SCHEURER HOSPITAL (PIGEON, MI) Detailed Hospital Profile

Complaint Deficiency

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
Record of quarterly fire drills for each shift under varying conditions
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Weekly inspections and monthly testing of generators
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Give the resident's representative the ability to exercise the resident's rights
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide a safe, clean, comfortable and homelike environment
- 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
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Make sure that a working call system is available in each resident's room or bathroom and bathing area
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Record of quarterly fire drills for each shift under varying conditions
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly installed electrical wiring and equipment
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide a safe, clean, comfortable and homelike environment
- 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
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Many
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: 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 that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents
- Harm: Actual harm
- Scope: Few

Use of Medical Imaging

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

This Hospital:	2.400%
State:	7.381%

Outpatient CT scans of the abdomen that were combination (double) scans.

This Hospital:	0.378%
State:	0.111%

Outpatient CT scans of the chest that were combination (double) scans.

This Hospital:	0.245%
State:	0.051%

Outpatients who got cardiac imaging stress tests before low-risk outpatient surgery

This Hospital:	7.200%
State:	5.222%

Outpatients with brain CT scans who got a sinus CT scan at the same time

Here:	1.000%
Michigan:	2.361%

Process of Care

Heart Attack

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

This Hospital:	11
State:	9

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

Here:	96.0%
Michigan:	95.4%

Pneumonia

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

This Hospital:	93.0%
State:	96.5%

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

This Hospital:	100.0%
State:	95.7%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Hospital:	69.0%
State:	95.8%

Surgery

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

This Hospital:	97.0%
Michigan:	98.3%

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

This Hospital:	89.0%
State:	97.3%

Percent of Surgery Patients who were given the right kind of antibiotic to help prevent infection

Here:	91.0%
State:	98.5%

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

This Hospital:	86.0%
State:	97.5%

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

This Hospital:	86.0%
State:	98.4%

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

This Hospital:	58.0%
State:	99.8%

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

This Hospital:	96.0%
State:	93.2%

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

Here:	79.0%
State:	96.1%

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

This Hospital:	98.0%
Michigan:	99.7%

Outcome of Care

30-Day Mortality Rates from Heart Failure

Here:	13.0%
State:	10.8%

30-Day Mortality Rates from Pneumonia

Here:	12.1%
Michigan:	11.4%

30-Day Readmission Rates from Heart Failure

Here:	24.6%
Michigan:	25.2%

30-Day Readmission Rates from Pneumonia

This Hospital:	18.1%
Michigan:	18.7%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: Fewer than 100
Survey Response Rate: 33%

How often did nurses communicate well with patients?

Sometimes or never

This Hospital:	1%
State:	4%

Usually

Here:	17%
Michigan:	18%

Always

Here:	82%
Michigan:	78%

How often did doctors communicate well with patients?

Sometimes or never

Here:	2%
Michigan:	4%

Usually

This Hospital:	20%
Michigan:	17%

Always

This Hospital:	78%
Michigan:	79%

How often did patients receive help quickly from hospital staff?

Sometimes or never

This Hospital:	1%
Michigan:	8%

Usually

Here:	12%
State:	24%

Always

This Hospital:	87%
Michigan:	68%

How often was patients' pain well controlled?

Sometimes or never

Here:	1%
State:	6%

Usually

Here:	24%
State:	23%

Always

Here:	75%
Michigan:	71%

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

Sometimes or never

This Hospital:	20%
State:	20%

Usually

This Hospital:	22%
Michigan:	19%

Always

This Hospital:	58%
Michigan:	61%

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

Sometimes or never

This Hospital:	5%
Michigan:	9%

Usually

Here:	15%
Michigan:	20%

Always

Here:	80%
Michigan:	71%

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

Sometimes or never

Here:	3%
State:	12%

Usually

This Hospital:	41%
Michigan:	31%

Always

This Hospital:	56%
Michigan:	57%

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

Yes

This Hospital:	87%
Michigan:	86%

Here:	13%
State:	14%

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

6 or lower

Here:	4%
Michigan:	8%

7 or 8

This Hospital:	16%
State:	22%

9 or 10

Here:	80%
Michigan:	70%

Would patients recommend the hospital to friends and family?

This Hospital:	2%
Michigan:	5%

Yes, probably

Here:	14%
Michigan:	25%

Yes, definitely

Here:	84%
State:	70%

SCHEURER HOSPITAL - PIGEON, MI

Complaint Deficiency

Use of Medical Imaging

Process of Care

Heart Attack

Pneumonia

Surgery

Outcome of Care

Hospital Consumer Assessment of Healthcare Providers

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