MANSFIELD PLACE (PHILIPPI, WV) Detailed Nursing Home Profile

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: Fewer than 100
Survey Response Rate: 32%

How often did nurses communicate well with patients?

Sometimes or never

This Nursing Home:	3%
West Virginia:	6%

Usually

Here:	7%
State:	17%

Always

Here:	90%
West Virginia:	77%

How often did doctors communicate well with patients?

Sometimes or never

Here:	1%
State:	4%

Usually

Here:	7%
West Virginia:	14%

Always

This Nursing Home:	92%
State:	82%

How often did patients receive help quickly from hospital staff?

Sometimes or never

This Nursing Home:	5%
State:	12%

Usually

Here:	18%
West Virginia:	23%

Always

Here:	77%
West Virginia:	65%

How often was patients' pain well controlled?

Sometimes or never

Here:	4%
State:	8%

Usually

Here:	18%
State:	23%

Always

This Nursing Home:	78%
State:	69%

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

Sometimes or never

Here:	20%
West Virginia:	20%

Usually

This Nursing Home:	17%
West Virginia:	18%

Always

This Nursing Home:	63%
West Virginia:	62%

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

Sometimes or never

Here:	3%
West Virginia:	9%

Usually

This Nursing Home:	11%
West Virginia:	18%

Always

This Nursing Home:	86%
State:	73%

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

Sometimes or never

Here:	4%
West Virginia:	13%

Usually

This Nursing Home:	18%
West Virginia:	32%

Always

Here:	78%
West Virginia:	55%

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

Yes

This Nursing Home:	88%
State:	83%

Here:	12%
State:	17%

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

6 or lower

This Nursing Home:	10%
State:	11%

7 or 8

This Nursing Home:	17%
State:	24%

9 or 10

Here:	73%
West Virginia:	65%

Would patients recommend the hospital to friends and family?

This Nursing Home:	4%
State:	6%

Yes, probably

This Nursing Home:	22%
West Virginia:	29%

Yes, definitely

Here:	74%
State:	65%

Quality Measures

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

Here:	23.3%
State:	19.9%

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

This Nursing Home:	18.7%
State:	14.0%

Percent of long-stay residents who lose too much weight

This Nursing Home:	3.7%
State:	8.9%

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

Here:	2.4%
State:	4.3%

Percent of long-stay residents with a urinary tract infection

Here:	13.0%
West Virginia:	9.4%

Percent of long-stay residents who have depressive symptoms

Here:	5.6%
West Virginia:	7.3%

Percent of long-stay residents who were physically restrained

Here:	11.1%
State:	2.5%

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

Here:	11.1%
State:	5.1%

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

This Nursing Home:	98.1%
State:	96.1%

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

Here:	98.1%
West Virginia:	94.0%

Percent of long-stay residents who received an antipsychotic medication

Here:	23.1%
State:	21.3%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	0.700
West Virginia:	0.714

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

This Nursing Home:	1.090
West Virginia:	0.879

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.790
West Virginia:	1.591

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.020
West Virginia:	0.060

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.020
West Virginia:	0.069

Complaint Deficiency

Exits that are accessible at all times
- Harm: Potential for minimal harm
- Scope: Many
Properly installed electrical wiring and equipment
- Harm: Potential for minimal harm
- Scope: Some
Immediately tell the resident, the resident's doctor and a family member of the resident of situations (injury/decline/room, etc.) that affect the resident
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide enough notice before discharging or transferring a resident
- Harm: Potential for minimal harm
- Scope: Some
Make sure each resident receives an accurate assessment by a qualified health professional
- 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: Few
Make sure services provided by the nursing facility meet professional standards of quality
- Harm: Potential for minimal harm
- Scope: Many
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion
- 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
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature
- Harm: Potential for minimal harm
- Scope: Many
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Keep all essential equipment working safely
- Harm: Potential for minimal harm
- Scope: Some
Operate and provide services according to Federal, State, and local laws and professional standards
- Harm: Potential for minimal harm
- Scope: Many
Keep accurate, complete and organized clinical records on each resident that meet professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Properly hold, secure and manage each resident's personal money which is deposited with the nursing home
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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
Review or revise the resident's care plan after any major change in a resident's physical or mental health
- 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: Few
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: Some
Make sure services provided by the nursing facility meet professional standards of quality
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide necessary care and services to maintain the highest well being of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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: Some
Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Provide special eating equipment and utensils for each resident who needs them
- 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
Keep accurate, complete and organized clinical records on each resident that meet professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Corridor and hallway doors that block smoke
- 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
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
1) Make sure that each resident's drug regimen is free from unnecessary drugs; 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being
- 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
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: Some
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action
- Harm: Minimal harm or potential for actual harm
- Scope: Many

Process of Care

Pneumonia

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

This Nursing Home:	82.0%
West Virginia:	96.0%

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

This Nursing Home:	55.0%
West Virginia:	93.3%

Outcome of Care

30-Day Mortality Rates from Pneumonia

Here:	11.0%
West Virginia:	12.3%

30-Day Readmission Rates from Pneumonia

Here:	18.9%
State:	19.6%

Use of Medical Imaging

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

Here:	3.200%
West Virginia:	8.958%

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

Here:	0.442%
West Virginia:	0.275%

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

Here:	0.638%
State:	0.071%

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

Here:	0.700%
State:	3.183%

MANSFIELD PLACE - PHILIPPI, WV

Hospital Consumer Assessment of Healthcare Providers

Quality Measures

Staff Information

Complaint Deficiency

Process of Care

Pneumonia

Outcome of Care

Use of Medical Imaging

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