ER Inspector COTTAGE HOSPITALCOTTAGE HOSPITAL

ER Inspector

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Updated September 19, 2019

This database was last updated in September 2019. It should only be used as a historical snapshot.Researchers can find more recent data on timely and effective care in the Centers for Medicare and Medicaid Services’ hospitals datasets and guidance about hospital regulations.

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ER Inspector » New Hampshire » COTTAGE HOSPITAL

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COTTAGE HOSPITAL

90 swiftwater rd, woodsville, N.H. 03785

(603) 747-9000

67% of Patients Would "Definitely Recommend" this Hospital
(N.H. Avg: 73%)

1 violation related to ER care since 2015

Hospital Type

Critical Access Hospitals

Hospital Owner

Voluntary non-profit - Private

ER Volume

Low (0 - 20K patients a year)

See this hospital's CMS profile page or inspection reports.

Detailed Quality Measures

Here is a more in depth look at each quality measure, compared to state and national averages for hospitals with low ER volumes. Experts caution that very small differences between hospitals for a given measure are unlikely to correspond to noticeable differences in the real world.

Measure
Average for this Hospital
How this Hospital Compares

(to other hospitals with similar
ER volumes, when available)

Discharged Patients
Time Until Sent Home

Average time patients spent in the emergency room before being sent home (if not admitted).

1hr 16min
National Avg.
1hr 53min
N.H. Avg.
1hr 53min
This Hospital
1hr 16min
Impatient Patients
Left Without
Being Seen

Percentage of patients who left the emergency room without being seen by a doctor or medical practitioner.

1%
Avg. U.S. Hospital
2%
Avg. N.H. Hospital
2%
This Hospital
1%
Admitted Patients
Time Before Admission

Average time patients spent in the emergency room before being admitted to the hospital.

No Data Available

Results are not available for this reporting period.

National Avg.
3hrs 30min
N.H. Avg.
4hrs 24min
This Hospital
No Data Available
Admitted Patients
Transfer Time

Among patients admitted, additional time they spent waiting before being taken to their room (sometimes referred to as "boarding time.")

No Data Available

Results are not available for this reporting period.

National Avg.
57min
N.H. Avg.
1hr 4min
This Hospital
No Data Available
Special Patients
CT Scan

Percentage of patients who arrived with stroke symptoms and did not receive brain scan results within 45 mins.

No Data Available

The number of cases/patients is too few to report.

National Avg.
27%
N.H. Avg.
34%
This Hospital
No Data Available

Violations Related to ER Care

Problems found in emergency rooms at this hospital since 2015, as identified during the investigation of a complaint. About This Data →

Violation
Full Text
MEDICAL SCREENING EXAM

Mar 3, 2016

Based on review and interview the facility failed to ensure that all individuals that present to the emergency room are given a medical screening exam by a physician for one out of 20 patients in a survey sample.

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Based on review and interview the facility failed to ensure that all individuals that present to the emergency room are given a medical screening exam by a physician for one out of 20 patients in a survey sample. (Patient identifier #1) Findings include: On 2/23/2016 Facility notifies the RO (Regional Office) in Boston of an EMTALA(Emergency Medical Treatment Act) violation and on the same day the facility notifies the SA (State Agency) A complaint investigation was conducted on site on 3/2/2016 Review of the ED ( Emergency Department) medical record identified that on 02/07/2016 Patient #1 presented to the emergency department by EMS at 4:33 am. The patient presented with the question of sexual assault. Patient received a Triage assessment including vital signs and was registered as a patient. The facility attempted to locate a SANE (Sexual Assault Nurse Evaluator) Nurse. They also contacted the nursing director of the emergency department. Being unable to locate their own SANE nurse, the director advised that she would need to go to Dartmouth Hitchcock Medical Center, and if willing could go with police if she felt uncomfortable with the EMS. Patient chose to go with police. Dartmouth Hitchcock was called at 5:02 am to arrange for the availability of a SANE nurse and they were informed that a nurse was available and would be waiting the patients arrival. Police were waiting for another officer to arrive for area coverage while the other officer was transporting this patient to Dartmouth Hitchcock. At 5:26 am the patient left with the Haverhill Police Department. An addendum note in the medical record identified that the patient was " more comfortable with law enforcement transfer than an ambulance transfer to Dartmouth Hitchcock Medical Center". The nursing note indicates that the patient was discharged by MD order. There was no documented evidence that the patient received a medical screening exam by any qualified individual or that a discharge order was completed by a physician. Review of the facility sexual assalt policy and procedure (A#4) identified that in the event that a SANE nurse was not available the patient will be seen by by an ED nurse and a medical screening exam would be performed by the ED pyshician. Interview with Staff A (emergency room Director) and Staff B (Clinical Supervisor) on 3/2/16 confirmed the above.

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Notes

“Average time” refers to the median wait time (the midpoint of all patients' wait times). References to “doctor or medical practitioner” indicate a doctor, nurse practitioner or physician's assistant. CMS reports the CT scan quality measure as the percentage of patients who received a scan within 45 minutes. We have reversed that measure so that all measures follow a “lower is better” pattern.

Additional design and development by Mike Tigas and Sisi Wei.

Sources

All data comes from the Centers for Medicare and Medicaid Services. Detailed quality measures at the hospital, state and national level were last updated September 2019. Most data was collected between October 2017 and October 2018. Data on ER-related violations is from January 2015 to June 2019.

Additional Info

How We've Updated ER Inspector | Download ProPublica's Emergency Room Planning Toolkit | About This Data

Don’t See Your ER?

In some cases we aren’t able to identify the exact location of a hospital, so it doesn’t appear on our mapped search results. However, it may still be in our database – try looking for it in the list of hospitals on each state's page.

In other cases, the hospital is missing from our database because it doesn't have an emergency department.

In other cases, the hospital is missing from the federal government’s Centers for Medicare and Medicaid Services (CMS) data. There are a couple of reasons why a hospital isn’t included in CMS data: it may not participate in Medicare, or it may share a certification number with another hospital (common across large hospital systems).

If you notice a hospital missing from our database, please first check if you can find it on CMS' website, and that it is listed as having an ER. If so, please email us with the hospital name and address.