MONTGOMERY GENERAL HOSP., D/P (MONTGOMERY, WV) Detailed Nursing Home Profile

Quality Measures

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

This Nursing Home:	25.5%
West Virginia:	25.2%

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

This Nursing Home:	96.8%
State:	86.0%

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

This Nursing Home:	94.6%
State:	85.4%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: Between 100 and 299
Survey Response Rate: 27%

How often did nurses communicate well with patients?

Sometimes or never

This Nursing Home:	7%
State:	6%

Usually

This Nursing Home:	14%
West Virginia:	17%

Always

This Nursing Home:	79%
West Virginia:	77%

How often did doctors communicate well with patients?

Sometimes or never

Here:	7%
State:	4%

Usually

Here:	12%
State:	14%

Always

Here:	81%
State:	82%

How often did patients receive help quickly from hospital staff?

Sometimes or never

Here:	12%
State:	12%

Usually

This Nursing Home:	19%
West Virginia:	23%

Always

Here:	69%
State:	65%

How often was patients' pain well controlled?

Sometimes or never

This Nursing Home:	11%
West Virginia:	8%

Usually

This Nursing Home:	19%
State:	23%

Always

Here:	70%
West Virginia:	69%

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

Sometimes or never

This Nursing Home:	21%
State:	20%

Usually

Here:	17%
State:	18%

Always

This Nursing Home:	62%
West Virginia:	62%

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

Sometimes or never

Here:	16%
State:	9%

Usually

Here:	14%
State:	18%

Always

Here:	70%
West Virginia:	73%

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

Sometimes or never

Here:	13%
State:	13%

Usually

This Nursing Home:	32%
State:	32%

Always

This Nursing Home:	55%
State:	55%

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

Yes

Here:	66%
State:	83%

This Nursing Home:	34%
West Virginia:	17%

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

6 or lower

This Nursing Home:	16%
State:	11%

7 or 8

This Nursing Home:	22%
West Virginia:	24%

9 or 10

Here:	62%
State:	65%

Would patients recommend the hospital to friends and family?

This Nursing Home:	9%
State:	6%

Yes, probably

Here:	38%
West Virginia:	29%

Yes, definitely

Here:	53%
West Virginia:	65%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	0.660
State:	0.714

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

Here:	1.160
West Virginia:	0.879

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.820
West Virginia:	1.591

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	0.030
West Virginia:	0.060

Number Therapy Hours Per Resident Per Day

Here:	0.030
State:	0.069

Complaint Deficiency

Provide bedrooms that hold no more than 4 residents per room
- Harm: Minimal harm or potential for actual harm
- Scope: Few
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide access to a telephone for resident to use in private
- Harm: Minimal harm or potential for actual harm
- Scope: Few
A separate and independent backup electrical power source
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Hire sufficient dietary support personnel
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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
Give the resident's representative the ability to exercise the resident's rights
- 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: 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
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: Some
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Give or get quality lab services/tests in a timely manner to meet the needs of residents
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Quickly tell the resident's doctor the results of lab tests
- 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
An approved installation, maintenance and testing program for fire alarm systems
- Harm: Potential for minimal harm
- Scope: Many
Other fire safety features required by fire safety codes
- Harm: Potential for minimal harm
- Scope: Many
Properly installed electrical wiring and equipment
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly maintained smoke detectors
- Harm: Potential for minimal harm
- Scope: Many
Proper medical gas storage and administration areas
- Harm: Potential for minimal harm
- Scope: Some
Conduct initial and periodic assessments of each resident's functional capacity
- 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
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: Some
Make sure services provided by the nursing facility meet professional standards of quality
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide care by qualified persons according to each resident's written plan of care
- 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: Few
Make sure that residents receive treatment/services to not only continue, but improve the ability to care for themselves
- 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: Immediate jeopardy to resident health or safety
- Scope: Few
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
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
Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature
- 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: Many
Provide routine and 24-hour emergency dental care for each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor
- 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: 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
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: Some
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: Some
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Many
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor
- 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: Some

Process of Care

Heart Failure

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

This Nursing Home:	100.0%
State:	98.4%

Percent of Patients Given Discharge Instructions

Here:	71.0%
State:	91.6%

Pneumonia

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

This Nursing Home:	95.0%
State:	95.2%

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

Here:	91.0%
State:	96.0%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Nursing Home:	100.0%
West Virginia:	98.3%

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

Here:	81.0%
State:	93.3%

Percent of Patients Assessed and Given Influenza Vaccination

This Nursing Home:	54.0%
State:	93.2%

Percent of Patients Assessed and Given Pneumococcal Vaccination

Here:	84.0%
State:	95.7%

Outcome of Care

30-Day Mortality Rates from Heart Failure

Here:	11.7%
State:	11.6%

30-Day Mortality Rates from Pneumonia

Here:	11.6%
West Virginia:	12.3%

30-Day Readmission Rates from Heart Failure

This Nursing Home:	25.2%
State:	25.6%

30-Day Readmission Rates from Pneumonia

Here:	19.7%
State:	19.6%

MONTGOMERY GENERAL HOSP., D/P - MONTGOMERY, WV

Quality Measures

Hospital Consumer Assessment of Healthcare Providers

Staff Information

Complaint Deficiency

Process of Care

Heart Failure

Pneumonia

Outcome of Care

User Contributions:

Comment about this article, ask questions, or add new information about this topic: