WINNER REGIONAL HEALTHCARE CENTER (WINNER, SD) Detailed Nursing Home Profile

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
A separate and independent backup electrical power source
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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
Properly installed electrical wiring and equipment
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Provide proof that all residents' personal money which is deposited with the nursing home, is secure
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Signs that state that exit doors are to be kept closed
- Harm: Minimal harm or potential for actual harm
- Scope: Few
A two-hour-resistant firewall in common walls
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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
Properly installed electrical wiring and equipment
- 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: Immediate jeopardy to resident health or safety
- Scope: Few
Exits that are accessible at all times
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Restrictions on the use of highly flammable materials
- Harm: Potential for minimal harm
- Scope: Some
Provide proof that all residents' personal money which is deposited with the nursing home, is secure
- Harm: Immediate jeopardy to resident health or safety
- Scope: Some
Properly constructed piped-in oxygen systems
- Harm: Immediate jeopardy to resident health or safety
- Scope: Some
Fire-resistant room wall surfaces
- Harm: Immediate jeopardy to resident health or safety
- Scope: Some
Proper exit design
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly installed hallway dispensers for alcohol-based hand rub
- Harm: Potential for minimal harm
- Scope: Many
Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property
- Harm: Immediate jeopardy to resident health or safety
- 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: Immediate jeopardy to resident health or safety
- 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
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 necessary care and services to maintain the highest well being of each resident
- Harm: Immediate jeopardy to resident health or safety
- 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 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: Some
Offer other nutritional food to each resident who will not eat the food served
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Be administered in an acceptable way that maintains the well-being of each resident
- Harm: Immediate jeopardy to resident health or safety
- Scope: Some
Keep accurate, complete and organized clinical records on each resident that meet professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property
- Harm: Immediate jeopardy to resident health or safety
- 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: Some
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: Some
Try to resolve each resident's complaints quickly
- 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
Provide housekeeping and maintenance services
- 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
Make sure services provided by the nursing facility meet professional standards of quality
- 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: 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) Provide 3 meals at regular times; 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day
- 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: Few

Quality Measures

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

Here:	21.4%
State:	16.7%

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

This Nursing Home:	2.1%
South Dakota:	13.0%

Percent of long-stay residents who lose too much weight

This Nursing Home:	3.5%
South Dakota:	6.5%

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

This Nursing Home:	6.4%
State:	5.2%

Percent of long-stay residents with a urinary tract infection

This Nursing Home:	10.5%
State:	5.7%

Percent of long-stay residents who have depressive symptoms

This Nursing Home:	28.1%
State:	9.2%

Percent of long-stay residents who were physically restrained

This Nursing Home:	1.7%
State:	0.9%

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

This Nursing Home:	1.7%
South Dakota:	4.9%

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

Here:	100.0%
State:	97.7%

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

Here:	100.0%
South Dakota:	97.7%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	17.2%
State:	20.3%

Process of Care

Heart Failure

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

Here:	45.0%
South Dakota:	96.9%

Percent of Patients Given Discharge Instructions

Here:	82.0%
State:	90.2%

Pneumonia

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

Here:	88.0%
State:	97.1%

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

This Nursing Home:	33.0%
State:	96.5%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
State:	97.3%

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

This Nursing Home:	80.0%
South Dakota:	92.5%

Percent of Patients Assessed and Given Influenza Vaccination

This Nursing Home:	100.0%
South Dakota:	92.9%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Nursing Home:	83.0%
South Dakota:	96.0%

Outcome of Care

30-Day Mortality Rates from Heart Failure

Here:	14.5%
State:	11.4%

30-Day Mortality Rates from Pneumonia

Here:	14.2%
State:	12.2%

30-Day Readmission Rates from Heart Failure

This Nursing Home:	24.8%
State:	24.0%

30-Day Readmission Rates from Pneumonia

This Nursing Home:	19.5%
South Dakota:	17.4%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: Between 100 and 299
Survey Response Rate: 29%

How often did nurses communicate well with patients?

Sometimes or never

Here:	6%
State:	3%

Usually

Here:	14%
State:	15%

Always

This Nursing Home:	80%
South Dakota:	82%

How often did doctors communicate well with patients?

Sometimes or never

Here:	3%
State:	2%

Usually

Here:	9%
State:	13%

Always

Here:	88%
State:	85%

How often did patients receive help quickly from hospital staff?

Sometimes or never

This Nursing Home:	4%
State:	6%

Usually

This Nursing Home:	17%
State:	18%

Always

Here:	79%
State:	76%

How often was patients' pain well controlled?

Sometimes or never

Here:	5%
South Dakota:	5%

Usually

Here:	27%
South Dakota:	23%

Always

Here:	68%
South Dakota:	72%

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

Sometimes or never

This Nursing Home:	11%
South Dakota:	13%

Usually

This Nursing Home:	17%
State:	20%

Always

Here:	72%
State:	67%

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

Sometimes or never

This Nursing Home:	3%
South Dakota:	5%

Usually

This Nursing Home:	17%
South Dakota:	14%

Always

This Nursing Home:	80%
State:	81%

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

Sometimes or never

This Nursing Home:	6%
State:	6%

Usually

Here:	23%
State:	25%

Always

This Nursing Home:	71%
South Dakota:	69%

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

Yes

Here:	63%
State:	85%

This Nursing Home:	37%
State:	15%

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

6 or lower

Here:	12%
State:	7%

7 or 8

Here:	21%
State:	20%

9 or 10

This Nursing Home:	67%
State:	73%

Would patients recommend the hospital to friends and family?

This Nursing Home:	5%
State:	3%

Yes, probably

This Nursing Home:	29%
South Dakota:	24%

Yes, definitely

Here:	66%
South Dakota:	73%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	0.960
South Dakota:	0.829

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

Here:	0.460
South Dakota:	0.353

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	1.420
State:	1.169

WINNER REGIONAL HEALTHCARE CENTER - WINNER, SD

Complaint Deficiency

Quality Measures

Process of Care

Heart Failure

Pneumonia

Outcome of Care

Hospital Consumer Assessment of Healthcare Providers

Staff Information

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