CALHOUN CO NH (CALHOUN CITY, MS) Detailed Nursing Home Profile

Quality Measures

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

This Nursing Home:	8.6%
State:	18.2%

Percent of long-stay residents who self-report moderate to severe pain

Here:	20.0%
Mississippi:	13.9%

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

This Nursing Home:	6.5%
Mississippi:	7.3%

Percent of long-stay residents who lose too much weight

Here:	9.0%
Mississippi:	7.8%

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

This Nursing Home:	30.6%
State:	41.4%

Percent of long-stay residents who have had a catheter inserted and left in their bladder

This Nursing Home:	4.2%
State:	3.2%

Percent of long-stay residents with a urinary tract infection

This Nursing Home:	8.0%
State:	7.3%

Percent of long-stay residents who were physically restrained

Here:	1.0%
Mississippi:	3.9%

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

This Nursing Home:	3.0%
State:	2.9%

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

This Nursing Home:	100.0%
State:	94.9%

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

Here:	100.0%
Mississippi:	96.7%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	33.3%
Mississippi:	26.8%

Process of Care

Pneumonia

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

Here:	100.0%
Mississippi:	96.2%

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

This Nursing Home:	100.0%
Mississippi:	97.9%

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

This Nursing Home:	100.0%
State:	93.2%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Nursing Home:	92.0%
State:	93.8%

Outcome of Care

30-Day Mortality Rates from Heart Failure

This Nursing Home:	10.3%
Mississippi:	12.2%

30-Day Mortality Rates from Pneumonia

This Nursing Home:	11.2%
State:	13.2%

30-Day Readmission Rates from Heart Failure

This Nursing Home:	23.0%
State:	26.1%

30-Day Readmission Rates from Pneumonia

This Nursing Home:	15.9%
State:	19.6%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	0.710
State:	0.625

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

This Nursing Home:	1.020
State:	0.996

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	1.730
Mississippi:	1.616

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	0.010
State:	0.046

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.010
State:	0.049

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: Between 100 and 299
Survey Response Rate: 31%

How often did nurses communicate well with patients?

Sometimes or never

Here:	2%
State:	5%

Usually

Here:	10%
Mississippi:	15%

Always

Here:	88%
Mississippi:	80%

How often did doctors communicate well with patients?

Sometimes or never

This Nursing Home:	1%
Mississippi:	4%

Always

Here:	99%
State:	85%

How often did patients receive help quickly from hospital staff?

Sometimes or never

Here:	3%
State:	11%

Usually

This Nursing Home:	13%
Mississippi:	22%

Always

Here:	84%
Mississippi:	67%

How often was patients' pain well controlled?

Sometimes or never

This Nursing Home:	3%
Mississippi:	8%

Usually

This Nursing Home:	17%
Mississippi:	20%

Always

This Nursing Home:	80%
Mississippi:	72%

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

Sometimes or never

Here:	8%
Mississippi:	21%

Usually

This Nursing Home:	17%
Mississippi:	17%

Always

This Nursing Home:	75%
Mississippi:	62%

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

Sometimes or never

This Nursing Home:	3%
Mississippi:	10%

Usually

This Nursing Home:	9%
State:	18%

Always

This Nursing Home:	88%
Mississippi:	72%

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

Sometimes or never

This Nursing Home:	5%
State:	7%

Usually

Here:	21%
State:	24%

Always

This Nursing Home:	74%
State:	69%

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

Yes

This Nursing Home:	85%
Mississippi:	79%

Here:	15%
State:	21%

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

6 or lower

Here:	3%
Mississippi:	10%

7 or 8

This Nursing Home:	17%
State:	22%

9 or 10

This Nursing Home:	80%
Mississippi:	68%

Would patients recommend the hospital to friends and family?

Here:	3%
State:	6%

Yes, probably

This Nursing Home:	22%
State:	26%

Yes, definitely

Here:	75%
State:	68%

Complaint Deficiency

Signs that state that exit doors are to be kept closed
- 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 accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Exits that are accessible at all times
- Harm: Actual harm
- Scope: Few
Provide proof that all residents' personal money which is deposited with the nursing home, is secure
- Harm: Actual harm
- Scope: Few
Approved construction type or materials
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Exits that are accessible at all times
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Record of quarterly fire drills for each shift under varying conditions
- Harm: Potential for minimal harm
- Scope: Many
An approved installation, maintenance and testing program for fire alarm systems
- 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
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 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
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Corridor and hallway doors that block smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Portable fire extinguishers
- 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
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 housekeeping and maintenance services
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure services provided by the nursing facility meet professional standards of quality
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Develop policies and procedures for influenza and pneumococcal immunizations
- 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
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: Few
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Keep accurate, complete and organized clinical records on each resident that meet professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Smoke barrier doors that can resist smoke for at least 20 minutes
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Construction that can resist fire for one hour or an approved fire extinguishing system
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Keep each resident's personal and medical records private and confidential
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide housekeeping and maintenance services
- 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
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: Some
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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: Few
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide bedrooms that don't allow residents to see each other when privacy is needed
- Harm: Minimal harm or potential for actual harm
- Scope: Few

CALHOUN CO NH - CALHOUN CITY, MS

Quality Measures

Process of Care

Pneumonia

Outcome of Care

Staff Information

Hospital Consumer Assessment of Healthcare Providers

Complaint Deficiency

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