YALOBUSHA COUNTY NURSING HOME (WATER VALLEY, MS) Detailed Nursing Home Profile

Process of Care

Heart Failure

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

Here:	58.0%
State:	97.3%

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

Here:	60.0%
State:	94.1%

Percent of Patients Given Discharge Instructions

Here:	27.0%
Mississippi:	90.8%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	50.0%
Mississippi:	99.2%

Pneumonia

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

Here:	96.0%
State:	96.2%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	40.0%
State:	97.9%

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

This Nursing Home:	92.0%
Mississippi:	93.2%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Nursing Home:	57.0%
State:	93.8%

Outcome of Care

30-Day Mortality Rates from Heart Failure

This Nursing Home:	10.2%
State:	12.2%

30-Day Mortality Rates from Pneumonia

This Nursing Home:	11.0%
State:	13.2%

30-Day Readmission Rates from Heart Failure

Here:	26.9%
State:	26.1%

30-Day Readmission Rates from Pneumonia

Here:	19.2%
State:	19.6%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: Between 100 and 299
Survey Response Rate: 33%

How often did nurses communicate well with patients?

Sometimes or never

Here:	7%
Mississippi:	5%

Usually

This Nursing Home:	17%
State:	15%

Always

Here:	76%
Mississippi:	80%

How often did doctors communicate well with patients?

Sometimes or never

Here:	5%
State:	4%

Usually

Here:	4%
State:	11%

Always

This Nursing Home:	91%
State:	85%

How often did patients receive help quickly from hospital staff?

Sometimes or never

This Nursing Home:	16%
State:	11%

Usually

Here:	17%
State:	22%

Always

This Nursing Home:	67%
Mississippi:	67%

How often was patients' pain well controlled?

Sometimes or never

Here:	10%
State:	8%

Usually

Here:	15%
Mississippi:	20%

Always

This Nursing Home:	75%
Mississippi:	72%

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

Sometimes or never

This Nursing Home:	25%
State:	21%

Usually

This Nursing Home:	11%
Mississippi:	17%

Always

Here:	64%
Mississippi:	62%

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

Sometimes or never

This Nursing Home:	11%
State:	10%

Usually

Here:	24%
Mississippi:	18%

Always

This Nursing Home:	65%
Mississippi:	72%

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

Sometimes or never

This Nursing Home:	14%
Mississippi:	7%

Usually

This Nursing Home:	29%
State:	24%

Always

This Nursing Home:	57%
Mississippi:	69%

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

Yes

This Nursing Home:	68%
State:	79%

This Nursing Home:	32%
State:	21%

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

6 or lower

This Nursing Home:	13%
Mississippi:	10%

7 or 8

This Nursing Home:	25%
Mississippi:	22%

9 or 10

This Nursing Home:	62%
State:	68%

Would patients recommend the hospital to friends and family?

Here:	7%
State:	6%

Yes, probably

This Nursing Home:	31%
Mississippi:	26%

Yes, definitely

Here:	62%
Mississippi:	68%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	0.460
Mississippi:	0.625

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

This Nursing Home:	1.070
Mississippi:	0.996

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	1.520
Mississippi:	1.616

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.030
Mississippi:	0.046

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.030
Mississippi:	0.049

Quality Measures

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

Here:	14.7%
State:	18.2%

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

This Nursing Home:	8.1%
Mississippi:	13.9%

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

Here:	7.8%
State:	7.3%

Percent of long-stay residents who lose too much weight

This Nursing Home:	4.4%
State:	7.8%

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

Here:	30.0%
State:	41.4%

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

Here:	3.0%
Mississippi:	3.2%

Percent of long-stay residents with a urinary tract infection

This Nursing Home:	6.2%
State:	7.3%

Percent of long-stay residents who have depressive symptoms

This Nursing Home:	3.2%
State:	2.8%

Percent of long-stay residents who were physically restrained

Here:	3.4%
Mississippi:	3.9%

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

Here:	4.3%
Mississippi:	2.9%

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

Here:	100.0%
Mississippi:	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 assessed and given, appropriately, the pneumococcal vaccine

This Nursing Home:	100.0%
State:	85.8%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	34.6%
State:	26.8%

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

Cellulitis without Major Complications

Average Covered Charges

This Nursing Home:	$3,256
Mississippi:	$17,224

Average Total Payments

This Nursing Home:	$5,198
Mississippi:	$5,050

Number of discharges: 11

This Nursing Home:	6.83%
Mississippi:	1.90%

Chronic Obstructive Pulmonary Disease with Complications

Average Covered Charges

This Nursing Home:	$4,617
State:	$21,305

Average Total Payments

Here:	$5,853
State:	$5,812

Number of discharges: 16

Here:	9.94%
State:	2.37%

Chronic Obstructive Pulmonary Disease without Complications

Average Covered Charges

Here:	$4,096
State:	$16,092

Average Total Payments

Here:	$4,427
State:	$4,362

Number of discharges: 38

Here:	23.60%
State:	2.34%

Heart Failure and Shock with Complications

Average Covered Charges

Here:	$4,623
Mississippi:	$20,890

Average Total Payments

Here:	$6,217
Mississippi:	$6,135

Number of discharges: 20

This Nursing Home:	12.42%
State:	3.46%

Heart Failure and Shock without Complications

Average Covered Charges

Here:	$5,141
State:	$14,583

Average Total Payments

Here:	$4,246
Mississippi:	$4,098

Number of discharges: 12

Here:	7.45%
Mississippi:	1.73%

Kidney and Urinary Tract Infections without Major Complications

Average Covered Charges

Here:	$3,638
Mississippi:	$16,244

Average Total Payments

Here:	$4,872
Mississippi:	$4,671

Number of discharges: 14

This Nursing Home:	8.70%
State:	3.46%

Red Blood Cell Disorders without Major Complications

Average Covered Charges

This Nursing Home:	$4,611
State:	$17,864

Average Total Payments

This Nursing Home:	$4,933
State:	$4,971

Number of discharges: 15

Here:	9.32%
State:	1.98%

Simple Pneumonia and Pleurisy with Complications

Average Covered Charges

This Nursing Home:	$5,093
Mississippi:	$22,633

Average Total Payments

This Nursing Home:	$6,282
State:	$6,078

Number of discharges: 20

This Nursing Home:	12.42%
State:	3.08%

Simple Pneumonia and Pleurisy without Complications

Average Covered Charges

Here:	$4,552
State:	$16,650

Average Total Payments

Here:	$4,297
State:	$4,315

Number of discharges: 15

Here:	9.32%
State:	1.59%

Complaint Deficiency

Approved construction type or materials
- 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: Few
Properly sized and located compartments to protect residents from smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Some
An approved installation, maintenance and testing program for fire alarm systems
- 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: Few
Provide a safe, clean, comfortable and homelike environment
- 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: 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
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
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
Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Make sure that doctors visit residents regularly, as required
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that all needed doctor visits are made personally by a doctor, as required. After initial doctor visit, care may be alternated by a physician assistant (PA) or nurse practitioner (NP)
- 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
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public
- 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
Keep each resident's personal and medical records private and confidential
- 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: 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
Make sure services provided by the nursing facility meet professional standards of quality
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Develop a post-discharge plan with the resident and family for the resident's care after leaving the nursing home
- 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
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
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: Many
Keep accurate, complete and organized clinical records on each resident that meet professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Portable fire extinguishers
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly protected cooking facilities
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Weekly inspections and monthly testing of generators
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Make sure that special or therapeutic diets are ordered by 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

YALOBUSHA COUNTY NURSING HOME - WATER VALLEY, MS

Process of Care

Heart Failure

Pneumonia

Outcome of Care

Hospital Consumer Assessment of Healthcare Providers

Staff Information

Quality Measures

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

Complaint Deficiency

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