FAIRFIELD MEMORIAL HOSPITAL (FAIRFIELD, IL) Detailed Nursing Home Profile

Use of Medical Imaging

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

Here:	1.700%
State:	8.337%

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

This Nursing Home:	0.586%
Illinois:	0.171%

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

This Nursing Home:	0.004%
State:	0.056%

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

Here:	3.800%
Illinois:	5.573%

Quality Measures

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

Here:	25.0%
Illinois:	19.2%

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

Here:	100.0%
Illinois:	81.0%

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

Here:	100.0%
State:	80.2%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	2.520
State:	0.751

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

Here:	0.300
State:	0.595

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	2.820
State:	1.342

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	0.020
State:	0.080

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.020
State:	0.089

Complaint Deficiency

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
- 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: Few
Corridor and hallway doors that block smoke
- 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
Weekly inspections and monthly testing of generators
- Harm: Minimal harm or potential for actual harm
- Scope: Many

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

Here:	85.0%
Illinois:	99.4%

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

This Nursing Home:	15
Illinois:	8

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

Here:	94.0%
State:	96.6%

Heart Failure

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

This Nursing Home:	90.0%
State:	99.0%

Percent of Patients Given Discharge Instructions

Here:	95.0%
State:	94.0%

Pneumonia

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

Here:	95.0%
Illinois:	96.2%

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

Here:	97.0%
Illinois:	97.5%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Nursing Home:	92.0%
State:	98.5%

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

This Nursing Home:	73.0%
Illinois:	93.1%

Percent of Patients Assessed and Given Influenza Vaccination

This Nursing Home:	91.0%
Illinois:	94.4%

Percent of Patients Assessed and Given Pneumococcal Vaccination

Here:	92.0%
Illinois:	95.5%

Surgery

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

Here:	92.0%
State:	96.7%

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

Here:	92.0%
State:	97.4%

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

Here:	100.0%
Illinois:	99.9%

Outpatients having surgery who got an antibiotic at the right time - within one hour before surgery (higher numbers are better)

This Nursing Home:	100.0%
State:	96.3%

Outpatients having surgery who got the right kind of antibiotic (higher numbers are better)

Here:	95.0%
Illinois:	96.5%

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

Here:	100.0%
Illinois:	99.7%

Outcome of Care

30-Day Mortality Rates from Heart Attack

This Nursing Home:	15.7%
Illinois:	14.6%

30-Day Mortality Rates from Heart Failure

Here:	10.9%
Illinois:	11.0%

30-Day Mortality Rates from Pneumonia

Here:	12.3%
Illinois:	11.7%

30-Day Readmission Rates from Heart Failure

This Nursing Home:	25.2%
State:	25.6%

30-Day Readmission Rates from Pneumonia

This Nursing Home:	18.1%
State:	19.4%

FAIRFIELD MEMORIAL HOSPITAL - FAIRFIELD, IL