LEWISGALE HOSPITAL PULASKI (PULASKI, VA) Detailed Hospital Profile

Complaint Deficiency

An approved installation, maintenance and testing program for fire alarm systems
- 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
Make sure services provided by the nursing facility meet professional standards of quality
- 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 Attack

Percent of Patients Given Aspirin at Arrival

Here:	97.0%
State:	99.5%

Percent of Patients Given Aspirin at Discharge

Here:	95.0%
Virginia:	99.3%

Percent of Patients Given Beta Blocker at Discharge

Here:	94.0%
State:	99.1%

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

This Hospital:	6
State:	9

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

Here:	99.0%
State:	98.1%

Patients Given a Prescription for a Statin at Discharge

Here:	69.0%
State:	97.9%

Heart Failure

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

This Hospital:	100.0%
Virginia:	99.5%

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

This Hospital:	100.0%
Virginia:	97.3%

Percent of Patients Given Discharge Instructions

This Hospital:	100.0%
Virginia:	94.7%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	100.0%
Virginia:	99.7%

Pneumonia

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

Here:	99.0%
State:	97.0%

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

This Hospital:	100.0%
Virginia:	97.5%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	100.0%
Virginia:	99.4%

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

This Hospital:	100.0%
State:	95.5%

Percent of Patients Assessed and Given Influenza Vaccination

Here:	100.0%
Virginia:	94.9%

Percent of Patients Assessed and Given Pneumococcal Vaccination

Here:	100.0%
Virginia:	96.9%

Surgery

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

Here:	100.0%
State:	98.4%

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

Here:	100.0%
Virginia:	97.7%

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

Here:	98.0%
Virginia:	98.9%

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

Here:	100.0%
State:	97.1%

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

This Hospital:	100.0%
Virginia:	97.9%

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

Here:	100.0%
Virginia:	100.0%

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

Here:	100.0%
State:	95.0%

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

Here:	100.0%
State:	97.7%

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

Here:	100.0%
Virginia:	96.7%

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

Here:	100.0%
State:	96.9%

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

Here:	100.0%
State:	99.9%

Outcome of Care

30-Day Mortality Rates from Heart Attack

This Hospital:	14.9%
State:	15.2%

30-Day Mortality Rates from Heart Failure

Here:	11.7%
Virginia:	11.6%

30-Day Mortality Rates from Pneumonia

This Hospital:	12.3%
Virginia:	12.2%

30-Day Readmission Rates from Heart Attack

This Hospital:	22.0%
Virginia:	20.0%

30-Day Readmission Rates from Heart Failure

This Hospital:	27.8%
State:	24.6%

30-Day Readmission Rates from Pneumonia

This Hospital:	20.9%
State:	19.2%

Quality Measures

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

Here:	44.1%
Virginia:	19.3%

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

This Hospital:	1.7%
Virginia:	1.3%

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

Here:	97.3%
State:	85.3%

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

This Hospital:	97.3%
Virginia:	83.6%

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

Acute Myocardial Infarction, Discharged Alive with Major Complications

Average Covered Charges

Here:	$27,622
State:	$36,558

Average Total Payments

This Hospital:	$9,811
Virginia:	$11,483

Number of discharges: 16

Here:	1.57%
Virginia:	0.87%

Acute Myocardial Infarction, Discharged Alive without Complications

Average Covered Charges

This Hospital:	$9,706
State:	$19,748

Average Total Payments

Here:	$4,378
State:	$5,290

Number of discharges: 12

This Hospital:	1.17%
Virginia:	0.35%

Atherosclerosis without Major Complications

Average Covered Charges

Here:	$9,793
State:	$13,265

Average Total Payments

This Hospital:	$3,310
Virginia:	$3,621

Number of discharges: 24

This Hospital:	2.35%
Virginia:	0.39%

Cardiac Arrhythmia and Conduction Disorders with Complications

Average Covered Charges

Here:	$12,352
Virginia:	$16,713

Average Total Payments

Here:	$4,591
Virginia:	$5,355

Number of discharges: 16

This Hospital:	1.57%
State:	1.46%

Cardiac Arrhythmia and Conduction Disorders with Major Complications

Average Covered Charges

Here:	$19,204
Virginia:	$24,425

Average Total Payments

Here:	$6,732
Virginia:	$7,960

Number of discharges: 11

Here:	1.08%
Virginia:	0.92%

Cardiac Arrhythmia and Conduction Disorders without Complications

Average Covered Charges

Here:	$10,131
State:	$11,985

Average Total Payments

Here:	$3,204
State:	$3,674

Number of discharges: 18

Here:	1.76%
Virginia:	1.66%

Cellulitis without Major Complications

Average Covered Charges

This Hospital:	$11,836
State:	$16,080

Average Total Payments

Here:	$4,711
State:	$5,268

Number of discharges: 19

This Hospital:	1.86%
State:	1.88%

Chest Pain

Average Covered Charges

Here:	$9,597
State:	$13,309

Average Total Payments

Here:	$3,050
Virginia:	$3,508

Number of discharges: 28

This Hospital:	2.74%
Virginia:	2.02%

Chronic Obstructive Pulmonary Disease with Complications

Average Covered Charges

Here:	$14,817
State:	$18,712

Average Total Payments

Here:	$5,527
State:	$6,003

Number of discharges: 40

This Hospital:	3.91%
State:	2.09%

Chronic Obstructive Pulmonary Disease with Major Complications

Average Covered Charges

This Hospital:	$16,330
State:	$22,971

Average Total Payments

Here:	$6,585
State:	$7,375

Number of discharges: 42

Here:	4.11%
Virginia:	2.01%

Chronic Obstructive Pulmonary Disease without Complications

Average Covered Charges

This Hospital:	$10,698
Virginia:	$14,677

Average Total Payments

This Hospital:	$4,099
State:	$4,562

Number of discharges: 30

Here:	2.94%
Virginia:	1.55%

Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications

Average Covered Charges

Here:	$15,324
State:	$16,267

Average Total Payments

This Hospital:	$4,332
Virginia:	$4,677

Number of discharges: 46

Here:	4.50%
Virginia:	3.33%

G.I. Hemorrhage with Complications

Average Covered Charges

Here:	$21,391
State:	$19,562

Average Total Payments

Here:	$5,778
State:	$6,368

Number of discharges: 13

Here:	1.27%
Virginia:	2.17%

G.I. Obstruction with Complications

Average Covered Charges

Here:	$20,844
State:	$19,150

Average Total Payments

Here:	$7,644
State:	$6,043

Number of discharges: 18

Here:	1.76%
State:	0.66%

Heart Failure and Shock with Complications

Average Covered Charges

Here:	$15,147
Virginia:	$18,524

Average Total Payments

Here:	$5,639
State:	$6,409

Number of discharges: 54

This Hospital:	5.28%
State:	3.24%

Heart Failure and Shock with Major Complications

Average Covered Charges

This Hospital:	$16,918
State:	$27,627

Average Total Payments

This Hospital:	$7,898
State:	$9,254

Number of discharges: 39

Here:	3.82%
Virginia:	3.02%

Hip and Femur Procedures Except Major Joint with Complications

Average Covered Charges

Here:	$55,408
Virginia:	$42,571

Average Total Payments

Here:	$10,695
State:	$11,742

Number of discharges: 13

Here:	1.27%
Virginia:	1.12%

Intracranial Hemorrhage or Cerebral Infarction with Complications

Average Covered Charges

Here:	$21,707
Virginia:	$23,909

Average Total Payments

This Hospital:	$6,624
Virginia:	$7,314

Number of discharges: 13

This Hospital:	1.27%
State:	1.75%

Intracranial Hemorrhage or Cerebral Infarction with Major Complications

Average Covered Charges

Here:	$38,456
Virginia:	$35,480

Average Total Payments

This Hospital:	$10,351
Virginia:	$12,363

Number of discharges: 13

This Hospital:	1.27%
Virginia:	1.08%

Kidney and Urinary Tract Infections with Major Complications

Average Covered Charges

Here:	$16,526
State:	$20,337

Average Total Payments

Here:	$6,537
Virginia:	$7,368

Number of discharges: 17

Here:	1.66%
Virginia:	1.05%

Kidney and Urinary Tract Infections without Major Complications

Average Covered Charges

This Hospital:	$14,323
State:	$15,209

Average Total Payments

Here:	$4,393
State:	$4,914

Number of discharges: 47

Here:	4.60%
Virginia:	2.90%

Major Gastrointestinal Disorders and Peritoneal Infections with Complications

Average Covered Charges

Here:	$16,315
Virginia:	$23,295

Average Total Payments

This Hospital:	$7,428
Virginia:	$8,191

Number of discharges: 18

This Hospital:	1.76%
Virginia:	0.46%

Major Joint Replacement or Reattachment of Lower Extremity without Major Complications

Average Covered Charges

Here:	$55,633
Virginia:	$47,709

Average Total Payments

This Hospital:	$11,945
Virginia:	$13,248

Number of discharges: 21

Here:	2.05%
State:	6.42%

Major Small and Large Bowel Procedures with Complications

Average Covered Charges

This Hospital:	$62,187
State:	$57,851

Average Total Payments

This Hospital:	$15,570
Virginia:	$17,353

Number of discharges: 12

This Hospital:	1.17%
Virginia:	0.72%

Major Small and Large Bowel Procedures with Major Complications

Average Covered Charges

This Hospital:	$124,636
State:	$126,902

Average Total Payments

This Hospital:	$38,069
State:	$37,200

Number of discharges: 13

This Hospital:	1.27%
Virginia:	0.49%

Medical Back Problems without Major Complications

Average Covered Charges

This Hospital:	$17,854
Virginia:	$17,476

Average Total Payments

Here:	$4,658
State:	$5,447

Number of discharges: 13

Here:	1.27%
Virginia:	0.81%

Misc Disorders of Nutrition, Metabolism, Fluids or Electrolytes with Major Complications

Average Covered Charges

This Hospital:	$16,817
Virginia:	$22,123

Average Total Payments

Here:	$6,473
Virginia:	$7,532

Number of discharges: 11

This Hospital:	1.08%
Virginia:	0.77%

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

Average Covered Charges

Here:	$15,123
Virginia:	$14,229

Average Total Payments

Here:	$3,927
Virginia:	$4,420

Number of discharges: 29

This Hospital:	2.84%
Virginia:	2.07%

Poisoning and Toxic Effects of Drugs with Major Complications

Average Covered Charges

Here:	$17,377
Virginia:	$28,696

Average Total Payments

Here:	$8,494
State:	$10,188

Number of discharges: 14

This Hospital:	1.37%
State:	0.18%

Poisoning and Toxic Effects of Drugs without Major Complications

Average Covered Charges

Here:	$12,546
State:	$13,329

Average Total Payments

Here:	$4,886
State:	$4,159

Number of discharges: 17

Here:	1.66%
State:	0.33%

Pulmonary Edema and Respiratory Failure

Average Covered Charges

This Hospital:	$19,093
State:	$25,878

Average Total Payments

Here:	$7,273
Virginia:	$8,160

Number of discharges: 39

Here:	3.82%
State:	1.90%

Red Blood Cell Disorders without Major Complications

Average Covered Charges

This Hospital:	$9,664
Virginia:	$16,210

Average Total Payments

This Hospital:	$4,518
Virginia:	$5,305

Number of discharges: 18

This Hospital:	1.76%
Virginia:	1.21%

Renal Failure with Complications

Average Covered Charges

Here:	$17,140
State:	$19,940

Average Total Payments

This Hospital:	$5,687
State:	$6,384

Number of discharges: 15

This Hospital:	1.47%
State:	2.46%

Renal Failure with Major Complications

Average Covered Charges

Here:	$29,759
Virginia:	$30,290

Average Total Payments

Here:	$9,134
State:	$10,421

Number of discharges: 20

Here:	1.96%
State:	1.68%

Respiratory Infections and Inflammations with Major Complications

Average Covered Charges

This Hospital:	$23,111
Virginia:	$37,946

Average Total Payments

This Hospital:	$10,941
Virginia:	$12,347

Number of discharges: 12

Here:	1.17%
Virginia:	1.03%

Respiratory System Diagnosis with Ventilator Support <96 Hours

Average Covered Charges

This Hospital:	$49,900
Virginia:	$51,609

Average Total Payments

This Hospital:	$12,889
Virginia:	$15,311

Number of discharges: 12

Here:	1.17%
State:	0.85%

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

Average Covered Charges

This Hospital:	$29,419
State:	$36,847

Average Total Payments

Here:	$10,383
State:	$12,110

Number of discharges: 40

Here:	3.91%
State:	5.11%

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

Average Covered Charges

This Hospital:	$16,920
State:	$22,569

Average Total Payments

This Hospital:	$6,165
State:	$7,309

Number of discharges: 29

Here:	2.84%
State:	1.85%

Signs and Symptoms without Major Complications

Average Covered Charges

This Hospital:	$10,928
State:	$15,097

Average Total Payments

This Hospital:	$3,819
Virginia:	$4,461

Number of discharges: 11

Here:	1.08%
State:	0.65%

Simple Pneumonia and Pleurisy with Complications

Average Covered Charges

This Hospital:	$16,398
State:	$19,305

Average Total Payments

This Hospital:	$5,867
Virginia:	$6,423

Number of discharges: 49

This Hospital:	4.79%
State:	2.58%

Simple Pneumonia and Pleurisy with Major Complications

Average Covered Charges

This Hospital:	$23,045
Virginia:	$27,841

Average Total Payments

This Hospital:	$8,578
State:	$9,090

Number of discharges: 34

This Hospital:	3.33%
Virginia:	1.96%

Simple Pneumonia and Pleurisy without Complications

Average Covered Charges

Here:	$11,514
State:	$14,202

Average Total Payments

This Hospital:	$4,212
State:	$4,467

Number of discharges: 26

This Hospital:	2.54%
State:	1.02%

Syncope and Collapse

Average Covered Charges

Here:	$15,511
Virginia:	$15,506

Average Total Payments

This Hospital:	$4,072
State:	$4,539

Number of discharges: 18

This Hospital:	1.76%
State:	2.14%

Transient Ischemia

Average Covered Charges

Here:	$14,023
Virginia:	$16,483

Average Total Payments

Here:	$4,424
State:	$4,621

Number of discharges: 22

This Hospital:	2.15%
State:	1.34%

Hospital Acquired Conditions

Falls and injuries

This Hospital:	0.654%
Virginia:	0.637%

Infection from a Urinary Catheter

This Hospital:	0.327%
Virginia:	0.546%

Severe pressure sores (bed sores)

This Hospital:	0.327%
State:	0.306%

Use of Medical Imaging

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

This Hospital:	3.700%
Virginia:	7.783%

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

This Hospital:	0.035%
Virginia:	0.107%

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

This Hospital:	0.013%
Virginia:	0.028%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: 300 or more
Survey Response Rate: 31%

How often did nurses communicate well with patients?

Sometimes or never

This Hospital:	6%
Virginia:	6%

Usually

This Hospital:	18%
Virginia:	17%

Always

This Hospital:	76%
State:	77%

How often did doctors communicate well with patients?

Sometimes or never

This Hospital:	2%
State:	5%

Usually

Here:	10%
Virginia:	15%

Always

Here:	88%
Virginia:	80%

How often did patients receive help quickly from hospital staff?

Sometimes or never

This Hospital:	11%
State:	11%

Usually

This Hospital:	25%
State:	26%

Always

Here:	64%
State:	63%

How often was patients' pain well controlled?

Sometimes or never

Here:	6%
Virginia:	8%

Usually

Here:	23%
State:	23%

Always

Here:	71%
State:	69%

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

Sometimes or never

This Hospital:	17%
Virginia:	21%

Usually

This Hospital:	17%
Virginia:	18%

Always

Here:	66%
State:	61%

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

Sometimes or never

This Hospital:	11%
State:	10%

Usually

Here:	20%
State:	20%

Always

This Hospital:	69%
State:	70%

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

Sometimes or never

Here:	11%
State:	11%

Usually

Here:	32%
State:	30%

Always

Here:	57%
State:	59%

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

Yes

This Hospital:	85%
Virginia:	84%

Here:	15%
Virginia:	16%

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

6 or lower

This Hospital:	7%
State:	9%

7 or 8

Here:	23%
State:	25%

9 or 10

This Hospital:	70%
State:	66%

Would patients recommend the hospital to friends and family?

Here:	4%
Virginia:	6%

Yes, probably

Here:	25%
Virginia:	26%

Yes, definitely

Here:	71%
State:	68%

LEWISGALE HOSPITAL PULASKI - PULASKI, VA

Complaint Deficiency

Process of Care

Heart Attack

Heart Failure

Pneumonia

Surgery

Outcome of Care

Quality Measures

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

Hospital Acquired Conditions

Use of Medical Imaging

Hospital Consumer Assessment of Healthcare Providers

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