ROANE GENERAL HOSPITAL, D/P (SPENCER, WV) Detailed Nursing Home Profile

Quality Measures

Percent of long-stay residents who lose too much weight

This Nursing Home:	9.4%
West Virginia:	8.9%

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

Here:	10.9%
West Virginia:	4.3%

Percent of long-stay residents with a urinary tract infection

Here:	3.1%
West Virginia:	9.4%

Percent of long-stay residents who have depressive symptoms

This Nursing Home:	18.8%
West Virginia:	7.3%

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

Here:	100.0%
West Virginia:	96.1%

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

Here:	100.0%
State:	94.0%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	18.8%
State:	21.3%

Use of Medical Imaging

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

This Nursing Home:	11.100%
State:	8.958%

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

This Nursing Home:	0.456%
West Virginia:	0.275%

Complaint Deficiency

Keep each resident's personal and medical records private and confidential
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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
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
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
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Construction that can resist fire for one hour or an approved fire extinguishing system
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Exits that are accessible at all times
- Harm: Potential for minimal harm
- Scope: Many
An approved installation, maintenance and testing program for fire alarm systems
- Harm: Potential for minimal harm
- Scope: Many
Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour
- Harm: Potential for minimal harm
- Scope: Many
Properly installed electrical wiring and equipment
- Harm: Potential for minimal harm
- Scope: Many
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
Properly located and lighted Exit signs
- Harm: Potential for minimal harm
- Scope: Some
Properly installed electrical wiring and equipment
- 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
Allow residents to easily view the results of the nursing home's most recent survey
- Harm: Potential for minimal harm
- Scope: Many
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
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
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
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: Few
Use a registered nurse at least 8 hours a day, 7 days a week
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Safely provide drugs and other similar products available, which are needed every day and in emergencies, by a licensed pharmacist
- 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: 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: Many

Process of Care

Heart Attack

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

This Nursing Home:	3
State:	11

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

This Nursing Home:	98.0%
West Virginia:	96.9%

Pneumonia

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

This Nursing Home:	94.0%
State:	95.2%

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

This Nursing Home:	95.0%
West Virginia:	96.0%

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

This Nursing Home:	80.0%
West Virginia:	93.3%

Percent of Patients Assessed and Given Pneumococcal Vaccination

Here:	100.0%
West Virginia:	95.7%

Outcome of Care

30-Day Mortality Rates from Pneumonia

Here:	15.6%
West Virginia:	12.3%

30-Day Readmission Rates from Pneumonia

Here:	20.4%
State:	19.6%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: Fewer than 100
Survey Response Rate: 28%

How often did nurses communicate well with patients?

Sometimes or never

This Nursing Home:	5%
West Virginia:	6%

Usually

Here:	19%
West Virginia:	17%

Always

Here:	76%
West Virginia:	77%

How often did doctors communicate well with patients?

Sometimes or never

Here:	2%
West Virginia:	4%

Usually

Here:	13%
State:	14%

Always

Here:	85%
West Virginia:	82%

How often did patients receive help quickly from hospital staff?

Sometimes or never

This Nursing Home:	3%
West Virginia:	12%

Usually

Here:	26%
West Virginia:	23%

Always

This Nursing Home:	71%
West Virginia:	65%

How often was patients' pain well controlled?

Sometimes or never

Here:	6%
West Virginia:	8%

Usually

This Nursing Home:	20%
State:	23%

Always

Here:	74%
State:	69%

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

Sometimes or never

This Nursing Home:	8%
West Virginia:	20%

Usually

Here:	25%
West Virginia:	18%

Always

Here:	67%
West Virginia:	62%

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

Sometimes or never

Here:	8%
State:	9%

Usually

This Nursing Home:	11%
West Virginia:	18%

Always

Here:	81%
State:	73%

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

Sometimes or never

Here:	5%
West Virginia:	13%

Usually

This Nursing Home:	31%
West Virginia:	32%

Always

This Nursing Home:	64%
West Virginia:	55%

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

Yes

This Nursing Home:	86%
State:	83%

Here:	14%
State:	17%

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

6 or lower

Here:	17%
State:	11%

7 or 8

Here:	16%
State:	24%

9 or 10

This Nursing Home:	67%
West Virginia:	65%

Would patients recommend the hospital to friends and family?

This Nursing Home:	2%
State:	6%

Yes, probably

Here:	28%
West Virginia:	29%

Yes, definitely

Here:	70%
West Virginia:	65%

ROANE GENERAL HOSPITAL, D/P - SPENCER, WV

Quality Measures

Use of Medical Imaging

Complaint Deficiency

Process of Care

Heart Attack

Pneumonia

Outcome of Care

Hospital Consumer Assessment of Healthcare Providers

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