%

Usually

This Nursing Home:	14%
Iowa:	17%

Always

This Nursing Home:	84%
State:	80%

How often did doctors communicate well with patients?

Sometimes or never

This Nursing Home:	1%
Iowa:	3%

Usually

This Nursing Home:	11%
State:	13%

Always

Here:	88%
State:	84%

How often did patients receive help quickly from hospital staff?

Sometimes or never

Here:	3%
Iowa:	6%

Usually

Here:	26%
State:	25%

Always

Here:	71%
Iowa:	69%

How often was patients' pain well controlled?

Sometimes or never

Here:	4%
State:	5%

Usually

This Nursing Home:	22%
Iowa:	24%

Always

This Nursing Home:	74%
State:	71%

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

Sometimes or never

Here:	13%
Iowa:	15%

Usually

This Nursing Home:	17%
State:	21%

Always

This Nursing Home:	70%
Iowa:	64%

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

Sometimes or never

This Nursing Home:	4%
State:	6%

Usually

This Nursing Home:	16%
Iowa:	16%

Always

This Nursing Home:	80%
Iowa:	78%

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

Sometimes or never

This Nursing Home:	4%
State:	7%

Usually

Here:	30%
State:	30%

Always

Here:	66%
State:	63%

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

Yes

This Nursing Home:	86%
Iowa:	85%

Here:	14%
Iowa:	15%

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

6 or lower

Here:	3%
State:	6%

7 or 8

Here:	13%
State:	20%

9 or 10

Here:	84%
State:	74%

Would patients recommend the hospital to friends and family?

Here:	1%
State:	3%

Yes, probably

This Nursing Home:	13%
State:	22%

Yes, definitely

This Nursing Home:	86%
Iowa:	75%

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased

Here:	12.5%
State:	14.5%

Percent of long-stay residents who lose too much weight

Here:	8.3%
Iowa:	6.7%

Percent of long-stay residents who have had a catheter inserted and left in their bladder

Here:	5.9%
Iowa:	4.7%

Percent of long-stay residents with a urinary tract infection

This Nursing Home:	13.9%
Iowa:	8.4%

Percent of long-stay residents who have depressive symptoms

Here:	6.1%
Iowa:	7.5%

Percent of long-stay residents experiencing one or more falls with major injury

This Nursing Home:	2.8%
Iowa:	3.9%

Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine

This Nursing Home:	94.3%
State:	98.0%

Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine

Here:	100.0%
State:	97.7%

Percent of short-stay residents who self-report moderate to severe pain

This Nursing Home:	31.7%
Iowa:	21.7%

Percent of short-stay residents with Pressure ulcers that are new or worsened

This Nursing Home:	4.0%
Iowa:	1.8%

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine

Here:	100.0%
State:	91.0%

Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine

This Nursing Home:	94.2%
Iowa:	88.8%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	17.1%
State:	21.0%

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
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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
Provide necessary care and services to maintain the highest well being of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Develop policies and procedures for influenza and pneumococcal immunizations
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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: Many
Keep accurate, complete and organized clinical records on each resident that meet professional standards
- Harm: Potential for minimal harm
- Scope: Some
Approved construction type or materials
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Corridor and hallway doors that block smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Few
A fire alarm system that can be heard throughout the facility
- 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
Heating and ventilation systems that have been properly installed according to the manufacturer's instructions
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Other fire safety features required by fire safety codes
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly installed electrical wiring and equipment
- 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 activities to meet the interests and needs of each resident
- 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: 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
Make sure services provided by the nursing facility meet professional standards of quality
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide care by qualified persons according to each resident's written plan of care
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide necessary care and services to maintain the highest well being of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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
Make sure that each resident gets a nutritional and well balanced diet, unless it is not possible to do so
- 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: Few
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Corridor and hallway doors that block smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Smoke barrier doors that can resist smoke for at least 20 minutes
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Heating and ventilation systems that have been properly installed according to the manufacturer's instructions
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Proper medical gas storage and administration areas
- 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: Many
A fire alarm system that can be heard throughout the facility
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Properly installed electrical wiring and equipment
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Immediately tell the resident, the resident's doctor and a family member of the resident of situations (injury/decline/room, etc.) that affect the resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Determine if it is safe for the resident to self-administer drugs
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide activities to meet the interests and needs of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide medically-related social services to help each resident achieve the highest possible quality of life
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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
Make sure services provided by the nursing facility meet professional standards of quality
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide necessary care and services to maintain the highest well being of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
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
- 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: Immediate jeopardy to resident health or safety
- Scope: Few
Make sure that each resident gets a nutritional and well balanced diet, unless it is not possible to do so
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed
- 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
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Keep accurate, complete and organized clinical records on each resident that meet professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Few

Use of Medical Imaging

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

Here:	7.400%
Iowa:	8.069%

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

This Nursing Home:	0.748%
Iowa:	0.138%

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

Here:	0.008%
State:	0.031%

Outpatients who got cardiac imaging stress tests before low-risk outpatient surgery

Here:	3.000%
State:	4.961%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	1.020
State:	0.684

Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day

Here:	0.900
State:	0.621

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.920
Iowa:	1.298

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.080
State:	0.037

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.080
Iowa:	0.043

Process of Care

Heart Failure

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

Here:	98.0%
Iowa:	96.9%

Percent of Patients Given Discharge Instructions

Here:	96.0%
Iowa:	90.2%

Pneumonia

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

This Nursing Home:	96.0%
Iowa:	97.4%

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

This Nursing Home:	98.0%
State:	97.8%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Nursing Home:	91.0%
State:	97.7%

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

This Nursing Home:	95.0%
State:	93.4%

Percent of Patients Assessed and Given Influenza Vaccination

This Nursing Home:	93.0%
Iowa:	91.6%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Nursing Home:	98.0%
Iowa:	94.3%

Surgery

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

Here:	99.0%
State:	97.8%

Percent of Surgery Patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)

Here:	94.0%
Iowa:	96.3%

Percent of Surgery Patients who were given the right kind of antibiotic to help prevent infection

Here:	99.0%
Iowa:	98.7%

Percent of Surgery Patients who got treatment at right time (within 24 hours before or after surgery) to help prevent blood clot

Here:	96.0%
Iowa:	96.3%

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

This Nursing Home:	98.0%
State:	97.2%

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

Here:	99.0%
State:	99.8%

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

This Nursing Home:	88.0%
Iowa:	94.2%

Surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on them

This Nursing Home:	93.0%
Iowa:	96.5%

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

Here:	100.0%
State:	99.6%

Outcome of Care

30-Day Mortality Rates from Heart Failure

Here:	11.4%
Iowa:	12.0%

30-Day Mortality Rates from Pneumonia

This Nursing Home:	9.7%
State:	12.0%

30-Day Readmission Rates from Heart Failure

Here:	25.2%
State:	23.7%

30-Day Readmission Rates from Pneumonia

This Nursing Home:	18.8%
State:	17.9%

PELLA REGIONAL HEALTH CENTER - PELLA, IA

Hospital Consumer Assessment of Healthcare Providers

Quality Measures

Complaint Deficiency

Use of Medical Imaging

Staff Information

Process of Care

Heart Failure

Pneumonia

Surgery

Outcome of Care

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