MORTON COUNTY HOSPITAL LTCU (ELKHART, KS) Detailed Nursing Home Profile

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	0.750
Kansas:	0.703

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

This Nursing Home:	0.040
State:	0.645

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	0.780
Kansas:	1.346

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	0.010
Kansas:	0.050

Number Therapy Hours Per Resident Per Day

Here:	0.010
Kansas:	0.059

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: Between 100 and 299
Survey Response Rate: 26%

How often did nurses communicate well with patients?

Sometimes or never

Here:	6%
State:	3%

Usually

This Nursing Home:	26%
Kansas:	17%

Always

This Nursing Home:	68%
Kansas:	80%

How often did doctors communicate well with patients?

Sometimes or never

This Nursing Home:	3%
Kansas:	3%

Usually

Here:	17%
State:	14%

Always

This Nursing Home:	80%
State:	83%

How often did patients receive help quickly from hospital staff?

Sometimes or never

Here:	17%
Kansas:	6%

Usually

This Nursing Home:	29%
State:	24%

Always

This Nursing Home:	54%
State:	70%

How often was patients' pain well controlled?

Sometimes or never

Here:	11%
Kansas:	5%

Usually

Here:	23%
Kansas:	24%

Always

This Nursing Home:	66%
Kansas:	71%

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

Sometimes or never

Here:	25%
Kansas:	17%

Usually

This Nursing Home:	20%
State:	19%

Always

This Nursing Home:	55%
Kansas:	64%

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

Sometimes or never

This Nursing Home:	10%
State:	7%

Usually

This Nursing Home:	27%
Kansas:	18%

Always

This Nursing Home:	63%
Kansas:	75%

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

Sometimes or never

This Nursing Home:	18%
State:	7%

Usually

Here:	31%
Kansas:	28%

Always

Here:	51%
Kansas:	65%

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

Yes

Here:	70%
Kansas:	85%

Here:	30%
State:	15%

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

6 or lower

Here:	12%
State:	6%

7 or 8

Here:	25%
State:	20%

9 or 10

Here:	63%
State:	74%

Would patients recommend the hospital to friends and family?

Here:	6%
Kansas:	3%

Yes, probably

This Nursing Home:	30%
Kansas:	21%

Yes, definitely

This Nursing Home:	64%
Kansas:	76%

Complaint Deficiency

Exits that are accessible at all times
- Harm: Actual harm
- Scope: Few
Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Be administered in an acceptable way that maintains the well-being of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Restrictions on the use of portable space heaters
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Proper backup exit lighting
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Conduct initial and periodic assessments of each resident's functional capacity
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Exits that are free from obstructions and can be used at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Proper construction of ducts through walls designed to prevent smoke passage
- Harm: Minimal harm or potential for actual harm
- Scope: Some
A two-hour-resistant firewall in common walls
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Emergency lighting that can last at least 1 1/2 hours
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Properly installed electrical wiring and equipment
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Properly hold, secure and manage each resident's personal money which is deposited with the nursing home
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Send and promptly deliver unopened mail to residents
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Listen to the resident or family groups or act on their complaints or suggestions
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide activities to meet the interests and needs of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide housekeeping and maintenance services
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Conduct initial and periodic assessments of each resident's functional capacity
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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
Provide necessary care and services to maintain the highest well being of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that each resident who enters the nursing home without a catheter is not given a catheter, and receive proper services to prevent urinary tract infections and restore normal bladder function
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Give the right treatment and services to residents who have mental or psychosocial problems adjusting
- 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: Some
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: Some
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Have enough nurses to care for every resident in a way that maximizes the resident's well being
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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: Some
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
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action
- Harm: Minimal harm or potential for actual harm
- Scope: Many
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: Few
Emergency lighting that can last at least 1 1/2 hours
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Exits that are free from obstructions and can be used at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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
- 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: Many
Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide activities to meet the interests and needs of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide housekeeping and maintenance services
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Conduct initial and periodic assessments of each resident's functional capacity
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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
Allow the resident the right to participate in the planning or revision of the resident's care plan
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide necessary care and services to maintain the highest well being of each resident
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that each resident who enters the nursing home without a catheter is not given a catheter, and receive proper services to prevent urinary tract infections and restore normal bladder function
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Give the right treatment and services to residents who have mental or psychosocial problems adjusting
- 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: Some
Make sure that each resident gets a nutritional and well balanced diet, unless it is not possible to do so
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Give each resident enough fluids to keep them healthy and prevent dehydration
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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: Some
Have enough nurses to care for every resident in a way that maximizes the resident's well being
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that special or therapeutic diets are ordered by the attending doctor
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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: Some
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Proper fire barriers, ventilation and signs for the transport of oxygen
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Reasonably accommodate the needs and preferences of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide housekeeping and maintenance services
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Allow the resident the right to participate in the planning or revision of the resident's care plan
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide necessary care and services to maintain the highest well being of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene
- 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
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: Some
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: Some

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

Cellulitis without Major Complications

Average Covered Charges

Here:	$5,740
Kansas:	$17,653

Average Total Payments

Here:	$5,734
Kansas:	$5,185

Number of discharges: 23

Here:	11.27%
State:	1.84%

Chronic Obstructive Pulmonary Disease without Complications

Average Covered Charges

Here:	$6,036
Kansas:	$16,307

Average Total Payments

Here:	$4,887
Kansas:	$4,586

Number of discharges: 12

This Nursing Home:	5.88%
State:	1.40%

Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications

Average Covered Charges

Here:	$6,051
Kansas:	$18,998

Average Total Payments

Here:	$4,910
Kansas:	$4,436

Number of discharges: 24

Here:	11.76%
Kansas:	3.50%

Heart Failure and Shock with Complications

Average Covered Charges

This Nursing Home:	$6,766
State:	$22,644

Average Total Payments

Here:	$7,052
State:	$6,089

Number of discharges: 22

This Nursing Home:	10.78%
Kansas:	2.91%

Heart Failure and Shock with Major Complications

Average Covered Charges

Here:	$8,132
State:	$35,549

Average Total Payments

Here:	$10,229
State:	$9,051

Number of discharges: 12

Here:	5.88%
State:	2.09%

Heart Failure and Shock without Complications

Average Covered Charges

This Nursing Home:	$4,903
Kansas:	$15,099

Average Total Payments

This Nursing Home:	$4,691
State:	$4,239

Number of discharges: 11

Here:	5.39%
State:	1.07%

Kidney and Urinary Tract Infections without Major Complications

Average Covered Charges

This Nursing Home:	$6,615
Kansas:	$16,445

Average Total Payments

This Nursing Home:	$5,418
State:	$4,727

Number of discharges: 23

Here:	11.27%
State:	2.56%

Medical Back Problems without Major Complications

Average Covered Charges

This Nursing Home:	$5,040
Kansas:	$21,625

Average Total Payments

Here:	$5,616
Kansas:	$4,998

Number of discharges: 11

Here:	5.39%
Kansas:	0.84%

Respiratory Infections and Inflammations with Complications

Average Covered Charges

This Nursing Home:	$11,496
State:	$28,656

Average Total Payments

Here:	$10,666
State:	$8,935

Number of discharges: 45

This Nursing Home:	22.06%
State:	0.89%

Simple Pneumonia and Pleurisy with Complications

Average Covered Charges

This Nursing Home:	$8,261
Kansas:	$22,493

Average Total Payments

This Nursing Home:	$6,950
Kansas:	$6,338

Number of discharges: 21

This Nursing Home:	10.29%
Kansas:	3.39%

Quality Measures

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

Here:	14.1%
State:	14.7%

Percent of long-stay high-risk residents with pressure ulcers

This Nursing Home:	11.9%
Kansas:	5.4%

Percent of long-stay residents who lose too much weight

This Nursing Home:	13.6%
Kansas:	7.3%

Percent of long-stay low-risk residents who lose control of their bowels or bladder

This Nursing Home:	50.0%
State:	36.5%

Percent of long-stay residents with a urinary tract infection

Here:	1.5%
Kansas:	8.2%

Percent of long-stay residents who were physically restrained

This Nursing Home:	1.5%
State:	0.5%

Percent of long-stay residents experiencing one or more falls with major injury

This Nursing Home:	4.5%
State:	5.1%

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

This Nursing Home:	100.0%
State:	97.2%

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

This Nursing Home:	100.0%
Kansas:	95.7%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	26.9%
Kansas:	23.1%

Process of Care

Heart Failure

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

This Nursing Home:	38.0%
State:	96.1%

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

Here:	100.0%
Kansas:	95.8%

Percent of Patients Given Discharge Instructions

Here:	55.0%
State:	89.1%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
Kansas:	98.5%

Pneumonia

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

This Nursing Home:	17.0%
State:	96.4%

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

This Nursing Home:	92.0%
Kansas:	97.9%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Nursing Home:	50.0%
Kansas:	97.0%

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

Here:	10.0%
State:	90.7%

Percent of Patients Assessed and Given Influenza Vaccination

This Nursing Home:	71.0%
Kansas:	92.6%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Nursing Home:	84.0%
Kansas:	93.5%

Outcome of Care

30-Day Mortality Rates from Heart Failure

This Nursing Home:	11.1%
State:	12.0%

30-Day Mortality Rates from Pneumonia

This Nursing Home:	13.6%
Kansas:	12.2%

30-Day Readmission Rates from Heart Failure

Here:	30.6%
Kansas:	24.3%

30-Day Readmission Rates from Pneumonia

Here:	21.1%
State:	18.2%

Hospital Acquired Conditions

Falls and injuries

Here:	0.914%
State:	1.001%

MORTON COUNTY HOSPITAL LTCU - ELKHART, KS

Staff Information

Hospital Consumer Assessment of Healthcare Providers

Complaint Deficiency

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

Quality Measures

Process of Care

Heart Failure

Pneumonia

Outcome of Care

Hospital Acquired Conditions

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