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MEDINA MEMORIAL HOSPITAL - MEDINA, NY

 



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Address
200 OHIO STREET
MEDINA, NY, 14103
Phone (make sure to verify first before calling): (585) 798-8111

Hospital Type: Acute Care Hospitals
Hospital Owner: Voluntary non-profit - Private
Emergency Services: Yes
Type: Swing Bed Hospitals

Dialysis Facility located within this hospital: LAKE PLAINS DIALYSIS CENTER

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

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

Cardiac Arrhythmia and Conduction Disorders without Complications
Average Covered Charges
Here:

$3,968
State:

$15,605
Average Total Payments
This Hospital:

$3,634
State:

$4,967
Number of discharges: 15
This Hospital:

4.21%
New York:

1.64%
Cellulitis without Major Complications
Average Covered Charges
This Hospital:

$6,950
New York:

$21,478
Average Total Payments
This Hospital:

$5,319
State:

$7,326
Number of discharges: 26
This Hospital:

7.30%
State:

2.35%
Chest Pain
Average Covered Charges
This Hospital:

$3,481
New York:

$14,161
Average Total Payments
This Hospital:

$3,492
New York:

$5,137
Number of discharges: 14
Here:

3.93%
State:

2.94%
Chronic Obstructive Pulmonary Disease with Major Complications
Average Covered Charges
Here:

$8,132
New York:

$30,592
Average Total Payments
This Hospital:

$7,437
New York:

$10,182
Number of discharges: 26
Here:

7.30%
New York:

1.87%
Chronic Obstructive Pulmonary Disease without Complications
Average Covered Charges
This Hospital:

$4,768
New York:

$16,960
Average Total Payments
Here:

$4,563
New York:

$6,071
Number of discharges: 18
Here:

5.06%
New York:

1.51%
Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications
Average Covered Charges
This Hospital:

$6,545
New York:

$18,668
Average Total Payments
Here:

$4,701
New York:

$6,361
Number of discharges: 32
Here:

8.99%
State:

3.99%
G.I. Hemorrhage with Complications
Average Covered Charges
This Hospital:

$8,033
State:

$27,960
Average Total Payments
Here:

$6,509
State:

$8,863
Number of discharges: 14
Here:

3.93%
State:

1.98%
Heart Failure and Shock with Complications
Average Covered Charges
Here:

$6,539
State:

$26,907
Average Total Payments
This Hospital:

$6,374
State:

$9,020
Number of discharges: 19
Here:

5.34%
New York:

3.05%
Heart Failure and Shock with Major Complications
Average Covered Charges
Here:

$10,133
State:

$41,330
Average Total Payments
This Hospital:

$9,426
New York:

$13,648
Number of discharges: 24
This Hospital:

6.74%
New York:

2.38%
Heart Failure and Shock without Complications
Average Covered Charges
This Hospital:

$6,976
New York:

$17,445
Average Total Payments
Here:

$4,325
State:

$5,979
Number of discharges: 15
This Hospital:

4.21%
State:

1.37%
Intracranial Hemorrhage or Cerebral Infarction with Complications
Average Covered Charges
This Hospital:

$7,963
State:

$33,214
Average Total Payments
Here:

$7,046
New York:

$10,434
Number of discharges: 11
Here:

3.09%
State:

1.22%
Kidney and Urinary Tract Infections without Major Complications
Average Covered Charges
Here:

$6,230
State:

$21,451
Average Total Payments
This Hospital:

$4,877
New York:

$7,036
Number of discharges: 21
This Hospital:

5.90%
New York:

2.87%
Major Joint Replacement or Reattachment of Lower Extremity without Major Complications
Average Covered Charges
Here:

$14,788
New York:

$45,478
Average Total Payments
This Hospital:

$13,270
New York:

$17,066
Number of discharges: 13
This Hospital:

3.65%
New York:

4.46%
Misc Disorders of Nutrition, Metabolism, Fluids or Electrolytes without Major Complications
Average Covered Charges
Here:

$9,755
State:

$18,413
Average Total Payments
This Hospital:

$5,663
State:

$6,139
Number of discharges: 15
Here:

4.21%
State:

2.44%
Septicemia or Severe Sepsis without Mechanical Ventilation 96+ Hours with Major Complications
Average Covered Charges
Here:

$9,476
State:

$47,465
Average Total Payments
This Hospital:

$11,778
State:

$17,315
Number of discharges: 17
This Hospital:

4.78%
State:

5.04%
Simple Pneumonia and Pleurisy with Complications
Average Covered Charges
Here:

$8,171
State:

$24,560
Average Total Payments
This Hospital:

$6,363
State:

$8,494
Number of discharges: 33
This Hospital:

9.27%
New York:

2.61%
Simple Pneumonia and Pleurisy without Complications
Average Covered Charges
Here:

$6,021
State:

$17,401
Average Total Payments
This Hospital:

$4,511
State:

$5,941
Number of discharges: 23
This Hospital:

6.46%
New York:

1.04%
Syncope and Collapse
Average Covered Charges
This Hospital:

$4,608
State:

$19,174
Average Total Payments
This Hospital:

$4,505
New York:

$6,619
Number of discharges: 20
This Hospital:

5.62%
State:

3.39%

Provided Services

  • Nuclear Medicine Services
  • Alcohol And/Or Drug Services
  • Ambulance (Owned) Services
  • Anatomical Laboratory Services
  • Anesthesia Services
  • Blood Bank Services
  • CT Scanner Services
  • Clinical Laboratory Services
  • Dedicated Emergency Department Services
  • Dental Services
  • Diagnostic Radiology Services
  • Dietary Services
  • Emergency Psychiatric Services
  • Emergency Services
  • Geriatric Psychiatric Services
  • Gerontological Specialty Services
  • Home Health Services
  • Hospice Services
  • ICU - Medical/Surgical Services
  • Inpatient Rehabilitation (Carf Accredited) Services
  • Inpatient Surgical Services
  • Long Term Care (Swing-Beds) Services
  • Obstetric Services
  • Occupational Therapy Services
  • Operating Room Services
  • Opthalmic Surgery Services
  • Outpatient Rehabilitation Services
  • Outpatient Services
  • Outpatient Surgery Unit Services
  • Outppatient Psychiatric Services
  • Pediatric Services
  • Pharmacy Services
  • Physical Therapy Services
  • Postoperative Recovery Room Services
  • Psychiatric Services
  • Respiratory Care Services
  • Social Services
  • Speech Pathology Services
  • Therapeutic Radiology Services

Employment Full-Time Equivalent

Licensed Practical Or Vocational Nurses : 35.00
Registered Professional Nurses : 118.00
Dieticians : 3.00
Occupational Therapists : 4.00
Physical Therapists : 7.00
Registered Pharmacists : 3.00
Respiratory Therapists : 6.00
Speech Pathologists Or Audiologists : 4.00
Physicians : 3.00
Medical Social Workers : 3.00
Medical Laboratory Technologists : 9.00
Nuclear Medicine Technicians : 1.00
Diagnostic Radiology Technicians : 14.00
Nurse Practitioners: 1.00

Number Of Beds

Total: 71
Total Certified: 71
Rehabilitation Unit Beds: 9

Hospital Acquired Conditions

Falls and injuries
Here:

1.404%
State:

0.660%
Severe pressure sores (bed sores)
This Hospital:

0.702%
State:

0.452%

Quality Measures

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

10.3%
New York:

16.9%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
Here:

83.3%
New York:

85.0%

Use of Medical Imaging

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

8.000%
New York:

11.437%
Outpatient CT scans of the abdomen that were combination (double) scans.
Here:

0.192%
State:

0.112%
Outpatient CT scans of the chest that were combination (double) scans.
This Hospital:

0.243%
State:

0.030%
Outpatients who got cardiac imaging stress tests before low-risk outpatient surgery
Here:

1.700%
New York:

5.961%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys: 300 or more
Survey Response Rate: 54%

How often did nurses communicate well with patients?

Sometimes or never
This Hospital:

6%
New York:

7%
Usually
This Hospital:

21%
State:

20%
Always
This Hospital:

73%
New York:

73%

How often did doctors communicate well with patients?

Sometimes or never
This Hospital:

6%
New York:

6%
Usually
This Hospital:

16%
New York:

17%
Always
This Hospital:

78%
New York:

77%

How often did patients receive help quickly from hospital staff?

Sometimes or never
Here:

8%
New York:

15%
Usually
This Hospital:

28%
New York:

27%
Always
This Hospital:

64%
New York:

58%

How often was patients' pain well controlled?

Sometimes or never
Here:

8%
New York:

9%
Usually
Here:

25%
State:

25%
Always
This Hospital:

67%
State:

66%

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

Sometimes or never
This Hospital:

20%
New York:

24%
Usually
Here:

20%
New York:

18%
Always
Here:

60%
State:

58%

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

Sometimes or never
Here:

11%
State:

11%
Usually
This Hospital:

20%
State:

22%
Always
Here:

69%
State:

67%

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

Sometimes or never
Here:

28%
New York:

17%
Usually
This Hospital:

34%
New York:

34%
Always
This Hospital:

38%
State:

49%

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

Yes
Here:

80%
New York:

81%
No
Here:

20%
State:

19%

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

6 or lower
Here:

11%
New York:

12%
7 or 8
Here:

33%
State:

27%
9 or 10
Here:

56%
State:

61%

Would patients recommend the hospital to friends and family?

No
Here:

8%
State:

7%
Yes, probably
Here:

34%
New York:

29%
Yes, definitely
This Hospital:

58%
State:

64%

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival
This Hospital:

94.0%
State:

99.0%
Percent of Patients Given Aspirin at Discharge
Here:

86.0%
State:

98.9%
Percent of Patients Given Beta Blocker at Discharge
This Hospital:

93.0%
State:

98.6%
Average number of minutes before outpatients with chest pain or possible heart attack got an ECG
Here:

8
New York:

10
Outpatients with chest pain or possible heart attack who got aspirin within 24 hours of arrival
Here:

100.0%
New York:

97.3%
Patients Given a Prescription for a Statin at Discharge
Here:

82.0%
State:

96.6%

Heart Failure

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

92.0%
State:

99.1%
Percent of Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)
Here:

90.0%
New York:

94.8%
Percent of Patients Given Discharge Instructions
Here:

90.0%
State:

92.8%
Percent of Patients Given Smoking Cessation Advice/Counseling
Here:

100.0%
State:

98.6%

Pneumonia

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

97.0%
New York:

93.8%
Percent of Patients Whose Initial ER Blood Culture Was Performed Prior To Administration Of First Dose Of Antibiotics
This Hospital:

98.0%
State:

95.8%
Percent of Patients Given Smoking Cessation Advice/Counseling
This Hospital:

94.0%
State:

98.5%
Percent of Patients Given the Most Appropriate Initial Antibiotic(s)
Here:

92.0%
State:

94.8%
Percent of Patients Assessed and Given Influenza Vaccination
This Hospital:

100.0%
New York:

90.8%
Percent of Patients Assessed and Given Pneumococcal Vaccination
This Hospital:

91.0%
State:

94.0%

Surgery

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

93.0%
State:

97.6%
Percent of Surgery Patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)
This Hospital:

90.0%
State:

96.4%
Percent of Surgery Patients who were given the right kind of antibiotic to help prevent infection
This Hospital:

95.0%
State:

97.7%
Percent of Surgery Patients who got treatment at right time (within 24 hours before or after surgery) to help prevent blood clot
This Hospital:

92.0%
New York:

97.2%
Percent of Surgery Patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries
This Hospital:

97.0%
State:

98.1%
Percent of Surgery Patients needing hair removed from the surgical area before surgery who had hair removed using a safer method
This Hospital:

100.0%
New York:

99.8%
Percent of Surgery Patients whose urinary catheters were removed on the first or second day after surgery
Here:

93.0%
State:

92.6%
Surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on them
This Hospital:

93.0%
State:

95.0%
Outpatients having surgery who got an antibiotic at the right time - within one hour before surgery (higher numbers are better)
This Hospital:

45.0%
New York:

94.9%
Outpatients having surgery who got the right kind of antibiotic (higher numbers are better)
This Hospital:

89.0%
New York:

94.4%
Patients having surgery who were actively warmed in the operating room or whose body temperature was near normal
Here:

96.0%
State:

99.1%

Outcome of Care

30-Day Mortality Rates from Heart Attack
Here:

16.1%
New York:

14.3%
30-Day Mortality Rates from Heart Failure
Here:

14.4%
New York:

11.0%
30-Day Mortality Rates from Pneumonia
Here:

12.5%
New York:

11.6%
30-Day Readmission Rates from Heart Attack
Here:

19.2%
New York:

20.9%
30-Day Readmission Rates from Heart Failure
This Hospital:

24.3%
State:

26.4%
30-Day Readmission Rates from Pneumonia
This Hospital:

17.5%
New York:

19.8%

Complaint Deficiency

Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death: Few (Minimal harm or potential for actual harm)

Corridors that are separated from common areas by walls constructed to limit the passage of smoke: Some (Minimal harm or potential for actual harm)

Corridor and hallway doors that block smoke: Some (Minimal harm or potential for actual harm)

Emergency lighting that can last at least 1 1/2 hours: Some (Minimal harm or potential for actual harm)

Automatic sprinkler systems that have been maintained in working order: Some (Minimal harm or potential for actual harm)

Restrictions on the use of flammable curtains: Some (Minimal harm or potential for actual harm)

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

Properly constructed piped-in oxygen systems: Some (Minimal harm or potential for actual harm)

Proper facilities for the use and storage of combustible liquids: Some (Minimal harm or potential for actual harm)

Weekly inspections and monthly testing of generators: 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 services provided by the nursing facility meet professional standards of quality: Some (Minimal harm or potential for actual harm)

Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing: Some (Potential for minimal harm)

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

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

Construction that can resist fire for one hour or an approved fire extinguishing system: Some (Minimal harm or potential for actual harm)

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

Automatic sprinkler systems that have been maintained in working order: Some (Minimal harm or potential for actual harm)

Portable fire extinguishers: Some (Minimal harm or potential for actual harm)

Properly protected cooking facilities: Some (Minimal harm or potential for actual harm)

Properly constructed piped-in oxygen systems: Some (Minimal harm or potential for actual harm)

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)

Provide proof that all residents' personal money which is deposited with the nursing home, is secure: Few (Minimal harm or potential for actual harm)

Properly installed hallway dispensers for alcohol-based hand rub: Some (Minimal harm or potential for actual harm)

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)

Conduct initial and periodic assessments of each resident's functional capacity: 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: Some (Minimal harm or potential for actual harm)

Allow the resident the right to participate in the planning or revision of the resident's care plan: 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 residents with reduced range of motion get proper treatment and services to increase range of motion: 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)

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)

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)

Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action: Few (Minimal harm or potential for actual harm)

Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detectors: Some (Minimal harm or potential for actual harm)

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

Construction that can resist fire for one hour or an approved fire extinguishing system: Some (Minimal harm or potential for actual harm)

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

Properly protected cooking facilities: Some (Minimal harm or potential for actual harm)

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

Allow the resident the right to participate in the planning or revision of the resident's care plan: 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)

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

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