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MERCY HOSPITAL - IOWA CITY, IA

 



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Address
500 E MARKET STREET
IOWA CITY, IA, 52245
Phone (make sure to verify first before calling): (319) 339-0300

Hospital Type: Acute Care Hospitals
Hospital Owner: Voluntary non-profit - Church
Emergency Services: Yes


Overall Star Rating: 5 Stars
Health Inspections Star Rating: 5 Stars
Nurse Staffing Star Rating: Stars
Quality Measures Star Rating: 3 Stars

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

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

$20,571
Iowa:

$22,575
Average Total Payments
This Hospital:

$6,398
Iowa:

$7,029
Number of discharges: 35
Here:

1.56%
Iowa:

0.64%
Acute Myocardial Infarction, Discharged Alive with Major Complications
Average Covered Charges
This Hospital:

$32,973
Iowa:

$30,156
Average Total Payments
This Hospital:

$10,055
Iowa:

$10,757
Number of discharges: 30
Here:

1.34%
State:

1.01%
Acute Myocardial Infarction, Discharged Alive without Complications
Average Covered Charges
This Hospital:

$19,943
State:

$17,798
Average Total Payments
Here:

$4,392
State:

$4,742
Number of discharges: 16
Here:

0.71%
State:

0.37%
Back and Neck Procedures Except Spinal Fusion without Complications
Average Covered Charges
This Hospital:

$20,779
State:

$18,753
Average Total Payments
This Hospital:

$6,194
State:

$5,923
Number of discharges: 21
Here:

0.94%
State:

0.57%
Bronchitis and Asthma with Complications
Average Covered Charges
This Hospital:

$12,688
State:

$15,396
Average Total Payments
This Hospital:

$4,585
Iowa:

$5,082
Number of discharges: 19
Here:

0.85%
State:

0.27%
Cardiac Arrhythmia and Conduction Disorders with Complications
Average Covered Charges
This Hospital:

$15,643
State:

$14,064
Average Total Payments
This Hospital:

$4,569
Iowa:

$5,086
Number of discharges: 34
This Hospital:

1.52%
State:

1.40%
Cardiac Arrhythmia and Conduction Disorders with Major Complications
Average Covered Charges
This Hospital:

$22,238
Iowa:

$20,085
Average Total Payments
This Hospital:

$6,989
State:

$7,436
Number of discharges: 22
This Hospital:

0.98%
Iowa:

1.06%
Cardiac Arrhythmia and Conduction Disorders without Complications
Average Covered Charges
Here:

$10,291
State:

$10,063
Average Total Payments
This Hospital:

$3,127
State:

$3,469
Number of discharges: 55
This Hospital:

2.45%
State:

1.74%
Cellulitis without Major Complications
Average Covered Charges
Here:

$12,946
Iowa:

$13,154
Average Total Payments
This Hospital:

$4,546
State:

$5,126
Number of discharges: 43
This Hospital:

1.92%
State:

1.90%
Chest Pain
Average Covered Charges
Here:

$10,251
Iowa:

$11,577
Average Total Payments
Here:

$3,504
State:

$3,347
Number of discharges: 36
This Hospital:

1.61%
State:

1.46%
Chronic Obstructive Pulmonary Disease with Complications
Average Covered Charges
Here:

$23,935
Iowa:

$16,587
Average Total Payments
This Hospital:

$5,495
Iowa:

$5,845
Number of discharges: 38
This Hospital:

1.70%
Iowa:

1.73%
Chronic Obstructive Pulmonary Disease with Major Complications
Average Covered Charges
Here:

$25,279
Iowa:

$19,159
Average Total Payments
This Hospital:

$6,453
Iowa:

$7,031
Number of discharges: 32
This Hospital:

1.43%
Iowa:

1.99%
Chronic Obstructive Pulmonary Disease without Complications
Average Covered Charges
This Hospital:

$15,283
Iowa:

$12,605
Average Total Payments
This Hospital:

$3,934
State:

$4,509
Number of discharges: 17
This Hospital:

0.76%
Iowa:

1.27%
Circulatory Disorders Except Acute Myocardial Infarction, with Card Cath without Major Complications
Average Covered Charges
This Hospital:

$27,103
Iowa:

$24,739
Average Total Payments
This Hospital:

$6,559
State:

$6,989
Number of discharges: 61
This Hospital:

2.72%
State:

1.97%
Degenerative Nervous System Disorders without Major Complications
Average Covered Charges
Here:

$18,199
Iowa:

$17,371
Average Total Payments
Here:

$5,103
Iowa:

$6,085
Number of discharges: 12
This Hospital:

0.54%
State:

0.27%
Diabetes with Complications
Average Covered Charges
This Hospital:

$13,519
State:

$13,724
Average Total Payments
Here:

$4,525
State:

$4,958
Number of discharges: 12
Here:

0.54%
Iowa:

0.44%
Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications
Average Covered Charges
Here:

$12,964
State:

$14,219
Average Total Payments
Here:

$3,930
State:

$4,496
Number of discharges: 69
This Hospital:

3.08%
Iowa:

3.04%
Fractures of Hip and Pelvis without Major Complications
Average Covered Charges
This Hospital:

$11,879
Iowa:

$11,460
Average Total Payments
Here:

$3,923
State:

$4,417
Number of discharges: 14
This Hospital:

0.62%
State:

0.33%
G.I. Hemorrhage with Complications
Average Covered Charges
Here:

$17,802
State:

$17,952
Average Total Payments
This Hospital:

$5,595
State:

$6,324
Number of discharges: 42
Here:

1.87%
State:

2.18%
G.I. Hemorrhage without Complications
Average Covered Charges
Here:

$12,816
State:

$12,859
Average Total Payments
Here:

$3,892
State:

$4,392
Number of discharges: 16
This Hospital:

0.71%
Iowa:

0.35%
G.I. Obstruction with Complications
Average Covered Charges
Here:

$13,721
Iowa:

$16,379
Average Total Payments
This Hospital:

$5,094
State:

$5,800
Number of discharges: 16
Here:

0.71%
State:

0.81%
G.I. Obstruction without Complications
Average Covered Charges
This Hospital:

$12,317
State:

$11,408
Average Total Payments
Here:

$3,930
Iowa:

$3,874
Number of discharges: 14
Here:

0.62%
Iowa:

0.64%
Heart Failure and Shock with Complications
Average Covered Charges
Here:

$18,152
State:

$16,806
Average Total Payments
Here:

$5,718
State:

$6,239
Number of discharges: 84
Here:

3.75%
Iowa:

2.83%
Heart Failure and Shock with Major Complications
Average Covered Charges
Here:

$23,132
State:

$25,059
Average Total Payments
Here:

$8,101
State:

$8,916
Number of discharges: 41
Here:

1.83%
Iowa:

2.16%
Heart Failure and Shock without Complications
Average Covered Charges
This Hospital:

$12,686
State:

$11,964
Average Total Payments
This Hospital:

$3,734
State:

$4,146
Number of discharges: 49
Here:

2.19%
State:

1.28%
Hip and Femur Procedures Except Major Joint with Complications
Average Covered Charges
This Hospital:

$32,156
Iowa:

$35,552
Average Total Payments
This Hospital:

$10,144
State:

$11,140
Number of discharges: 38
This Hospital:

1.70%
State:

1.61%
Hip and Femur Procedures Except Major Joint without Complications
Average Covered Charges
This Hospital:

$30,347
State:

$30,047
Average Total Payments
This Hospital:

$8,360
State:

$9,789
Number of discharges: 18
This Hospital:

0.80%
Iowa:

0.31%
Intracranial Hemorrhage or Cerebral Infarction with Complications
Average Covered Charges
This Hospital:

$20,796
State:

$20,141
Average Total Payments
This Hospital:

$6,252
Iowa:

$7,017
Number of discharges: 46
Here:

2.05%
State:

1.56%
Intracranial Hemorrhage or Cerebral Infarction with Major Complications
Average Covered Charges
This Hospital:

$31,109
State:

$32,824
Average Total Payments
This Hospital:

$12,271
Iowa:

$11,990
Number of discharges: 11
This Hospital:

0.49%
Iowa:

0.69%
Intracranial Hemorrhage or Cerebral Infarction without Complications
Average Covered Charges
Here:

$18,989
State:

$17,007
Average Total Payments
Here:

$4,853
Iowa:

$5,213
Number of discharges: 35
Here:

1.56%
Iowa:

0.82%
Kidney and Urinary Tract Infections with Major Complications
Average Covered Charges
Here:

$21,428
Iowa:

$18,269
Average Total Payments
Here:

$6,650
Iowa:

$7,082
Number of discharges: 11
This Hospital:

0.49%
State:

0.70%
Kidney and Urinary Tract Infections without Major Complications
Average Covered Charges
This Hospital:

$13,029
Iowa:

$13,302
Average Total Payments
Here:

$4,567
Iowa:

$4,858
Number of discharges: 50
This Hospital:

2.23%
Iowa:

2.36%
Laparoscopic Cholecystectomy without C.D.E. with Complications
Average Covered Charges
Here:

$32,198
Iowa:

$37,275
Average Total Payments
Here:

$9,245
Iowa:

$10,337
Number of discharges: 11
Here:

0.49%
Iowa:

0.25%
Major Cardiovasc Procedures without Major Complications
Average Covered Charges
Here:

$74,853
Iowa:

$71,090
Average Total Payments
Here:

$22,281
State:

$19,795
Number of discharges: 16
This Hospital:

0.71%
Iowa:

0.60%
Major Joint Replacement or Reattachment of Lower Extremity without Major Complications
Average Covered Charges
Here:

$46,931
State:

$37,395
Average Total Payments
This Hospital:

$12,535
Iowa:

$12,819
Number of discharges: 419
Here:

18.70%
State:

9.59%
Major Small and Large Bowel Procedures with Complications
Average Covered Charges
Here:

$46,246
Iowa:

$45,138
Average Total Payments
Here:

$14,251
State:

$15,879
Number of discharges: 18
Here:

0.80%
Iowa:

0.83%
Major Small and Large Bowel Procedures with Major Complications
Average Covered Charges
Here:

$81,633
State:

$91,016
Average Total Payments
Here:

$31,733
Iowa:

$32,145
Number of discharges: 11
This Hospital:

0.49%
Iowa:

0.57%
Medical Back Problems without Major Complications
Average Covered Charges
This Hospital:

$16,668
Iowa:

$15,255
Average Total Payments
This Hospital:

$4,476
Iowa:

$5,177
Number of discharges: 12
Here:

0.54%
State:

1.02%
Misc Disorders of Nutrition, Metabolism, Fluids or Electrolytes with Major Complications
Average Covered Charges
This Hospital:

$18,979
Iowa:

$21,581
Average Total Payments
This Hospital:

$5,997
Iowa:

$7,193
Number of discharges: 13
Here:

0.58%
State:

0.66%
Misc Disorders of Nutrition, Metabolism, Fluids or Electrolytes without Major Complications
Average Covered Charges
Here:

$11,421
State:

$12,163
Average Total Payments
This Hospital:

$3,901
State:

$4,344
Number of discharges: 52
Here:

2.32%
State:

2.12%
Percutaneous Cardiovascular Procedures with Drug-Eluting Stent without Major Complications
Average Covered Charges
Here:

$45,933
State:

$47,353
Average Total Payments
This Hospital:

$12,412
Iowa:

$12,273
Number of discharges: 35
Here:

1.56%
Iowa:

2.16%
Percutaneous Cardiovascular Procedures with Non-Drug-Eluting Stent without Major Complications
Average Covered Charges
This Hospital:

$38,276
Iowa:

$41,314
Average Total Payments
Here:

$9,631
State:

$10,548
Number of discharges: 28
Here:

1.25%
State:

0.44%
Permanent Cardiac Pacemaker Implant with Complications
Average Covered Charges
Here:

$52,790
Iowa:

$48,590
Average Total Payments
This Hospital:

$14,480
State:

$15,767
Number of discharges: 14
Here:

0.62%
State:

0.43%
Permanent Cardiac Pacemaker Implant without Complications
Average Covered Charges
This Hospital:

$38,875
State:

$40,664
Average Total Payments
This Hospital:

$11,081
State:

$11,975
Number of discharges: 23
This Hospital:

1.03%
State:

0.49%
Psychoses
Average Covered Charges
This Hospital:

$9,024
Iowa:

$10,781
Average Total Payments
This Hospital:

$5,036
State:

$5,895
Number of discharges: 66
Here:

2.95%
State:

2.40%
Pulmonary Embolism without Major Complications
Average Covered Charges
Here:

$16,624
Iowa:

$18,419
Average Total Payments
Here:

$5,877
State:

$6,487
Number of discharges: 25
Here:

1.12%
State:

0.61%
Red Blood Cell Disorders without Major Complications
Average Covered Charges
This Hospital:

$18,889
State:

$15,354
Average Total Payments
This Hospital:

$4,338
State:

$4,947
Number of discharges: 18
Here:

0.80%
Iowa:

0.86%
Renal Failure with Complications
Average Covered Charges
This Hospital:

$22,605
Iowa:

$16,911
Average Total Payments
This Hospital:

$6,819
Iowa:

$6,278
Number of discharges: 21
Here:

0.94%
State:

2.15%
Renal Failure with Major Complications
Average Covered Charges
Here:

$37,150
Iowa:

$30,832
Average Total Payments
This Hospital:

$8,490
Iowa:

$10,243
Number of discharges: 12
This Hospital:

0.54%
Iowa:

1.27%
Renal Failure without Complications
Average Covered Charges
This Hospital:

$10,996
State:

$12,090
Average Total Payments
This Hospital:

$3,493
State:

$4,140
Number of discharges: 11
This Hospital:

0.49%
Iowa:

0.31%
Respiratory Infections and Inflammations with Complications
Average Covered Charges
Here:

$32,428
Iowa:

$21,855
Average Total Payments
Here:

$10,118
State:

$8,886
Number of discharges: 19
Here:

0.85%
Iowa:

0.79%
Respiratory Infections and Inflammations with Major Complications
Average Covered Charges
Here:

$27,640
State:

$31,794
Average Total Payments
This Hospital:

$10,814
State:

$11,832
Number of discharges: 17
This Hospital:

0.76%
Iowa:

1.05%
Seizures without Major Complications
Average Covered Charges
This Hospital:

$14,084
State:

$14,183
Average Total Payments
This Hospital:

$4,150
Iowa:

$5,363
Number of discharges: 11
This Hospital:

0.49%
State:

0.51%
Septicemia or Severe Sepsis without Mechanical Ventilation 96+ Hours with Major Complications
Average Covered Charges
This Hospital:

$30,706
Iowa:

$32,614
Average Total Payments
Here:

$10,591
Iowa:

$11,654
Number of discharges: 59
This Hospital:

2.63%
Iowa:

3.97%
Septicemia or Severe Sepsis without Mechanical Ventilation 96+ Hours without Major Complications
Average Covered Charges
Here:

$15,682
State:

$18,145
Average Total Payments
This Hospital:

$6,146
State:

$6,920
Number of discharges: 35
Here:

1.56%
State:

1.72%
Signs and Symptoms without Major Complications
Average Covered Charges
Here:

$12,268
State:

$13,487
Average Total Payments
This Hospital:

$3,717
State:

$4,375
Number of discharges: 36
Here:

1.61%
State:

0.59%
Simple Pneumonia and Pleurisy with Complications
Average Covered Charges
This Hospital:

$17,938
State:

$16,050
Average Total Payments
This Hospital:

$5,528
State:

$6,064
Number of discharges: 71
Here:

3.17%
State:

3.31%
Simple Pneumonia and Pleurisy with Major Complications
Average Covered Charges
Here:

$22,142
State:

$24,809
Average Total Payments
Here:

$7,942
State:

$8,640
Number of discharges: 18
This Hospital:

0.80%
State:

2.33%
Simple Pneumonia and Pleurisy without Complications
Average Covered Charges
Here:

$12,432
State:

$12,176
Average Total Payments
This Hospital:

$3,863
Iowa:

$4,314
Number of discharges: 44
Here:

1.96%
Iowa:

1.47%
Spinal Fusion Except Cervical without Major Complications
Average Covered Charges
Here:

$69,120
State:

$66,462
Average Total Payments
Here:

$23,256
State:

$24,175
Number of discharges: 44
Here:

1.96%
State:

0.93%
Syncope and Collapse
Average Covered Charges
This Hospital:

$13,737
State:

$14,006
Average Total Payments
This Hospital:

$4,118
Iowa:

$4,339
Number of discharges: 28
This Hospital:

1.25%
State:

1.21%
Transient Ischemia
Average Covered Charges
This Hospital:

$17,036
Iowa:

$14,840
Average Total Payments
This Hospital:

$3,987
Iowa:

$4,557
Number of discharges: 17
Here:

0.76%
Iowa:

0.65%

Use of Medical Imaging

Outpatients with low back pain who had an MRI without trying recommended treatments first, such as physical therapy.
Here:

33.900%
Iowa:

34.389%
Outpatients who had a follow-up mammogram or ultrasound within 45 days after a screening mammogram.
Here:

8.000%
State:

8.069%
Outpatient CT scans of the abdomen that were combination (double) scans.
This Hospital:

0.038%
Iowa:

0.138%
Outpatient CT scans of the chest that were combination (double) scans.
This Hospital:

0.003%
State:

0.031%
Outpatients who got cardiac imaging stress tests before low-risk outpatient surgery
Here:

4.500%
State:

4.961%

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
Here:

2%
State:

3%
Usually
Here:

16%
State:

17%
Always
This Hospital:

82%
Iowa:

80%

How often did doctors communicate well with patients?

Sometimes or never
This Hospital:

3%
Iowa:

3%
Usually
Here:

12%
State:

13%
Always
Here:

85%
Iowa:

84%

How often did patients receive help quickly from hospital staff?

Sometimes or never
This Hospital:

6%
Iowa:

6%
Usually
Here:

23%
Iowa:

25%
Always
Here:

71%
Iowa:

69%

How often was patients' pain well controlled?

Sometimes or never
Here:

4%
State:

5%
Usually
This Hospital:

23%
State:

24%
Always
Here:

73%
Iowa:

71%

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

Sometimes or never
Here:

13%
Iowa:

15%
Usually
This Hospital:

19%
State:

21%
Always
Here:

68%
Iowa:

64%

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

Sometimes or never
Here:

6%
Iowa:

6%
Usually
This Hospital:

21%
Iowa:

16%
Always
Here:

73%
Iowa:

78%

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

Sometimes or never
This Hospital:

9%
Iowa:

7%
Usually
Here:

28%
State:

30%
Always
This Hospital:

63%
Iowa:

63%

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

Yes
Here:

88%
State:

85%
No
This Hospital:

12%
State:

15%

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

6 or lower
This Hospital:

4%
State:

6%
7 or 8
Here:

18%
Iowa:

20%
9 or 10
This Hospital:

78%
State:

74%

Would patients recommend the hospital to friends and family?

No
Here:

1%
Iowa:

3%
Yes, probably
Here:

15%
Iowa:

22%
Yes, definitely
This Hospital:

84%
State:

75%

Hospital Acquired Conditions

Objects Accidentally Left in the Body After Surgery
This Hospital:

0.133%
Iowa:

0.113%
Falls and injuries
This Hospital:

0.665%
Iowa:

0.754%
Blood infection from a catheter in a large vein
This Hospital:

0.133%
Iowa:

0.298%
Infection from a Urinary Catheter
Here:

0.798%
State:

0.689%

Quality Measures

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

41.5%
Iowa:

21.7%
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 Hospital:

93.1%
State:

88.8%
Percent of short-stay residents who newly received an antipsychotic medication
Here:

3.0%
State:

2.0%

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival
Here:

100.0%
State:

99.4%
Percent of Patients Given Aspirin at Discharge
Here:

100.0%
Iowa:

99.6%
Percent of Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)
Here:

92.0%
Iowa:

97.7%
Percent of Patients Given Beta Blocker at Discharge
This Hospital:

99.0%
State:

99.0%
Percent of Patients Given Smoking Cessation Advice/Counseling
Here:

100.0%
State:

99.8%
Percent of Patients Given PCI Within 90 Minutes Of Arrival
Here:

96.0%
State:

93.5%
Patients Given a Prescription for a Statin at Discharge
This Hospital:

99.0%
Iowa:

97.1%

Heart Failure

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

98.0%
Iowa:

96.9%
Percent of Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)
Here:

96.0%
State:

95.7%
Percent of Patients Given Discharge Instructions
This Hospital:

97.0%
Iowa:

90.2%
Percent of Patients Given Smoking Cessation Advice/Counseling
Here:

100.0%
State:

99.0%

Pneumonia

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

98.0%
State:

97.4%
Percent of Patients Whose Initial ER Blood Culture Was Performed Prior To Administration Of First Dose Of Antibiotics
Here:

100.0%
State:

97.8%
Percent of Patients Given Smoking Cessation Advice/Counseling
Here:

100.0%
State:

97.7%
Percent of Patients Given the Most Appropriate Initial Antibiotic(s)
Here:

98.0%
State:

93.4%
Percent of Patients Assessed and Given Influenza Vaccination
Here:

98.0%
Iowa:

91.6%
Percent of Patients Assessed and Given Pneumococcal Vaccination
This Hospital:

97.0%
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:

98.0%
State:

97.8%
Percent of Surgery Patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)
Here:

95.0%
Iowa:

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

100.0%
State:

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:

93.0%
State:

96.3%
Percent of Surgery Patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries
This Hospital:

94.0%
Iowa:

97.2%
Percent of all Heart Surgery Patients whose blood sugar is kept under good control in the days right after surgery
Here:

96.0%
Iowa:

92.8%
Percent of Surgery Patients needing hair removed from the surgical area before surgery who had hair removed using a safer method
Here:

99.0%
Iowa:

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

97.0%
Iowa:

94.2%
Surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on them
Here:

98.0%
Iowa:

96.5%
Outpatients having surgery who got an antibiotic at the right time - within one hour before surgery (higher numbers are better)
This Hospital:

93.0%
Iowa:

95.7%
Outpatients having surgery who got the right kind of antibiotic (higher numbers are better)
Here:

97.0%
Iowa:

97.7%
Patients having surgery who were actively warmed in the operating room or whose body temperature was near normal
This Hospital:

100.0%
State:

99.6%

Outcome of Care

30-Day Mortality Rates from Heart Attack
This Hospital:

14.2%
Iowa:

14.9%
30-Day Mortality Rates from Heart Failure
This Hospital:

12.5%
Iowa:

12.0%
30-Day Mortality Rates from Pneumonia
Here:

9.1%
Iowa:

12.0%
30-Day Readmission Rates from Heart Attack
This Hospital:

20.3%
State:

18.5%
30-Day Readmission Rates from Heart Failure
This Hospital:

24.1%
Iowa:

23.7%
30-Day Readmission Rates from Pneumonia
Here:

16.3%
Iowa:

17.9%

Complaint Deficiency

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

1) Receive registry verification that a nurse aide has met the required training and skills that the State requires; and 2) ensure nurse aides receive the required retraining after 24 months if nursing related services were not provided for monetary compensation: Few (Minimal harm or potential for actual harm)

A fire alarm system that can be heard throughout the facility: Few (Minimal harm or potential for actual harm)

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: Many (Potential for minimal harm)

Provide proof that all residents' personal money which is deposited with the nursing home, is secure: Some (Potential for minimal harm)

1) Protect current or future residents from giving up their Medicaid or Medicare benefits; or 2) follow federal rules for admissions: Some (Potential for minimal harm)

Make sure services provided by the nursing facility meet professional standards of quality: Few (Minimal harm or potential for actual harm)

Exits that are accessible at all times: 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)

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

Make sure services provided by the nursing facility meet professional standards of quality: 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)

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

Other nearby hospitals and nursing homes

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