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REGIONAL WEST MEDICAL CENTER - SCOTTSBLUFF, NE

 

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Address
4021 AVE B
SCOTTSBLUFF, NE, 69361
Phone (make sure to verify first before calling): (308) 635-3711

Hospital Type: Acute Care Hospitals
Hospital Owner: Voluntary non-profit - Other
Emergency Services: Yes
Type: Rehabilitation Units

Overall Star Rating: 4 Stars
Health Inspections Star Rating: 5 Stars
Nurse Staffing Star Rating: Stars
Quality Measures Star Rating: 1 Star

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

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

$19,860
Nebraska:

$27,880
Average Total Payments
This Hospital:

$7,675
State:

$7,773
Number of discharges: 17
This Hospital:

1.09%
Nebraska:

0.56%
Acute Myocardial Infarction, Discharged Alive without Complications
Average Covered Charges
Here:

$21,507
Nebraska:

$25,739
Average Total Payments
This Hospital:

$5,887
Nebraska:

$5,686
Number of discharges: 24
This Hospital:

1.54%
State:

0.32%
Atherosclerosis without Major Complications
Average Covered Charges
This Hospital:

$14,430
State:

$13,062
Average Total Payments
Here:

$4,166
State:

$4,191
Number of discharges: 11
This Hospital:

0.71%
Nebraska:

0.11%
Back and Neck Procedures Except Spinal Fusion without Complications
Average Covered Charges
Here:

$31,159
State:

$24,689
Average Total Payments
This Hospital:

$8,482
Nebraska:

$6,698
Number of discharges: 19
Here:

1.22%
State:

0.80%
Cardiac Arrhythmia and Conduction Disorders with Complications
Average Covered Charges
This Hospital:

$19,386
Nebraska:

$17,632
Average Total Payments
This Hospital:

$6,489
State:

$5,536
Number of discharges: 22
Here:

1.41%
Nebraska:

1.62%
Cardiac Arrhythmia and Conduction Disorders with Major Complications
Average Covered Charges
Here:

$35,034
State:

$26,283
Average Total Payments
This Hospital:

$10,140
Nebraska:

$8,240
Number of discharges: 12
Here:

0.77%
State:

0.82%
Cardiac Arrhythmia and Conduction Disorders without Complications
Average Covered Charges
Here:

$13,159
Nebraska:

$12,629
Average Total Payments
Here:

$4,085
Nebraska:

$3,825
Number of discharges: 27
Here:

1.73%
Nebraska:

1.90%
Cellulitis without Major Complications
Average Covered Charges
This Hospital:

$14,268
State:

$15,796
Average Total Payments
This Hospital:

$6,385
Nebraska:

$5,579
Number of discharges: 46
This Hospital:

2.95%
Nebraska:

1.81%
Cervical Spinal Fusion without Complications
Average Covered Charges
This Hospital:

$65,049
Nebraska:

$46,543
Average Total Payments
Here:

$16,260
State:

$13,663
Number of discharges: 15
This Hospital:

0.96%
Nebraska:

0.40%
Chest Pain
Average Covered Charges
Here:

$14,976
State:

$14,499
Average Total Payments
This Hospital:

$4,067
State:

$4,124
Number of discharges: 69
Here:

4.42%
Nebraska:

1.53%
Chronic Obstructive Pulmonary Disease with Complications
Average Covered Charges
This Hospital:

$20,503
Nebraska:

$22,825
Average Total Payments
Here:

$6,895
Nebraska:

$6,118
Number of discharges: 19
Here:

1.22%
Nebraska:

1.94%
Chronic Obstructive Pulmonary Disease with Major Complications
Average Covered Charges
Here:

$23,761
Nebraska:

$29,531
Average Total Payments
Here:

$8,699
Nebraska:

$7,751
Number of discharges: 24
This Hospital:

1.54%
State:

2.10%
Chronic Obstructive Pulmonary Disease without Complications
Average Covered Charges
This Hospital:

$14,448
Nebraska:

$18,363
Average Total Payments
This Hospital:

$5,253
Nebraska:

$4,796
Number of discharges: 33
Here:

2.12%
State:

1.39%
Circulatory Disorders Except Acute Myocardial Infarction, with Card Cath without Major Complications
Average Covered Charges
This Hospital:

$29,073
Nebraska:

$29,201
Average Total Payments
Here:

$9,293
Nebraska:

$7,150
Number of discharges: 12
This Hospital:

0.77%
Nebraska:

1.68%
Esophagitis, Gastroent and Miscellaneous Digestive Disorders with Major Complications
Average Covered Charges
This Hospital:

$23,926
State:

$28,779
Average Total Payments
Here:

$8,067
State:

$8,002
Number of discharges: 16
This Hospital:

1.03%
State:

0.48%
Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications
Average Covered Charges
This Hospital:

$15,828
Nebraska:

$17,373
Average Total Payments
Here:

$5,378
State:

$4,872
Number of discharges: 82
Here:

5.26%
Nebraska:

3.45%
Extracranial Procedures without Complications
Average Covered Charges
Here:

$35,409
State:

$17,837
Average Total Payments
This Hospital:

$8,985
State:

$6,373
Number of discharges: 16
This Hospital:

1.03%
Nebraska:

0.80%
G.I. Hemorrhage with Complications
Average Covered Charges
This Hospital:

$19,692
Nebraska:

$20,594
Average Total Payments
This Hospital:

$8,190
Nebraska:

$6,675
Number of discharges: 37
This Hospital:

2.37%
State:

2.03%
G.I. Hemorrhage with Major Complications
Average Covered Charges
Here:

$46,471
Nebraska:

$41,311
Average Total Payments
Here:

$15,778
Nebraska:

$12,293
Number of discharges: 16
This Hospital:

1.03%
State:

0.50%
G.I. Hemorrhage without Complications
Average Covered Charges
Here:

$15,023
Nebraska:

$15,608
Average Total Payments
This Hospital:

$6,216
State:

$4,799
Number of discharges: 29
Here:

1.86%
State:

0.45%
G.I. Obstruction with Complications
Average Covered Charges
This Hospital:

$14,477
Nebraska:

$17,962
Average Total Payments
This Hospital:

$6,642
Nebraska:

$6,191
Number of discharges: 30
This Hospital:

1.92%
State:

0.93%
G.I. Obstruction without Complications
Average Covered Charges
Here:

$14,997
Nebraska:

$13,222
Average Total Payments
This Hospital:

$5,444
State:

$4,342
Number of discharges: 26
Here:

1.67%
State:

0.61%
Heart Failure and Shock with Complications
Average Covered Charges
This Hospital:

$21,624
Nebraska:

$21,193
Average Total Payments
Here:

$7,413
Nebraska:

$6,633
Number of discharges: 51
This Hospital:

3.27%
State:

2.95%
Heart Failure and Shock with Major Complications
Average Covered Charges
This Hospital:

$32,602
Nebraska:

$32,565
Average Total Payments
This Hospital:

$12,225
State:

$9,703
Number of discharges: 13
This Hospital:

0.83%
Nebraska:

1.90%
Heart Failure and Shock without Complications
Average Covered Charges
This Hospital:

$13,580
State:

$15,196
Average Total Payments
This Hospital:

$4,866
Nebraska:

$4,482
Number of discharges: 28
This Hospital:

1.79%
Nebraska:

1.10%
Hip and Femur Procedures Except Major Joint with Complications
Average Covered Charges
This Hospital:

$42,957
Nebraska:

$38,153
Average Total Payments
Here:

$13,437
State:

$12,156
Number of discharges: 55
Here:

3.53%
State:

1.77%
Hip and Femur Procedures Except Major Joint with Major Complications
Average Covered Charges
This Hospital:

$51,633
Nebraska:

$52,785
Average Total Payments
This Hospital:

$20,953
State:

$18,982
Number of discharges: 18
Here:

1.15%
Nebraska:

0.38%
Hip and Femur Procedures Except Major Joint without Complications
Average Covered Charges
This Hospital:

$34,306
State:

$29,452
Average Total Payments
Here:

$10,790
Nebraska:

$9,705
Number of discharges: 14
This Hospital:

0.90%
Nebraska:

0.36%
Intracranial Hemorrhage or Cerebral Infarction with Complications
Average Covered Charges
This Hospital:

$22,057
State:

$25,437
Average Total Payments
Here:

$8,142
State:

$7,381
Number of discharges: 25
This Hospital:

1.60%
Nebraska:

1.55%
Intracranial Hemorrhage or Cerebral Infarction with Major Complications
Average Covered Charges
Here:

$25,596
State:

$39,603
Average Total Payments
Here:

$12,286
Nebraska:

$12,941
Number of discharges: 24
Here:

1.54%
Nebraska:

0.72%
Intracranial Hemorrhage or Cerebral Infarction without Complications
Average Covered Charges
Here:

$19,163
Nebraska:

$18,932
Average Total Payments
This Hospital:

$7,984
State:

$5,652
Number of discharges: 20
Here:

1.28%
State:

0.83%
Kidney and Urinary Tract Infections with Major Complications
Average Covered Charges
Here:

$17,938
Nebraska:

$22,812
Average Total Payments
This Hospital:

$8,331
State:

$7,424
Number of discharges: 11
This Hospital:

0.71%
Nebraska:

0.66%
Kidney and Urinary Tract Infections without Major Complications
Average Covered Charges
Here:

$14,612
State:

$16,292
Average Total Payments
This Hospital:

$5,899
Nebraska:

$5,051
Number of discharges: 42
Here:

2.69%
State:

2.40%
Laparoscopic Cholecystectomy without C.D.E. without Complications
Average Covered Charges
Here:

$28,519
State:

$27,751
Average Total Payments
This Hospital:

$10,385
State:

$7,820
Number of discharges: 14
This Hospital:

0.90%
State:

0.27%
Major Cardiovasc Procedures without Major Complications
Average Covered Charges
Here:

$96,720
Nebraska:

$62,453
Average Total Payments
This Hospital:

$23,929
State:

$20,711
Number of discharges: 11
This Hospital:

0.71%
State:

0.67%
Major Joint Replacement or Reattachment of Lower Extremity without Major Complications
Average Covered Charges
Here:

$53,965
State:

$41,415
Average Total Payments
This Hospital:

$15,949
Nebraska:

$13,621
Number of discharges: 146
Here:

9.36%
State:

10.93%
Major Small and Large Bowel Procedures with Complications
Average Covered Charges
Here:

$60,387
Nebraska:

$58,606
Average Total Payments
Here:

$20,695
Nebraska:

$17,045
Number of discharges: 24
Here:

1.54%
Nebraska:

1.11%
Major Small and Large Bowel Procedures with Major Complications
Average Covered Charges
Here:

$75,930
Nebraska:

$124,251
Average Total Payments
This Hospital:

$36,410
State:

$38,147
Number of discharges: 12
This Hospital:

0.77%
State:

0.87%
Medical Back Problems without Major Complications
Average Covered Charges
Here:

$19,668
Nebraska:

$18,170
Average Total Payments
This Hospital:

$6,884
Nebraska:

$5,416
Number of discharges: 21
This Hospital:

1.35%
Nebraska:

1.07%
Misc Disorders of Nutrition, Metabolism, Fluids or Electrolytes without Major Complications
Average Covered Charges
Here:

$15,920
State:

$14,536
Average Total Payments
Here:

$5,071
Nebraska:

$4,721
Number of discharges: 45
This Hospital:

2.88%
Nebraska:

2.14%
Other Digestive System Diagnoses with Complications
Average Covered Charges
This Hospital:

$22,398
State:

$25,376
Average Total Payments
Here:

$7,118
State:

$6,763
Number of discharges: 13
This Hospital:

0.83%
Nebraska:

0.61%
Peripheral Vascular Disorders with Complications
Average Covered Charges
Here:

$20,987
State:

$17,324
Average Total Payments
This Hospital:

$6,648
Nebraska:

$6,076
Number of discharges: 15
Here:

0.96%
State:

0.49%
Poisoning and Toxic Effects of Drugs without Major Complications
Average Covered Charges
Here:

$14,340
Nebraska:

$13,575
Average Total Payments
This Hospital:

$4,452
Nebraska:

$4,290
Number of discharges: 15
Here:

0.96%
Nebraska:

0.39%
Red Blood Cell Disorders without Major Complications
Average Covered Charges
Here:

$12,914
State:

$18,005
Average Total Payments
This Hospital:

$5,769
State:

$5,448
Number of discharges: 11
This Hospital:

0.71%
State:

0.98%
Renal Failure with Complications
Average Covered Charges
This Hospital:

$17,658
Nebraska:

$21,735
Average Total Payments
This Hospital:

$6,968
State:

$6,612
Number of discharges: 12
This Hospital:

0.77%
Nebraska:

1.85%
Respiratory Infections and Inflammations with Complications
Average Covered Charges
Here:

$31,208
State:

$32,629
Average Total Payments
Here:

$10,131
Nebraska:

$9,162
Number of discharges: 12
Here:

0.77%
State:

0.78%
Respiratory System Diagnosis with Ventilator Support <96 Hours
Average Covered Charges
Here:

$43,955
State:

$57,319
Average Total Payments
Here:

$16,330
Nebraska:

$15,649
Number of discharges: 23
This Hospital:

1.47%
State:

0.99%
Septicemia or Severe Sepsis without Mechanical Ventilation 96+ Hours with Major Complications
Average Covered Charges
Here:

$34,041
Nebraska:

$44,748
Average Total Payments
This Hospital:

$13,182
Nebraska:

$12,923
Number of discharges: 36
This Hospital:

2.31%
Nebraska:

2.83%
Signs and Symptoms without Major Complications
Average Covered Charges
Here:

$15,121
State:

$14,968
Average Total Payments
Here:

$4,914
Nebraska:

$4,420
Number of discharges: 15
Here:

0.96%
State:

0.98%
Simple Pneumonia and Pleurisy with Complications
Average Covered Charges
Here:

$22,614
State:

$23,784
Average Total Payments
This Hospital:

$7,572
State:

$6,549
Number of discharges: 72
Here:

4.62%
State:

3.84%
Simple Pneumonia and Pleurisy with Major Complications
Average Covered Charges
Here:

$29,012
State:

$35,930
Average Total Payments
Here:

$10,607
State:

$9,661
Number of discharges: 26
Here:

1.67%
State:

1.96%
Simple Pneumonia and Pleurisy without Complications
Average Covered Charges
Here:

$15,742
Nebraska:

$16,735
Average Total Payments
Here:

$5,620
Nebraska:

$4,700
Number of discharges: 37
This Hospital:

2.37%
State:

1.48%
Spinal Fusion Except Cervical without Major Complications
Average Covered Charges
This Hospital:

$79,372
State:

$81,640
Average Total Payments
Here:

$28,913
Nebraska:

$25,168
Number of discharges: 59
This Hospital:

3.78%
Nebraska:

1.55%
Syncope and Collapse
Average Covered Charges
This Hospital:

$15,801
State:

$16,920
Average Total Payments
This Hospital:

$5,533
Nebraska:

$4,930
Number of discharges: 24
This Hospital:

1.54%
State:

1.37%
Transient Ischemia
Average Covered Charges
This Hospital:

$13,242
Nebraska:

$17,521
Average Total Payments
This Hospital:

$5,645
State:

$4,792
Number of discharges: 14
This Hospital:

0.90%
Nebraska:

0.88%

Provided Services

  • Nuclear Medicine Services
  • Acute Renal Dialysis Services
  • Anatomical Laboratory Services
  • Anesthesia Services
  • Blood Bank Services
  • Clinical Laboratory Services
  • Diagnostic Radiology Services
  • Dietary Services
  • Emergency Services
  • Home Health Services
  • Hospice Services
  • ICU - Medical/Surgical Services
  • Inpatient Rehabilitiation (Not Carf Accredited) Services
  • Inpatient Surgical Services
  • Long Term Care (Swing-Beds) Services
  • Neonatal Nursery Services
  • Obstetric Services
  • Occupational Therapy Services
  • Operating Room Services
  • Outpatient Services
  • Outpatient Surgery Unit 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 : 54.88
Registered Professional Nurses : 183.03
Other Salaried Personnel : 576.25
Certified Registered Nurse Anesthetists (CRNA) : 0.05
Dieticians : 3.00
Occupational Therapists : 7.25
Physical Therapists : 15.00
Registered Pharmacists : 10.00
Respiratory Therapists : 7.25
Speech Pathologists Or Audiologists : 2.25
Physicians : 4.25
Medical Social Workers : 12.50

Number Of Beds

Total: 165
Total Certified: 165
Psychiatric Unit Beds: 18
Rehabilitation Unit Beds: 18

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys: 300 or more
Survey Response Rate: 38%

How often did nurses communicate well with patients?

Sometimes or never
This Hospital:

5%
State:

3%
Usually
Here:

20%
State:

16%
Always
This Hospital:

75%
State:

81%

How often did doctors communicate well with patients?

Sometimes or never
This Hospital:

3%
State:

2%
Usually
This Hospital:

18%
Nebraska:

14%
Always
Here:

79%
Nebraska:

84%

How often did patients receive help quickly from hospital staff?

Sometimes or never
This Hospital:

8%
State:

5%
Usually
Here:

31%
Nebraska:

23%
Always
This Hospital:

61%
State:

72%

How often was patients' pain well controlled?

Sometimes or never
This Hospital:

7%
State:

4%
Usually
This Hospital:

24%
Nebraska:

25%
Always
Here:

69%
Nebraska:

71%

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

Sometimes or never
Here:

19%
Nebraska:

15%
Usually
This Hospital:

22%
State:

21%
Always
This Hospital:

59%
Nebraska:

64%

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

Sometimes or never
This Hospital:

11%
Nebraska:

6%
Usually
This Hospital:

20%
State:

16%
Always
This Hospital:

69%
State:

78%

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

Sometimes or never
This Hospital:

9%
Nebraska:

7%
Usually
Here:

38%
Nebraska:

30%
Always
Here:

53%
Nebraska:

63%

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

Yes
This Hospital:

87%
State:

87%
No
This Hospital:

13%
State:

13%

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

6 or lower
This Hospital:

8%
State:

5%
7 or 8
Here:

25%
State:

21%
9 or 10
This Hospital:

67%
Nebraska:

74%

Would patients recommend the hospital to friends and family?

No
This Hospital:

4%
Nebraska:

2%
Yes, probably
This Hospital:

29%
State:

23%
Yes, definitely
Here:

67%
State:

75%

Quality Measures

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

41.5%
Nebraska:

27.0%
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Here:

71.9%
Nebraska:

88.1%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
This Hospital:

98.2%
State:

83.7%

Use of Medical Imaging

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

33.800%
Nebraska:

37.588%
Outpatients who had a follow-up mammogram or ultrasound within 45 days after a screening mammogram.
Here:

9.500%
Nebraska:

9.790%
Outpatient CT scans of the abdomen that were combination (double) scans.
This Hospital:

0.156%
Nebraska:

0.126%
Outpatients who got cardiac imaging stress tests before low-risk outpatient surgery
Here:

4.600%
State:

5.403%
Outpatients with brain CT scans who got a sinus CT scan at the same time
Here:

5.100%
State:

2.485%

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival
This Hospital:

100.0%
Nebraska:

99.7%
Percent of Patients Given Aspirin at Discharge
This Hospital:

100.0%
Nebraska:

99.7%
Percent of Patients Given Beta Blocker at Discharge
This Hospital:

100.0%
Nebraska:

99.7%
Average number of minutes before outpatients with chest pain or possible heart attack got an ECG
This Hospital:

5
State:

7
Outpatients with chest pain or possible heart attack who got aspirin within 24 hours of arrival
Here:

98.0%
State:

96.9%
Patients Given a Prescription for a Statin at Discharge
This Hospital:

83.0%
State:

98.5%

Heart Failure

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

100.0%
Nebraska:

97.3%
Percent of Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)
This Hospital:

88.0%
State:

96.8%
Percent of Patients Given Discharge Instructions
This Hospital:

85.0%
Nebraska:

93.5%

Pneumonia

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

98.0%
State:

97.3%
Percent of Patients Whose Initial ER Blood Culture Was Performed Prior To Administration Of First Dose Of Antibiotics
This Hospital:

96.0%
Nebraska:

98.1%
Percent of Patients Given Smoking Cessation Advice/Counseling
This Hospital:

100.0%
State:

97.1%
Percent of Patients Given the Most Appropriate Initial Antibiotic(s)
Here:

100.0%
State:

94.1%
Percent of Patients Assessed and Given Influenza Vaccination
Here:

100.0%
State:

93.8%
Percent of Patients Assessed and Given Pneumococcal Vaccination
This Hospital:

99.0%
State:

93.9%

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:

97.0%
Percent of Surgery Patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)
This Hospital:

98.0%
State:

97.0%
Percent of Surgery Patients who were given the right kind of antibiotic to help prevent infection
This Hospital:

99.0%
Nebraska:

98.6%
Percent of Surgery Patients who got treatment at right time (within 24 hours before or after surgery) to help prevent blood clot
Here:

98.0%
Nebraska:

97.5%
Percent of Surgery Patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries
Here:

98.0%
Nebraska:

98.5%
Percent of Surgery Patients needing hair removed from the surgical area before surgery who had hair removed using a safer method
This Hospital:

99.0%
Nebraska:

100.0%
Percent of Surgery Patients whose urinary catheters were removed on the first or second day after surgery
Here:

90.0%
Nebraska:

91.2%
Surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on them
Here:

93.0%
State:

96.1%
Outpatients having surgery who got an antibiotic at the right time - within one hour before surgery (higher numbers are better)
This Hospital:

94.0%
Nebraska:

95.6%
Outpatients having surgery who got the right kind of antibiotic (higher numbers are better)
Here:

99.0%
Nebraska:

97.2%
Patients having surgery who were actively warmed in the operating room or whose body temperature was near normal
This Hospital:

99.0%
Nebraska:

99.8%

Outcome of Care

30-Day Mortality Rates from Heart Attack
This Hospital:

16.4%
Nebraska:

15.2%
30-Day Mortality Rates from Heart Failure
Here:

13.3%
Nebraska:

12.4%
30-Day Mortality Rates from Pneumonia
This Hospital:

12.3%
Nebraska:

12.3%
30-Day Readmission Rates from Heart Attack
Here:

18.5%
Nebraska:

19.6%
30-Day Readmission Rates from Heart Failure
This Hospital:

22.5%
Nebraska:

24.4%
30-Day Readmission Rates from Pneumonia
Here:

16.5%
Nebraska:

18.4%

Hospital Acquired Conditions

Objects Accidentally Left in the Body After Surgery
Here:

0.184%
State:

0.169%
Falls and injuries
This Hospital:

0.919%
State:

1.214%
Blood infection from a catheter in a large vein
This Hospital:

0.551%
State:

0.387%
Severe pressure sores (bed sores)
Here:

0.184%
State:

0.212%

Complaint Deficiency

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)

Exits that are accessible at all times: Many (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)

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

Proper backup exit lighting: Some (Minimal harm or potential for actual harm)

Provide proper discharge planning and communication, of the resident's health status and summary of the resident's stay: Some (Minimal harm or potential for actual harm)

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

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

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