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HILO MEDICAL CENTER - HILO, HI

 



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Address
1190 WAIANUENUE AVENUE
HILO, HI, 96720
Phone (make sure to verify first before calling): (808) 974-4700

Hospital Type: Acute Care Hospitals
Hospital Owner: Government - State
Emergency Services: Yes


Overall Star Rating: 3 Stars
Health Inspections Star Rating: 2 Stars
Nurse Staffing Star Rating: 5 Stars
Quality Measures Star Rating: 4 Stars
RN Only Star Rating: 5 Stars

Inpatient Prospective Payment System (IPPS) - Medicare Provider Charge Data

Acute Myocardial Infarction, Discharged Alive with Complications
Average Covered Charges
This Hospital:

$18,647
State:

$22,109
Average Total Payments
Here:

$11,780
Hawaii:

$10,965
Number of discharges: 32
This Hospital:

3.07%
Hawaii:

1.10%
Acute Myocardial Infarction, Discharged Alive with Major Complications
Average Covered Charges
This Hospital:

$22,504
Hawaii:

$39,855
Average Total Payments
This Hospital:

$17,362
Hawaii:

$16,554
Number of discharges: 44
This Hospital:

4.23%
Hawaii:

2.04%
Acute Myocardial Infarction, Discharged Alive without Complications
Average Covered Charges
Here:

$13,231
State:

$19,076
Average Total Payments
This Hospital:

$7,941
Hawaii:

$8,169
Number of discharges: 31
Here:

2.98%
State:

0.88%
Cardiac Arrhythmia and Conduction Disorders with Complications
Average Covered Charges
This Hospital:

$15,777
Hawaii:

$20,717
Average Total Payments
This Hospital:

$8,367
Hawaii:

$8,848
Number of discharges: 25
Here:

2.40%
Hawaii:

1.37%
Cardiac Arrhythmia and Conduction Disorders with Major Complications
Average Covered Charges
This Hospital:

$18,025
State:

$28,585
Average Total Payments
This Hospital:

$12,162
State:

$10,469
Number of discharges: 16
This Hospital:

1.54%
State:

0.88%
Cardiac Arrhythmia and Conduction Disorders without Complications
Average Covered Charges
This Hospital:

$14,477
Hawaii:

$14,674
Average Total Payments
Here:

$5,709
Hawaii:

$5,368
Number of discharges: 23
Here:

2.21%
Hawaii:

1.95%
Cellulitis without Major Complications
Average Covered Charges
Here:

$16,271
State:

$20,944
Average Total Payments
This Hospital:

$8,257
State:

$7,887
Number of discharges: 28
Here:

2.69%
Hawaii:

2.50%
Chest Pain
Average Covered Charges
This Hospital:

$12,741
Hawaii:

$14,657
Average Total Payments
Here:

$5,461
Hawaii:

$5,256
Number of discharges: 12
Here:

1.15%
State:

1.09%
Chronic Obstructive Pulmonary Disease with Complications
Average Covered Charges
Here:

$17,797
Hawaii:

$24,364
Average Total Payments
This Hospital:

$9,664
State:

$9,077
Number of discharges: 25
Here:

2.40%
Hawaii:

1.11%
Chronic Obstructive Pulmonary Disease with Major Complications
Average Covered Charges
Here:

$19,590
Hawaii:

$30,607
Average Total Payments
This Hospital:

$11,842
Hawaii:

$11,248
Number of discharges: 22
Here:

2.11%
Hawaii:

1.76%
Chronic Obstructive Pulmonary Disease without Complications
Average Covered Charges
Here:

$15,122
State:

$20,494
Average Total Payments
This Hospital:

$7,092
Hawaii:

$7,108
Number of discharges: 16
This Hospital:

1.54%
Hawaii:

1.06%
Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications
Average Covered Charges
Here:

$14,169
State:

$17,636
Average Total Payments
Here:

$7,170
State:

$6,565
Number of discharges: 20
This Hospital:

1.92%
State:

1.69%
G.I. Hemorrhage with Complications
Average Covered Charges
Here:

$17,524
Hawaii:

$21,559
Average Total Payments
Here:

$10,095
Hawaii:

$9,270
Number of discharges: 36
This Hospital:

3.46%
Hawaii:

3.44%
G.I. Hemorrhage with Major Complications
Average Covered Charges
Here:

$33,161
State:

$36,583
Average Total Payments
Here:

$17,426
Hawaii:

$14,700
Number of discharges: 17
This Hospital:

1.63%
Hawaii:

0.83%
G.I. Obstruction with Complications
Average Covered Charges
Here:

$14,143
Hawaii:

$20,164
Average Total Payments
This Hospital:

$9,280
State:

$8,043
Number of discharges: 13
This Hospital:

1.25%
Hawaii:

0.62%
Heart Failure and Shock with Complications
Average Covered Charges
Here:

$16,956
State:

$23,701
Average Total Payments
This Hospital:

$10,304
State:

$9,405
Number of discharges: 48
This Hospital:

4.61%
Hawaii:

3.60%
Heart Failure and Shock with Major Complications
Average Covered Charges
Here:

$24,038
State:

$33,503
Average Total Payments
This Hospital:

$14,521
State:

$12,899
Number of discharges: 32
Here:

3.07%
Hawaii:

3.09%
Heart Failure and Shock without Complications
Average Covered Charges
Here:

$14,863
State:

$14,760
Average Total Payments
This Hospital:

$7,186
State:

$6,560
Number of discharges: 19
Here:

1.83%
Hawaii:

1.22%
Hip and Femur Procedures Except Major Joint with Complications
Average Covered Charges
Here:

$29,029
State:

$39,027
Average Total Payments
This Hospital:

$18,366
State:

$16,434
Number of discharges: 24
This Hospital:

2.31%
State:

1.37%
Infectious and Parasitic Diseases with O.R. Procedure with Major Complications
Average Covered Charges
Here:

$85,904
Hawaii:

$145,508
Average Total Payments
This Hospital:

$54,386
Hawaii:

$60,185
Number of discharges: 16
Here:

1.54%
State:

0.90%
Intracranial Hemorrhage or Cerebral Infarction with Complications
Average Covered Charges
Here:

$22,605
State:

$29,471
Average Total Payments
Here:

$11,465
Hawaii:

$11,173
Number of discharges: 17
Here:

1.63%
Hawaii:

2.61%
Intracranial Hemorrhage or Cerebral Infarction with Major Complications
Average Covered Charges
This Hospital:

$32,259
Hawaii:

$46,881
Average Total Payments
This Hospital:

$18,284
State:

$16,912
Number of discharges: 12
This Hospital:

1.15%
State:

1.96%
Intracranial Hemorrhage or Cerebral Infarction without Complications
Average Covered Charges
Here:

$14,365
Hawaii:

$21,614
Average Total Payments
Here:

$8,597
Hawaii:

$7,831
Number of discharges: 14
Here:

1.34%
State:

1.66%
Kidney and Urinary Tract Infections without Major Complications
Average Covered Charges
This Hospital:

$16,518
State:

$18,385
Average Total Payments
Here:

$7,793
Hawaii:

$7,120
Number of discharges: 28
This Hospital:

2.69%
Hawaii:

2.04%
Major Joint Replacement or Reattachment of Lower Extremity without Major Complications
Average Covered Charges
This Hospital:

$40,232
State:

$39,463
Average Total Payments
Here:

$20,894
State:

$18,512
Number of discharges: 12
Here:

1.15%
State:

6.27%
Major Small and Large Bowel Procedures with Complications
Average Covered Charges
Here:

$44,524
State:

$54,440
Average Total Payments
Here:

$24,928
State:

$23,059
Number of discharges: 15
Here:

1.44%
State:

0.69%
Misc Disorders of Nutrition, Metabolism, Fluids or Electrolytes with Major Complications
Average Covered Charges
Here:

$22,590
Hawaii:

$28,126
Average Total Payments
Here:

$11,060
State:

$10,487
Number of discharges: 11
Here:

1.06%
State:

1.14%
Misc Disorders of Nutrition, Metabolism, Fluids or Electrolytes without Major Complications
Average Covered Charges
Here:

$13,726
Hawaii:

$17,690
Average Total Payments
Here:

$6,928
Hawaii:

$6,112
Number of discharges: 19
Here:

1.83%
State:

2.82%
Psychoses
Average Covered Charges
Here:

$14,980
Hawaii:

$16,200
Average Total Payments
Here:

$9,408
State:

$8,388
Number of discharges: 121
This Hospital:

11.62%
State:

4.35%
Red Blood Cell Disorders without Major Complications
Average Covered Charges
This Hospital:

$17,040
State:

$15,969
Average Total Payments
This Hospital:

$7,902
State:

$6,893
Number of discharges: 17
This Hospital:

1.63%
Hawaii:

0.35%
Renal Failure with Complications
Average Covered Charges
Here:

$17,987
State:

$22,247
Average Total Payments
This Hospital:

$10,172
State:

$9,611
Number of discharges: 43
Here:

4.13%
Hawaii:

2.01%
Renal Failure with Major Complications
Average Covered Charges
Here:

$33,497
Hawaii:

$35,398
Average Total Payments
Here:

$16,639
Hawaii:

$14,139
Number of discharges: 33
Here:

3.17%
Hawaii:

1.23%
Respiratory Infections and Inflammations with Complications
Average Covered Charges
Here:

$31,181
State:

$33,608
Average Total Payments
This Hospital:

$14,026
State:

$12,516
Number of discharges: 17
This Hospital:

1.63%
Hawaii:

1.66%
Respiratory Infections and Inflammations with Major Complications
Average Covered Charges
Here:

$33,203
State:

$42,409
Average Total Payments
This Hospital:

$20,092
Hawaii:

$17,035
Number of discharges: 18
This Hospital:

1.73%
State:

1.42%
Respiratory System Diagnosis with Ventilator Support <96 Hours
Average Covered Charges
This Hospital:

$41,546
State:

$55,233
Average Total Payments
This Hospital:

$23,057
Hawaii:

$20,526
Number of discharges: 16
Here:

1.54%
State:

1.37%
Septicemia or Severe Sepsis without Mechanical Ventilation 96+ Hours with Major Complications
Average Covered Charges
Here:

$34,109
State:

$43,436
Average Total Payments
Here:

$18,593
State:

$17,002
Number of discharges: 70
This Hospital:

6.72%
Hawaii:

8.21%
Septicemia or Severe Sepsis without Mechanical Ventilation 96+ Hours without Major Complications
Average Covered Charges
This Hospital:

$21,268
Hawaii:

$23,687
Average Total Payments
Here:

$11,431
State:

$10,356
Number of discharges: 27
Here:

2.59%
Hawaii:

3.12%
Simple Pneumonia and Pleurisy with Complications
Average Covered Charges
This Hospital:

$18,790
Hawaii:

$23,436
Average Total Payments
Here:

$9,943
State:

$9,352
Number of discharges: 26
Here:

2.50%
State:

3.53%
Simple Pneumonia and Pleurisy without Complications
Average Covered Charges
Here:

$16,425
Hawaii:

$16,114
Average Total Payments
Here:

$7,047
State:

$6,172
Number of discharges: 14
Here:

1.34%
State:

1.37%
Syncope and Collapse
Average Covered Charges
This Hospital:

$15,684
Hawaii:

$19,327
Average Total Payments
Here:

$7,123
State:

$6,166
Number of discharges: 12
This Hospital:

1.15%
Hawaii:

1.80%

Hospital Acquired Conditions

Falls and injuries
Here:

0.583%
State:

0.769%
Infection from a Urinary Catheter
Here:

0.583%
Hawaii:

2.007%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys: 300 or more
Survey Response Rate: 21%

How often did nurses communicate well with patients?

Sometimes or never
This Hospital:

6%
State:

5%
Usually
This Hospital:

24%
State:

19%
Always
Here:

70%
State:

76%

How often did doctors communicate well with patients?

Sometimes or never
Here:

5%
Hawaii:

5%
Usually
This Hospital:

19%
Hawaii:

15%
Always
This Hospital:

76%
State:

80%

How often did patients receive help quickly from hospital staff?

Sometimes or never
This Hospital:

11%
Hawaii:

11%
Usually
This Hospital:

31%
State:

27%
Always
Here:

58%
Hawaii:

62%

How often was patients' pain well controlled?

Sometimes or never
Here:

7%
State:

7%
Usually
Here:

28%
State:

24%
Always
Here:

65%
Hawaii:

69%

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

Sometimes or never
This Hospital:

23%
State:

19%
Usually
This Hospital:

19%
Hawaii:

19%
Always
Here:

58%
Hawaii:

62%

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

Sometimes or never
This Hospital:

5%
State:

7%
Usually
This Hospital:

22%
State:

20%
Always
This Hospital:

73%
Hawaii:

73%

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

Sometimes or never
This Hospital:

22%
State:

14%
Usually
This Hospital:

39%
Hawaii:

33%
Always
This Hospital:

39%
Hawaii:

53%

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

Yes
This Hospital:

78%
Hawaii:

81%
No
This Hospital:

22%
Hawaii:

19%

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

6 or lower
Here:

15%
Hawaii:

10%
7 or 8
This Hospital:

32%
Hawaii:

23%
9 or 10
Here:

53%
State:

67%

Would patients recommend the hospital to friends and family?

No
This Hospital:

7%
State:

5%
Yes, probably
Here:

39%
State:

26%
Yes, definitely
Here:

54%
State:

69%

Quality Measures

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

28.6%
State:

13.0%
Percent of long-stay residents who self-report moderate to severe pain
This Hospital:

13.4%
State:

6.4%
Percent of long-stay residents who lose too much weight
Here:

8.0%
State:

6.2%
Percent of long-stay residents who have had a catheter inserted and left in their bladder
Here:

2.4%
State:

2.6%
Percent of long-stay residents with a urinary tract infection
Here:

2.3%
Hawaii:

4.4%
Percent of long-stay residents who have depressive symptoms
Here:

1.2%
State:

4.7%
Percent of long-stay residents experiencing one or more falls with major injury
Here:

1.1%
Hawaii:

2.4%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Here:

100.0%
Hawaii:

98.0%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
This Hospital:

100.0%
Hawaii:

97.9%
Percent of short-stay residents who self-report moderate to severe pain
This Hospital:

32.6%
State:

14.0%
Percent of short-stay residents with Pressure ulcers that are new or worsened
Here:

1.7%
State:

1.2%
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Here:

99.1%
State:

89.3%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
This Hospital:

97.8%
State:

85.9%
Percent of short-stay residents who newly received an antipsychotic medication
Here:

1.0%
Hawaii:

1.8%
Percent of long-stay residents who received an antipsychotic medication
Here:

22.2%
State:

13.7%

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival
Here:

98.0%
State:

99.0%
Percent of Patients Given Aspirin at Discharge
This Hospital:

98.0%
State:

98.0%
Percent of Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)
This Hospital:

90.0%
State:

95.0%
Percent of Patients Given Beta Blocker at Discharge
Here:

99.0%
Hawaii:

98.5%
Percent of Patients Given Smoking Cessation Advice/Counseling
This Hospital:

100.0%
State:

98.9%
Average number of minutes before outpatients with chest pain or possible heart attack got an ECG
Here:

14
State:

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

99.0%
Hawaii:

97.9%
Outpatients with chest pain or possible heart attack who got drugs to break up blood clots within 30 minutes of arrival
Here:

65
State:

66
Patients Given a Prescription for a Statin at Discharge
This Hospital:

92.0%
Hawaii:

97.7%
Median Time to Fibrinolysis
This Hospital:

22
Hawaii:

24

Heart Failure

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

98.0%
State:

98.9%
Percent of Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)
This Hospital:

93.0%
State:

94.7%
Percent of Patients Given Discharge Instructions
This Hospital:

91.0%
State:

93.1%
Percent of Patients Given Smoking Cessation Advice/Counseling
Here:

100.0%
State:

99.3%

Pneumonia

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

97.0%
State:

96.7%
Percent of Patients Whose Initial ER Blood Culture Was Performed Prior To Administration Of First Dose Of Antibiotics
Here:

94.0%
State:

95.4%
Percent of Patients Given Smoking Cessation Advice/Counseling
Here:

100.0%
State:

99.0%
Percent of Patients Given the Most Appropriate Initial Antibiotic(s)
This Hospital:

97.0%
State:

94.6%
Percent of Patients Assessed and Given Influenza Vaccination
Here:

100.0%
State:

90.6%
Percent of Patients Assessed and Given Pneumococcal Vaccination
Here:

98.0%
State:

91.1%

Surgery

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

96.0%
Hawaii:

98.8%
Percent of Surgery Patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)
This Hospital:

85.0%
Hawaii:

96.3%
Percent of Surgery Patients who were given the right kind of antibiotic to help prevent infection
Here:

96.0%
Hawaii:

98.8%
Percent of Surgery Patients who got treatment at right time (within 24 hours before or after surgery) to help prevent blood clot
Here:

91.0%
State:

94.2%
Percent of Surgery Patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries
Here:

93.0%
State:

95.4%
Percent of Surgery Patients needing hair removed from the surgical area before surgery who had hair removed using a safer method
Here:

100.0%
Hawaii:

99.7%
Percent of Surgery Patients whose urinary catheters were removed on the first or second day after surgery
Here:

98.0%
Hawaii:

93.7%
Surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on them
Here:

97.0%
Hawaii:

94.7%
Outpatients having surgery who got an antibiotic at the right time - within one hour before surgery (higher numbers are better)
This Hospital:

93.0%
State:

97.6%
Outpatients having surgery who got the right kind of antibiotic (higher numbers are better)
This Hospital:

80.0%
State:

98.0%
Patients having surgery who were actively warmed in the operating room or whose body temperature was near normal
This Hospital:

100.0%
Hawaii:

99.7%

Outcome of Care

30-Day Mortality Rates from Heart Attack
Here:

13.3%
State:

15.3%
30-Day Mortality Rates from Heart Failure
This Hospital:

11.1%
State:

11.7%
30-Day Mortality Rates from Pneumonia
Here:

11.0%
State:

11.9%
30-Day Readmission Rates from Heart Attack
This Hospital:

17.0%
State:

19.8%
30-Day Readmission Rates from Heart Failure
Here:

22.9%
State:

22.9%
30-Day Readmission Rates from Pneumonia
This Hospital:

16.6%
State:

17.7%

Use of Medical Imaging

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

0.553%
State:

0.102%
Outpatients who got cardiac imaging stress tests before low-risk outpatient surgery
This Hospital:

5.500%
State:

3.993%
Outpatients with brain CT scans who got a sinus CT scan at the same time
This Hospital:

1.100%
Hawaii:

1.482%

Complaint Deficiency

Review or revise the resident's care plan after any major change in a resident's physical or mental health: Few (Immediate jeopardy to resident health or safety)

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: Few (Actual harm)

Exits that are accessible at all times: Few (Immediate jeopardy to resident health or safety)

Properly hold, secure and manage each resident's personal money which is deposited with the nursing home: Few (Minimal harm or potential for actual harm)

Fire-resistant room wall surfaces: Few (Minimal harm or potential for actual harm)

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: Few (Minimal harm or potential for actual harm)

A two-hour-resistant firewall in common walls: Few (Minimal harm or potential for actual harm)

An approved installation, maintenance and testing program for fire alarm systems: Many (Minimal harm or potential for actual harm)

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

Let residents voice a complaint or grievance without being treated differently or badly: Few (Minimal harm or potential for actual harm)

Allow residents to easily view the results of the nursing home's most recent survey: Some (Potential for minimal harm)

Send and promptly deliver unopened mail to residents: Many (Potential for minimal harm)

Provide enough notice before discharging or transferring a resident: Few (Minimal harm or potential for actual harm)

Keep each resident free from physical restraints, unless needed for medical treatment: 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: Some (Minimal harm or potential for actual harm)

Make sure each resident has the right to have a choice over activities, their schedules and health care according to his or her interests, assessment, and plan of care: Few (Minimal harm or potential for actual harm)

Reasonably accommodate the needs and preferences of each resident: Few (Minimal harm or potential for actual harm)

Provide activities to meet the interests and needs of each resident: Some (Minimal harm or potential for actual harm)

Provide a safe, clean, comfortable and homelike environment: Some (Minimal harm or potential for actual harm)

Make sure each resident receives an accurate assessment by a qualified health professional: Some (Minimal harm or potential for actual harm)

Assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene: 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)

Develop policies and procedures for influenza and pneumococcal immunizations: Few (Minimal harm or potential for actual harm)

Have enough nurses to care for every resident in a way that maximizes the resident's well being: 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)

Store, cook, and serve food in a safe and clean way: Some (Minimal harm or potential for actual harm)

Provide routine and 24-hour emergency dental care for each resident: 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)

Have a program that investigates, controls and keeps infection from spreading: Few (Minimal harm or potential for actual harm)

Be designed, built, equipped, or well kept to protect the health and safety of residents, workers, and the public: Many (Minimal harm or potential for actual harm)

Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action: Some (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 each resident has the right to have a choice over activities, their schedules and health care according to his or her interests, assessment, and plan of care: Few (Minimal harm or potential for actual harm)

Provide activities to meet the interests and needs of each resident: Few (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: Few (Minimal harm or potential for actual harm)

Assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene: 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: 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)

Have a program that investigates, controls and keeps infection from spreading: Few (Minimal harm or potential for actual harm)

Record of quarterly fire drills for each shift under varying conditions: 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)

Keep each resident free from physical restraints, unless needed for medical treatment: Few (Minimal harm or potential for actual harm)

Give notice to the resident before a room or roommate change: Few (Minimal harm or potential for actual harm)

Provide activities to meet the interests and needs of each resident: Few (Minimal harm or potential for actual harm)

Provide housekeeping and maintenance services: 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: 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)

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)

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)

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms: Many (Potential for minimal harm)

Other nearby hospitals and nursing homes

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