WINSTON CO NH (LOUISVILLE, MS) Detailed Nursing Home Profile

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	0.340
State:	0.625

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

Here:	1.690
Mississippi:	0.996

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	2.030
Mississippi:	1.616

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.010
State:	0.046

Number Therapy Hours Per Resident Per Day

Here:	0.010
Mississippi:	0.049

Quality Measures

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

Here:	14.5%
State:	18.2%

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

Here:	19.2%
State:	13.9%

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

This Nursing Home:	4.7%
State:	7.3%

Percent of long-stay residents who lose too much weight

This Nursing Home:	6.5%
Mississippi:	7.8%

Percent of long-stay low-risk residents who lose control of their bowels or bladder

Here:	44.7%
State:	41.4%

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

Here:	2.6%
State:	3.2%

Percent of long-stay residents with a urinary tract infection

Here:	4.7%
State:	7.3%

Percent of long-stay residents who have depressive symptoms

This Nursing Home:	1.0%
State:	2.8%

Percent of long-stay residents who were physically restrained

Here:	4.7%
State:	3.9%

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

Here:	4.7%
State:	2.9%

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

This Nursing Home:	94.4%
State:	94.9%

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

Here:	100.0%
Mississippi:	96.7%

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

This Nursing Home:	25.0%
State:	24.8%

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

This Nursing Home:	51.2%
Mississippi:	84.8%

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

This Nursing Home:	70.7%
Mississippi:	85.8%

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

This Nursing Home:	4.0%
State:	3.3%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	14.7%
Mississippi:	26.8%

Process of Care

Pneumonia

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

Here:	95.0%
State:	96.2%

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

This Nursing Home:	94.0%
Mississippi:	97.9%

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

Here:	90.0%
State:	93.2%

Percent of Patients Assessed and Given Influenza Vaccination

This Nursing Home:	77.0%
Mississippi:	92.1%

Percent of Patients Assessed and Given Pneumococcal Vaccination

Here:	84.0%
State:	93.8%

Outcome of Care

30-Day Mortality Rates from Heart Failure

Here:	12.7%
State:	12.2%

30-Day Mortality Rates from Pneumonia

This Nursing Home:	13.1%
State:	13.2%

30-Day Readmission Rates from Heart Failure

Here:	22.6%
State:	26.1%

30-Day Readmission Rates from Pneumonia

Here:	17.5%
Mississippi:	19.6%

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

Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications

Average Covered Charges

Here:	$9,181
State:	$16,954

Average Total Payments

This Nursing Home:	$5,312
State:	$4,347

Number of discharges: 25

Here:	24.04%
Mississippi:	4.02%

Kidney and Urinary Tract Infections without Major Complications

Average Covered Charges

This Nursing Home:	$10,855
State:	$16,244

Average Total Payments

Here:	$5,714
Mississippi:	$4,671

Number of discharges: 17

Here:	16.35%
State:	3.46%

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

Average Covered Charges

Here:	$9,152
State:	$14,414

Average Total Payments

Here:	$5,014
Mississippi:	$4,193

Number of discharges: 19

This Nursing Home:	18.27%
State:	2.58%

Simple Pneumonia and Pleurisy with Complications

Average Covered Charges

Here:	$17,240
State:	$22,633

Average Total Payments

Here:	$7,368
State:	$6,078

Number of discharges: 25

Here:	24.04%
State:	3.08%

Simple Pneumonia and Pleurisy without Complications

Average Covered Charges

Here:	$17,478
Mississippi:	$16,650

Average Total Payments

Here:	$5,210
Mississippi:	$4,315

Number of discharges: 18

Here:	17.31%
State:	1.59%

Use of Medical Imaging

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

This Nursing Home:	0.400%
Mississippi:	8.123%

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

This Nursing Home:	0.163%
Mississippi:	0.163%

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

This Nursing Home:	0.225%
State:	0.073%

Outpatients with brain CT scans who got a sinus CT scan at the same time

Here:	5.100%
Mississippi:	4.103%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: Fewer than 100
Survey Response Rate: 26%

How often did nurses communicate well with patients?

Sometimes or never

This Nursing Home:	6%
State:	5%

Usually

Here:	17%
State:	15%

Always

This Nursing Home:	77%
Mississippi:	80%

How often did doctors communicate well with patients?

Sometimes or never

Here:	8%
Mississippi:	4%

Usually

This Nursing Home:	21%
State:	11%

Always

Here:	71%
State:	85%

How often did patients receive help quickly from hospital staff?

Sometimes or never

This Nursing Home:	11%
Mississippi:	11%

Usually

This Nursing Home:	26%
Mississippi:	22%

Always

This Nursing Home:	63%
Mississippi:	67%

How often was patients' pain well controlled?

Sometimes or never

Here:	10%
State:	8%

Usually

Here:	21%
State:	20%

Always

Here:	69%
Mississippi:	72%

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

Sometimes or never

This Nursing Home:	30%
Mississippi:	21%

Usually

Here:	22%
Mississippi:	17%

Always

This Nursing Home:	48%
State:	62%

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

Sometimes or never

This Nursing Home:	9%
Mississippi:	10%

Usually

Here:	14%
State:	18%

Always

Here:	77%
State:	72%

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

Sometimes or never

This Nursing Home:	4%
State:	7%

Usually

This Nursing Home:	32%
State:	24%

Always

This Nursing Home:	64%
Mississippi:	69%

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

Yes

This Nursing Home:	73%
State:	79%

Here:	27%
State:	21%

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

6 or lower

Here:	18%
Mississippi:	10%

7 or 8

This Nursing Home:	30%
State:	22%

9 or 10

This Nursing Home:	52%
Mississippi:	68%

Would patients recommend the hospital to friends and family?

Here:	12%
Mississippi:	6%

Yes, probably

This Nursing Home:	41%
Mississippi:	26%

Yes, definitely

Here:	47%
Mississippi:	68%

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
Properly installed electrical wiring and equipment
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Approved construction type or materials
- 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
Provide proper discharge planning and communication, of the resident's health status and summary of the resident's stay
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Record of quarterly fire drills for each shift under varying conditions
- Harm: Potential for minimal harm
- Scope: Many
Keep each resident's personal and medical records private and confidential
- 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: Some
Provide activities to meet the interests and needs of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide housekeeping and maintenance services
- 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
Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible
- 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: Few
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Keep all essential equipment working safely
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour
- 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
Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property
- 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
Store, cook, and serve food in a safe and clean way
- Harm: Potential for minimal harm
- Scope: Many
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: Few
Have enough backup water supply for essential areas of the nursing home
- Harm: Potential for minimal harm
- Scope: Many
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests
- Harm: Potential for minimal harm
- Scope: Many
Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Proper construction of ducts through walls designed to prevent smoke passage
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Keep each resident free from physical restraints, unless needed for medical treatment
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide housekeeping and maintenance services
- Harm: Potential for minimal harm
- Scope: Some
Assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene
- 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
Make sure that each resident gets a nutritional and well balanced diet, unless it is not possible to do so
- 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: Few
Keep all essential equipment working safely
- Harm: Minimal harm or potential for actual harm
- Scope: Few

WINSTON CO NH - LOUISVILLE, MS

Staff Information

Quality Measures

Process of Care

Pneumonia

Outcome of Care

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

Use of Medical Imaging

Hospital Consumer Assessment of Healthcare Providers

Complaint Deficiency

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