CENTRO MEDICO WILMA N VAZQUEZ SNF (VEGA BAJA, PR) Detailed Nursing Home Profile

Quality Measures

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

Here:	100.0%
Puerto Rico:	90.8%

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

This Nursing Home:	100.0%
State:	90.3%

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

Here:	81.4%
State:	46.4%

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

This Nursing Home:	98.4%
State:	70.8%

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

This Nursing Home:	97.5%
Puerto Rico:	70.6%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	2.840
Puerto Rico:	2.869

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

This Nursing Home:	0.810
State:	2.514

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	3.650
State:	5.382

Complaint Deficiency

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
Other fire safety features required by fire safety codes
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Tell the resident completely about his or her health status, care and treatments
- 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: Many
Provide necessary care and services to maintain the highest well being of each resident
- 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: Many
Offer other nutritional food to each resident who will not eat the food served
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Many
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to 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: Many
Be designed, built, equipped, or well kept to protect the health and safety of residents, workers, and the public
- Harm: Minimal harm or potential for actual harm
- Scope: Many
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
Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour
- 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
Heating and ventilation systems that have been properly installed according to the manufacturer's instructions
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Properly protected cooking facilities
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Other fire safety features required by fire safety codes
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Weekly inspections and monthly testing of generators
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Let the resident refuse treatment or refuse to take part in an experiment and formulate advance directives
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Keep each resident's personal and medical records private and confidential
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Make sure services provided by the nursing facility meet professional standards of quality
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Hire sufficient dietary support personnel
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Safely provide drugs and other similar products available, which are needed every day and in emergencies, by a licensed pharmacist
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Be designed, built, equipped, or well kept to protect the health and safety of residents, workers, and the public
- Harm: Minimal harm or potential for actual harm
- Scope: Many
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
Choose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility
- 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
Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Emergency lighting that can last at least 1 1/2 hours
- Harm: Minimal harm or potential for actual harm
- Scope: Many
A fire alarm system that can be heard throughout the facility
- Harm: Potential for minimal harm
- Scope: Many
Portable fire extinguishers
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Other fire safety features required by fire safety codes
- 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: Many
Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide activities to meet the interests and needs of each resident
- Harm: Potential for minimal harm
- Scope: Many
Maintain comfortable and safe temperature levels
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure services provided by the nursing facility meet professional standards of quality
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Many
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Be designed, built, equipped, or well kept to protect the health and safety of residents, workers, and the public
- Harm: Minimal harm or potential for actual harm
- Scope: Many
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

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

Here:	100.0%
State:	94.1%

Percent of Patients Given Aspirin at Discharge

Here:	100.0%
State:	90.4%

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

Here:	100.0%
State:	92.2%

Percent of Patients Given Beta Blocker at Discharge

This Nursing Home:	100.0%
State:	89.8%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Nursing Home:	100.0%
Puerto Rico:	94.0%

Percent of Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival

Here:	100.0%
Puerto Rico:	54.4%

Patients Given a Prescription for a Statin at Discharge

This Nursing Home:	100.0%
State:	83.8%

Heart Failure

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

Here:	100.0%
Puerto Rico:	92.7%

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

Here:	100.0%
State:	92.1%

Percent of Patients Given Discharge Instructions

This Nursing Home:	100.0%
State:	84.2%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Nursing Home:	100.0%
State:	94.3%

Pneumonia

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

Here:	97.0%
State:	71.9%

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

Here:	38.0%
State:	78.2%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
State:	89.2%

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

This Nursing Home:	59.0%
State:	76.4%

Percent of Patients Assessed and Given Influenza Vaccination

Here:	47.0%
Puerto Rico:	58.0%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Nursing Home:	29.0%
State:	54.4%

Average Medicare Payment

Acute myocardial infarction, discharged alive w/o CC/MCC: $3,064

Acute myocardial infarction, discharged alive w MCC: $6,837

Acute myocardial infarction, discharged alive w CC: $4,303

Heart failure and shock w/o CC/MCC: $2,544

Heart failure and shock w MCC: $5,145

Heart failure and shock w CC: $3,548

Chronic obstructive pulmonary disease w/o CC/MCC: $2,556

Chronic obstructive pulmonary disease w MCC: $4,591

Chronic obstructive pulmonary disease w CC: $3,438

Simple pneumonia and pleurisy w MCC: $5,048

Laparoscopic cholecystectomy w/o c.d.e. w CC: $5,816

Hernia procedures except inguinal and femoral w/o CC/MCC: $3,400

Major joint replacement or reattachment of lower extremity w/o MCC: $7,074

CENTRO MEDICO WILMA N VAZQUEZ SNF - VEGA BAJA, PR

Quality Measures

Staff Information

Complaint Deficiency

Process of Care

Heart Attack

Heart Failure

Pneumonia

Average Medicare Payment

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