SALEM MEMORIAL DISTRICT HOSPITAL (SALEM, MO) Detailed Hospital Profile

Process of Care

Heart Failure

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

This Hospital:	71.0%
State:	98.0%

Percent of Patients Given Discharge Instructions

Here:	81.0%
State:	91.2%

Pneumonia

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

Here:	100.0%
Missouri:	95.8%

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

Here:	98.0%
Missouri:	97.5%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	85.0%
State:	98.4%

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

This Hospital:	78.0%
Missouri:	93.6%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Hospital:	95.0%
State:	95.7%

Outcome of Care

30-Day Mortality Rates from Heart Failure

This Hospital:	11.2%
Missouri:	11.6%

30-Day Mortality Rates from Pneumonia

This Hospital:	11.9%
State:	11.9%

30-Day Readmission Rates from Heart Failure

This Hospital:	25.3%
State:	24.9%

30-Day Readmission Rates from Pneumonia

This Hospital:	18.4%
State:	18.9%

Complaint Deficiency

An approved installation, maintenance and testing program for fire alarm systems
- Harm: Potential for minimal harm
- Scope: Many
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: 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
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
Approved construction type or materials
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Signs that state that exit doors are to be kept closed
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Proper backup exit lighting
- 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
Record of quarterly fire drills for each shift under varying conditions
- 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
An approved installation, maintenance and testing program for fire alarm systems
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Properly maintained smoke detectors
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Automatic sprinkler systems that have been maintained in working order
- 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
Restrictions on the use of portable space heaters
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Restrictions on the use of flammable curtains
- 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
Conduct initial and periodic assessments of each resident's functional capacity
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Put firmly secured handrails on each side of hallways
- Harm: Minimal harm or potential for actual harm
- Scope: Few

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SALEM MEMORIAL DISTRICT HOSPITAL - SALEM, MO