PLEASANT VALLEY HOSPITAL (POINT PLEASANT, WV) Detailed Hospital Profile

Use of Medical Imaging

Outpatients with low back pain who had an MRI without trying recommended treatments first, such as physical therapy.

This Hospital:	43.400%
State:	42.623%

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

This Hospital:	9.400%
State:	8.958%

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

This Hospital:	0.097%
State:	0.275%

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

Here:	0.044%
West Virginia:	0.071%

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

Here:	9.900%
State:	5.768%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: 300 or more
Survey Response Rate: 33%

How often did nurses communicate well with patients?

Sometimes or never

Here:	7%
West Virginia:	6%

Usually

Here:	19%
State:	17%

Always

Here:	74%
State:	77%

How often did doctors communicate well with patients?

Sometimes or never

This Hospital:	2%
West Virginia:	4%

Usually

This Hospital:	13%
State:	14%

Always

This Hospital:	85%
State:	82%

How often did patients receive help quickly from hospital staff?

Sometimes or never

This Hospital:	9%
State:	12%

Usually

This Hospital:	22%
State:	23%

Always

Here:	69%
West Virginia:	65%

How often was patients' pain well controlled?

Sometimes or never

This Hospital:	9%
State:	8%

Usually

Here:	25%
West Virginia:	23%

Always

This Hospital:	66%
West Virginia:	69%

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

Sometimes or never

Here:	18%
State:	20%

Usually

Here:	19%
West Virginia:	18%

Always

This Hospital:	63%
State:	62%

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

Sometimes or never

This Hospital:	8%
State:	9%

Usually

Here:	22%
West Virginia:	18%

Always

This Hospital:	70%
State:	73%

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

Sometimes or never

This Hospital:	13%
State:	13%

Usually

This Hospital:	31%
State:	32%

Always

This Hospital:	56%
State:	55%

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

Yes

Here:	87%
State:	83%

This Hospital:	13%
State:	17%

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

6 or lower

Here:	9%
West Virginia:	11%

7 or 8

Here:	25%
West Virginia:	24%

9 or 10

Here:	66%
West Virginia:	65%

Would patients recommend the hospital to friends and family?

This Hospital:	6%
West Virginia:	6%

Yes, probably

Here:	30%
State:	29%

Yes, definitely

Here:	64%
West Virginia:	65%

Complaint Deficiency

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: Few
Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Exits that are free from obstructions and can be used at all times
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Corridor and hallway doors that block smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property
- 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
Exits that are accessible at all times
- Harm: Potential for minimal harm
- Scope: Many
Record of quarterly fire drills for each shift under varying conditions
- Harm: Potential for minimal harm
- Scope: Many
Automatic sprinkler systems that have been maintained in working order
- Harm: Potential for minimal harm
- Scope: Many
Give the resident's representative the ability to exercise the resident's rights
- Harm: Potential for minimal harm
- Scope: Some
Give each resident a notice of rights, rules, services and charges. Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for
- Harm: Potential for minimal harm
- Scope: Many
Provide enough notice before discharging or transferring a resident
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Keep each resident free from drugs that restrain them, unless needed for medical treatment
- 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
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: Some
Provide medically-related social services to help each resident achieve the highest possible quality of life
- 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
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
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 housekeeping and maintenance services
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Conduct initial and periodic assessments of each resident's functional capacity
- 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: 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 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
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 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: Some
Keep accurate, complete and organized clinical records on each resident that meet professional standards
- Harm: Potential for minimal harm
- Scope: Some
An approved installation, maintenance and testing program for fire alarm systems
- Harm: Potential for minimal harm
- Scope: Many
Corridor and hallway doors that block smoke
- Harm: Potential for minimal harm
- Scope: Some
Construction that can resist fire for one hour or an approved fire extinguishing system
- Harm: Potential for minimal harm
- Scope: Some
An approved installation, maintenance and testing program for fire alarm systems
- Harm: Potential for minimal harm
- Scope: Many
Automatic sprinkler systems that have been maintained in working order
- Harm: Potential for minimal harm
- Scope: Some
Give each resident a notice of rights, rules, services and charges. Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for
- Harm: Potential for minimal harm
- Scope: Some
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
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 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
Make sure that special or therapeutic diets are ordered by the attending doctor
- 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: Some
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

Quality Measures

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

Here:	40.0%
State:	19.9%

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

This Hospital:	18.2%
West Virginia:	7.1%

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

This Hospital:	4.2%
State:	4.3%

Percent of long-stay residents with a urinary tract infection

This Hospital:	8.9%
West Virginia:	9.4%

Percent of long-stay residents who were physically restrained

Here:	1.3%
State:	2.5%

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

Here:	1.3%
West Virginia:	5.1%

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

Here:	98.8%
West Virginia:	96.1%

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

This Hospital:	97.5%
West Virginia:	94.0%

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

This Hospital:	11.5%
West Virginia:	25.2%

Percent of short-stay residents with Pressure ulcers that are new or worsened

This Hospital:	3.3%
West Virginia:	2.0%

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

This Hospital:	93.6%
West Virginia:	86.0%

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

This Hospital:	93.0%
West Virginia:	85.4%

Percent of short-stay residents who newly received an antipsychotic medication

This Hospital:	3.7%
State:	3.1%

Percent of long-stay residents who received an antipsychotic medication

Here:	24.7%
West Virginia:	21.3%

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

This Hospital:	91.0%
West Virginia:	98.6%

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

Here:	11
State:	11

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

Here:	91.0%
West Virginia:	96.9%

Heart Failure

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

Here:	97.0%
State:	98.4%

Percent of Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)

Here:	86.0%
State:	95.0%

Percent of Patients Given Discharge Instructions

Here:	98.0%
West Virginia:	91.6%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	100.0%
West Virginia:	99.4%

Pneumonia

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

This Hospital:	99.0%
West Virginia:	95.2%

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

Here:	96.0%
West Virginia:	96.0%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	96.0%
State:	98.3%

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

This Hospital:	90.0%
West Virginia:	93.3%

Percent of Patients Assessed and Given Influenza Vaccination

Here:	95.0%
State:	93.2%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Hospital:	96.0%
State:	95.7%

Surgery

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

This Hospital:	98.0%
State:	98.3%

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

Here:	100.0%
State:	96.1%

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

This Hospital:	93.0%
West Virginia:	98.2%

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

Here:	91.0%
West Virginia:	95.5%

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

Here:	93.0%
State:	96.5%

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

This Hospital:	99.0%
West Virginia:	99.8%

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

Here:	95.0%
State:	94.5%

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

Here:	96.0%
State:	95.9%

Outpatients having surgery who got an antibiotic at the right time - within one hour before surgery (higher numbers are better)

This Hospital:	94.0%
West Virginia:	94.8%

Outpatients having surgery who got the right kind of antibiotic (higher numbers are better)

Here:	98.0%
State:	93.8%

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

This Hospital:	99.0%
West Virginia:	98.9%

Outcome of Care

30-Day Mortality Rates from Heart Attack

This Hospital:	15.1%
State:	15.5%

30-Day Mortality Rates from Heart Failure

This Hospital:	12.7%
State:	11.6%

30-Day Mortality Rates from Pneumonia

This Hospital:	14.1%
State:	12.3%

30-Day Readmission Rates from Heart Attack

This Hospital:	21.2%
State:	20.2%

30-Day Readmission Rates from Heart Failure

This Hospital:	27.1%
State:	25.6%

30-Day Readmission Rates from Pneumonia

This Hospital:	19.6%
West Virginia:	19.6%

Inpatient Prospective Payment System (IPPS) - Medicare Provider Charge Data

Cardiac Arrhythmia and Conduction Disorders with Complications

Average Covered Charges

Here:	$17,932
State:	$12,030

Average Total Payments

Here:	$4,323
West Virginia:	$5,051

Number of discharges: 13

This Hospital:	1.65%
West Virginia:	1.55%

Cardiac Arrhythmia and Conduction Disorders without Complications

Average Covered Charges

Here:	$9,922
West Virginia:	$8,528

Average Total Payments

Here:	$2,969
State:	$3,482

Number of discharges: 14

This Hospital:	1.78%
State:	1.87%

Cellulitis without Major Complications

Average Covered Charges

Here:	$9,483
State:	$9,955

Average Total Payments

Here:	$4,405
West Virginia:	$4,934

Number of discharges: 34

This Hospital:	4.32%
West Virginia:	2.14%

Chest Pain

Average Covered Charges

This Hospital:	$13,378
West Virginia:	$10,553

Average Total Payments

Here:	$3,008
State:	$3,462

Number of discharges: 22

This Hospital:	2.80%
West Virginia:	2.41%

Chronic Obstructive Pulmonary Disease with Complications

Average Covered Charges

This Hospital:	$12,844
State:	$12,902

Average Total Payments

This Hospital:	$4,905
West Virginia:	$5,791

Number of discharges: 53

This Hospital:	6.73%
West Virginia:	3.65%

Chronic Obstructive Pulmonary Disease with Major Complications

Average Covered Charges

Here:	$13,080
State:	$16,204

Average Total Payments

Here:	$6,028
West Virginia:	$7,123

Number of discharges: 25

This Hospital:	3.18%
State:	3.14%

Chronic Obstructive Pulmonary Disease without Complications

Average Covered Charges

This Hospital:	$10,773
West Virginia:	$9,702

Average Total Payments

Here:	$3,739
State:	$4,286

Number of discharges: 84

Here:	10.67%
West Virginia:	3.30%

Degenerative Nervous System Disorders without Major Complications

Average Covered Charges

This Hospital:	$11,427
State:	$13,894

Average Total Payments

This Hospital:	$4,795
West Virginia:	$5,686

Number of discharges: 15

Here:	1.91%
West Virginia:	0.31%

Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications

Average Covered Charges

This Hospital:	$10,666
West Virginia:	$11,121

Average Total Payments

This Hospital:	$3,993
West Virginia:	$4,399

Number of discharges: 63

This Hospital:	8.01%
West Virginia:	3.99%

G.I. Hemorrhage with Complications

Average Covered Charges

This Hospital:	$12,902
West Virginia:	$15,574

Average Total Payments

This Hospital:	$5,565
West Virginia:	$6,146

Number of discharges: 14

This Hospital:	1.78%
West Virginia:	1.88%

Heart Failure and Shock with Complications

Average Covered Charges

Here:	$14,911
State:	$13,518

Average Total Payments

This Hospital:	$5,067
West Virginia:	$6,064

Number of discharges: 32

Here:	4.07%
State:	3.11%

Heart Failure and Shock without Complications

Average Covered Charges

Here:	$11,854
State:	$9,106

Average Total Payments

This Hospital:	$3,625
State:	$4,047

Number of discharges: 31

Here:	3.94%
West Virginia:	1.40%

Kidney and Urinary Tract Infections without Major Complications

Average Covered Charges

Here:	$12,025
West Virginia:	$10,257

Average Total Payments

Here:	$4,140
State:	$4,701

Number of discharges: 55

This Hospital:	6.99%
West Virginia:	3.45%

Major Joint Replacement or Reattachment of Lower Extremity without Major Complications

Average Covered Charges

This Hospital:	$39,909
State:	$33,555

Average Total Payments

This Hospital:	$11,053
West Virginia:	$12,548

Number of discharges: 17

Here:	2.16%
State:	4.22%

Medical Back Problems without Major Complications

Average Covered Charges

Here:	$9,718
State:	$12,767

Average Total Payments

Here:	$4,208
State:	$5,026

Number of discharges: 13

This Hospital:	1.65%
State:	0.85%

Misc Disorders of Nutrition, Metabolism, Fluids or Electrolytes without Major Complications

Average Covered Charges

Here:	$13,155
West Virginia:	$9,782

Average Total Payments

Here:	$3,624
State:	$4,200

Number of discharges: 32

This Hospital:	4.07%
State:	1.96%

Other Kidney and Urinary Tract Diagnoses with Complications

Average Covered Charges

This Hospital:	$12,747
West Virginia:	$13,450

Average Total Payments

Here:	$5,290
West Virginia:	$6,259

Number of discharges: 14

Here:	1.78%
State:	0.28%

Peripheral Vascular Disorders with Complications

Average Covered Charges

This Hospital:	$6,319
West Virginia:	$13,396

Average Total Payments

Here:	$4,159
State:	$5,969

Number of discharges: 11

Here:	1.40%
West Virginia:	0.79%

Red Blood Cell Disorders without Major Complications

Average Covered Charges

This Hospital:	$9,713
West Virginia:	$11,327

Average Total Payments

This Hospital:	$4,210
State:	$4,774

Number of discharges: 31

Here:	3.94%
West Virginia:	1.34%

Renal Failure with Complications

Average Covered Charges

Here:	$14,639
West Virginia:	$13,699

Average Total Payments

This Hospital:	$4,777
West Virginia:	$6,153

Number of discharges: 19

Here:	2.41%
West Virginia:	2.20%

Respiratory Infections and Inflammations with Complications

Average Covered Charges

Here:	$17,476
West Virginia:	$19,617

Average Total Payments

Here:	$7,735
State:	$8,860

Number of discharges: 21

This Hospital:	2.67%
State:	0.85%

Respiratory System Diagnosis with Ventilator Support <96 Hours

Average Covered Charges

Here:	$24,788
State:	$36,399

Average Total Payments

This Hospital:	$10,026
State:	$14,359

Number of discharges: 24

This Hospital:	3.05%
West Virginia:	1.30%

Septicemia or Severe Sepsis without Mechanical Ventilation 96+ Hours without Major Complications

Average Covered Charges

This Hospital:	$16,019
West Virginia:	$15,708

Average Total Payments

Here:	$5,817
State:	$6,916

Number of discharges: 14

This Hospital:	1.78%
West Virginia:	1.35%

Signs and Symptoms without Major Complications

Average Covered Charges

Here:	$9,920
State:	$10,973

Average Total Payments

Here:	$3,632
West Virginia:	$4,245

Number of discharges: 21

This Hospital:	2.67%
West Virginia:	0.87%

Simple Pneumonia and Pleurisy with Complications

Average Covered Charges

This Hospital:	$14,106
West Virginia:	$14,392

Average Total Payments

This Hospital:	$5,219
State:	$6,029

Number of discharges: 60

This Hospital:	7.62%
West Virginia:	3.71%

Simple Pneumonia and Pleurisy without Complications

Average Covered Charges

Here:	$10,353
State:	$9,911

Average Total Payments

This Hospital:	$3,815
State:	$4,263

Number of discharges: 31

Here:	3.94%
West Virginia:	1.55%

Syncope and Collapse

Average Covered Charges

Here:	$10,808
West Virginia:	$11,188

Average Total Payments

This Hospital:	$3,745
West Virginia:	$4,415

Number of discharges: 13

This Hospital:	1.65%
West Virginia:	1.99%

Transient Ischemia

Average Covered Charges

This Hospital:	$14,151
West Virginia:	$11,701

Average Total Payments

Here:	$3,868
West Virginia:	$4,522

Number of discharges: 11

This Hospital:	1.40%
State:	1.31%

Hospital Acquired Conditions

Falls and injuries

Here:	0.359%
State:	0.833%

Infection from a Urinary Catheter

This Hospital:	0.359%
West Virginia:	0.325%

PLEASANT VALLEY HOSPITAL - POINT PLEASANT, WV

Use of Medical Imaging

Hospital Consumer Assessment of Healthcare Providers

Complaint Deficiency

Quality Measures

Process of Care

Heart Attack

Heart Failure

Pneumonia

Surgery

Outcome of Care

Inpatient Prospective Payment System (IPPS) - Medicare Provider Charge Data

Hospital Acquired Conditions

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