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JACKIE WITHROW HOSPITAL

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JACKIE WITHROW HOSPITAL VS
Nursing Homes USA
General
Percent of short-stay residents with Pressure ulcers that are new or worsened 75.2 % 
City BECKLEY   0% Nursing Homes USA have BECKLEY
State attribute explanation WV   0.8% Nursing Homes USA have WV
Street 105 SOUTH EISENHOWER DRIVE  
Zip Code 25801  
Phone 3042566600  
Overall Star Rating
3.11
Health Inspections Star Rating
2.83
Nurse Staffing Star Rating
3.17
Quality Measures Star Rating
3.31
RN Only Star Rating
3.17
Number of Certified Beds
199 
108.94
Total Number of Residents
90 
91.25
Percent of Occupied Beds
45 %
83.65 %
Health Survey Date 12/8/2011  
Fire Survey Date 12/2/2011  
Sprinkler Status Fully Sprinklered  90.2% Nursing Homes USA have Fully Sprinklered
Program Participation Medicaid  3.5% Nursing Homes USA have Medicaid
Type of Ownership Government - State  0.9% Nursing Homes USA have Government - State
Located Within a Hospital? No  93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? No  45.1% Nursing Homes USA don't have Multi Nursing Home Ownership?
Resident and Family Councils RESIDENT   66% Nursing Homes USA have RESIDENT
Continuing Care Retirement Community? No  90.9% Nursing Homes USA don't have Continuing Care Retirement Community?
Quality Indicator Survey? Yes  31.3% Nursing Homes USA have Quality Indicator Survey?
Special Focus Facility? No  99% Nursing Homes USA don't have Special Focus Facility?
Civil Money Penalty Count
75.2 
58.16
Total Enforcement Actions Count
75.2 
56.31
# of deficiencies
13 
7.48
Staff Information
Number of Residents
90 
91.38
Number of RN Hours Per Resident Per Day
0.76 
0.77
Number of LPN/LVN Hours Per Resident Per Day
1.07 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.83 
1.59
Number of CNA Hours Per Resident Per Day
0.01 
5.49
Number Therapy Hours Per Resident Per Day
0.01 
0.10
Environmental Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: Keep All Essential Equipment Working Safely.
survey Date: 10/07/2010
date Of Correction: 11/30/2010 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 10/07/2010
date Of Correction: 12/02/2010 
Deficiency #3 Scope: Many
level Of Harm: 2
deficiency: Maintain Comfortable And Safe Temperature Levels.
survey Date: 10/07/2010
date Of Correction: 11/30/2010 
Mistreatment Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 4
deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.
survey Date: 10/07/2010
date Of Correction: 12/02/2010 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: 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.
survey Date: 11/17/2009
date Of Correction: 12/31/2009 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: 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.
survey Date: 07/02/2009
date Of Correction: 08/31/2009 
Resident Assessment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan.
survey Date: 04/20/2012
date Of Correction: 06/01/2012 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan.
survey Date: 04/05/2011
date Of Correction: 05/10/2011 
Administration Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: Have A Detailed, Written Plan For Disasters And Emergencies, Such As Fire, Severe Weather, And Missing Residents.
survey Date: 10/07/2010
date Of Correction: 11/30/2010 
Deficiency #2 Scope: Some
level Of Harm: 4
deficiency: 1) Set Up A Group That Is Legally Responsible For Writing And Setting Up Policies For Leading And Running The Nursing Home; Or 2) Hire A Properly Licensed Administrator.
survey Date: 10/07/2010
date Of Correction: 11/30/2010 
Pharmacy Service Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: At Least Once A Month, Have A Licensed Pharmacist Review Each Resident's Medication(s) And Report Any Irregularities To The Attending Doctor.
survey Date: 04/05/2011
date Of Correction: 05/10/2011 
Deficiency #2 Scope: Some
level Of Harm: 1
deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.
survey Date: 10/07/2010
date Of Correction: Not Available 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: 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.
survey Date: 07/02/2009
date Of Correction: 08/31/2009 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
48.5 %
25.09 %
Percent of long-stay residents who self-report moderate to severe pain
29.2 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
10.8 %
12.58 %
Percent of long-stay residents who lose too much weight
10 %
11.83 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
36 %
44.54 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.9 %
15.63 %
Percent of long-stay residents with a urinary tract infection
6.7 %
13.46 %
Percent of long-stay residents who have depressive symptoms 5.6:1 % 
Percent of long-stay residents who were physically restrained 8.9 / 9.9 % 
Percent of long-stay residents experiencing one or more falls with major injury
4.4 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
47.4 %
25.39 %
Percent of long-stay residents who self-report moderate to severe pain
29.2 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
10.8 %
9.22 %
Percent of long-stay residents who lose too much weight
10 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
36 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.9 %
10.65 %
Percent of long-stay residents with a urinary tract infection
6.7 %
9.58 %
Percent of long-stay residents who have depressive symptoms 5.6:1 % 
Percent of long-stay residents who were physically restrained 8.9 / 9.9 % 
Percent of long-stay residents experiencing one or more falls with major injury
4.4 %
10.73 %

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