MEMORIAL HOSPITAL AND MANOR - BAINBRIDGE, GA

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Address

1500 E SHOTWELL STREET
BAINBRIDGE, GA, 39819

Phone (make sure to verify first before calling): (229) 246-3500

Hospital Type: Acute Care Hospitals
Hospital Owner: Government - Hospital District or Authority
Emergency Services: Yes
Type: Swing Bed Hospitals

Overall Star Rating: 1 Star
Health Inspections Star Rating: 1 Star
Nurse Staffing Star Rating: 1 Star
Quality Measures Star Rating: 2 Stars
RN Only Star Rating: 1 Star

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

Bronchitis and Asthma without Complications

Average Covered Charges

Here:	$8,068
Georgia:	$14,069

Average Total Payments

Here:	$3,778
State:	$4,045

Number of discharges: 13

Here:	4.02%
Georgia:	0.27%

Cellulitis without Major Complications

Average Covered Charges

This Hospital:	$8,294
State:	$17,342

Average Total Payments

Here:	$4,888
State:	$5,372

Number of discharges: 18

This Hospital:	5.57%
Georgia:	1.61%

Chronic Obstructive Pulmonary Disease without Complications

Average Covered Charges

Here:	$10,312
State:	$15,346

Average Total Payments

Here:	$4,209
Georgia:	$4,587

Number of discharges: 38

This Hospital:	11.76%
State:	1.80%

Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications

Average Covered Charges

This Hospital:	$11,944
State:	$17,921

Average Total Payments

This Hospital:	$4,232
State:	$4,668

Number of discharges: 21

Here:	6.50%
State:	3.05%

G.I. Obstruction without Complications

Average Covered Charges

Here:	$9,506
State:	$14,753

Average Total Payments

Here:	$3,783
Georgia:	$4,083

Number of discharges: 17

This Hospital:	5.26%
Georgia:	0.41%

Heart Failure and Shock with Complications

Average Covered Charges

Here:	$16,035
Georgia:	$19,560

Average Total Payments

This Hospital:	$6,011
State:	$6,481

Number of discharges: 18

Here:	5.57%
State:	3.50%

Heart Failure and Shock without Complications

Average Covered Charges

Here:	$9,293
State:	$13,448

Average Total Payments

Here:	$3,999
State:	$4,372

Number of discharges: 15

This Hospital:	4.64%
State:	1.23%

Intracranial Hemorrhage or Cerebral Infarction with Complications

Average Covered Charges

Here:	$14,984
Georgia:	$25,991

Average Total Payments

This Hospital:	$6,652
Georgia:	$7,265

Number of discharges: 22

Here:	6.81%
State:	1.73%

Intracranial Hemorrhage or Cerebral Infarction without Complications

Average Covered Charges

This Hospital:	$12,846
State:	$20,289

Average Total Payments

Here:	$4,783
Georgia:	$5,383

Number of discharges: 16

Here:	4.95%
Georgia:	0.79%

Kidney and Urinary Tract Infections without Major Complications

Average Covered Charges

This Hospital:	$10,165
Georgia:	$16,440

Average Total Payments

Here:	$4,550
Georgia:	$4,869

Number of discharges: 14

Here:	4.33%
State:	3.08%

Major Joint Replacement or Reattachment of Lower Extremity without Major Complications

Average Covered Charges

This Hospital:	$38,310
State:	$46,857

Average Total Payments

Here:	$12,347
Georgia:	$13,303

Number of discharges: 16

Here:	4.95%
State:	5.88%

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

Average Covered Charges

Here:	$8,534
State:	$14,725

Average Total Payments

This Hospital:	$4,152
State:	$4,421

Number of discharges: 20

Here:	6.19%
State:	2.20%

Red Blood Cell Disorders without Major Complications

Average Covered Charges

This Hospital:	$11,793
State:	$17,108

Average Total Payments

This Hospital:	$4,643
Georgia:	$5,275

Number of discharges: 18

Here:	5.57%
Georgia:	1.49%

Respiratory System Diagnosis with Ventilator Support <96 Hours

Average Covered Charges

Here:	$15,049
State:	$52,482

Average Total Payments

Here:	$10,854
State:	$14,739

Number of discharges: 13

Here:	4.02%
State:	1.05%

Simple Pneumonia and Pleurisy with Complications

Average Covered Charges

This Hospital:	$17,821
Georgia:	$22,144

Average Total Payments

This Hospital:	$6,798
Georgia:	$6,410

Number of discharges: 25

This Hospital:	7.74%
Georgia:	2.75%

Simple Pneumonia and Pleurisy without Complications

Average Covered Charges

This Hospital:	$12,486
Georgia:	$16,155

Average Total Payments

This Hospital:	$4,324
Georgia:	$4,495

Number of discharges: 39

Here:	12.07%
Georgia:	1.11%

Provided Services

Nuclear Medicine Services
Anesthesia Services
Clinical Laboratory Services
Dental Services
Diagnostic Radiology Services
Dietary Services
Emergency Services
ICU - Medical/Surgical Services
Inpatient Rehabilitiation (Not Carf Accredited) Services
Inpatient Surgical Services
Long Term Care (Swing-Beds) Services
Neonatal Nursery Services
Obstetric Services
Operating Room Services
Outpatient Services
Outpatient Surgery Unit Services
Pediatric Services
Pharmacy Services
Physical Therapy Services
Postoperative Recovery Room Services
Respiratory Care Services
Social Services
Speech Pathology Services
Therapeutic Radiology Services

Employment Full-Time Equivalent

Licensed Practical Or Vocational Nurses : 36.00
Registered Professional Nurses : 35.75
Other Salaried Personnel : 201.00
Dieticians : 1.00
Registered Pharmacists : 3.50
Respiratory Therapists : 7.50

Number Of Beds

Total: 80
Total Certified: 80

Quality Measures

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

Here:	18.2%
State:	15.5%

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

This Hospital:	28.9%
Georgia:	12.0%

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

This Hospital:	4.5%
Georgia:	7.3%

Percent of long-stay residents who lose too much weight

Here:	12.5%
Georgia:	8.1%

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

This Hospital:	1.8%
Georgia:	2.7%

Percent of long-stay residents with a urinary tract infection

This Hospital:	3.1%
State:	7.6%

Percent of long-stay residents who have depressive symptoms

Here:	7.6%
Georgia:	10.7%

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

Here:	5.2%
State:	3.6%

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

This Hospital:	84.2%
State:	96.0%

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

This Hospital:	76.3%
State:	95.5%

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

Here:	59.1%
Georgia:	87.1%

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

Here:	27.6%
State:	84.7%

Percent of long-stay residents who received an antipsychotic medication

This Hospital:	25.8%
Georgia:	28.2%

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

Here:	75.0%
State:	99.2%

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

Here:	13
State:	33

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

Here:	91.0%
State:	95.8%

Heart Failure

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

This Hospital:	82.0%
Georgia:	99.2%

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

This Hospital:	71.0%
Georgia:	95.8%

Percent of Patients Given Discharge Instructions

This Hospital:	68.0%
State:	89.3%

Pneumonia

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

Here:	87.0%
Georgia:	96.3%

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

Here:	81.0%
Georgia:	97.0%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	86.0%
State:	98.9%

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

Here:	90.0%
State:	94.9%

Percent of Patients Assessed and Given Influenza Vaccination

This Hospital:	61.0%
Georgia:	94.4%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Hospital:	74.0%
State:	96.2%

Surgery

Percent of Surgery Patients given an antibiotic at the right time (within one hour before surgery) to help prevent infection

This Hospital:	87.0%
Georgia:	98.2%

Percent of Surgery Patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)

Here:	100.0%
State:	96.5%

Percent of Surgery Patients who were given the right kind of antibiotic to help prevent infection

Here:	97.0%
Georgia:	98.4%

Percent of Surgery Patients who got treatment at right time (within 24 hours before or after surgery) to help prevent blood clot

Here:	88.0%
Georgia:	96.5%

Percent of Surgery Patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries

Here:	89.0%
State:	97.4%

Percent of Surgery Patients needing hair removed from the surgical area before surgery who had hair removed using a safer method

This Hospital:	100.0%
State:	99.6%

Percent of Surgery Patients whose urinary catheters were removed on the first or second day after surgery

This Hospital:	52.0%
State:	93.5%

Surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on them

This Hospital:	83.0%
State:	95.9%

Outpatients having surgery who got an antibiotic at the right time - within one hour before surgery (higher numbers are better)

Here:	90.0%
State:	96.6%

Outpatients having surgery who got the right kind of antibiotic (higher numbers are better)

This Hospital:	100.0%
Georgia:	97.0%

Patients having surgery who were actively warmed in the operating room or whose body temperature was near normal

This Hospital:	68.0%
State:	99.3%

Outcome of Care

30-Day Mortality Rates from Heart Attack

This Hospital:	17.2%
Georgia:	15.6%

30-Day Mortality Rates from Heart Failure

Here:	10.8%
State:	11.6%

30-Day Mortality Rates from Pneumonia

This Hospital:	14.8%
Georgia:	12.6%

30-Day Readmission Rates from Heart Failure

This Hospital:	25.5%
Georgia:	24.1%

30-Day Readmission Rates from Pneumonia

This Hospital:	18.6%
Georgia:	18.5%

Use of Medical Imaging

Outpatients with low back pain who had an MRI without trying recommended treatments first, such as physical therapy.

Here:	60.800%
State:	35.075%

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

This Hospital:	3.700%
Georgia:	8.789%

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

Here:	0.191%
State:	0.125%

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

This Hospital:	0.018%
Georgia:	0.053%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys: 300 or more
Survey Response Rate: 22%

How often did nurses communicate well with patients?

Sometimes or never

Here:	5%
Georgia:	5%

Usually

Here:	18%
State:	18%

Always

Here:	77%
State:	77%

How often did doctors communicate well with patients?

Sometimes or never

This Hospital:	5%
State:	4%

Usually

This Hospital:	13%
Georgia:	13%

Always

This Hospital:	82%
Georgia:	83%

How often did patients receive help quickly from hospital staff?

Sometimes or never

This Hospital:	11%
State:	12%

Usually

This Hospital:	26%
State:	24%

Always

Here:	63%
State:	64%

How often was patients' pain well controlled?

Sometimes or never

Here:	8%
State:	7%

Usually

This Hospital:	23%
State:	22%

Always

Here:	69%
Georgia:	71%

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

Sometimes or never

This Hospital:	20%
State:	21%

Usually

This Hospital:	17%
State:	17%

Always

This Hospital:	63%
State:	62%

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

Sometimes or never

Here:	14%
State:	10%

Usually

Here:	24%
Georgia:	19%

Always

Here:	62%
State:	71%

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

Sometimes or never

This Hospital:	9%
State:	8%

Usually

Here:	27%
State:	27%

Always

This Hospital:	64%
Georgia:	65%

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

Yes

Here:	76%
State:	81%

Here:	24%
State:	19%

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

6 or lower

This Hospital:	15%
Georgia:	9%

7 or 8

Here:	26%
State:	22%

9 or 10

Here:	59%
Georgia:	69%

Would patients recommend the hospital to friends and family?

This Hospital:	8%
Georgia:	6%

Yes, probably

Here:	38%
State:	25%

Yes, definitely

Here:	54%
State:	69%

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: Some (Minimal harm or potential for actual harm)

Construction that can resist fire for one hour or an approved fire extinguishing system: Some (Potential for minimal harm)

Properly hold, secure and manage each resident's personal money which is deposited with the nursing home: Some (Potential for minimal harm)

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: Few (Minimal harm or potential for actual harm)

Provide a safe, clean, comfortable and homelike environment: Few (Minimal harm or potential for actual harm)

Provide housekeeping and maintenance services: Some (Minimal harm or potential for actual harm)

Make sure each resident receives an accurate assessment by a qualified health professional: Some (Potential for minimal harm)

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores: Some (Minimal harm or potential for actual harm)

Make sure that each resident gets a nutritional and well balanced diet, unless it is not possible to do so: Few (Minimal harm or potential for actual harm)

Heating and ventilation systems that have been properly installed according to the manufacturer's instructions: Few (Minimal harm or potential for actual harm)

Immediately tell the resident, the resident's doctor and a family member of the resident of situations (injury/decline/room, etc.) that affect the resident: Few (Immediate jeopardy to resident health or safety)

Try to resolve each resident's complaints quickly: Few (Minimal harm or potential for actual harm)

Listen to the resident or family groups or act on their complaints or suggestions: Some (Minimal harm or potential for actual harm)

Provide medically-related social services to help each resident achieve the highest possible quality of life: Few (Minimal harm or potential for actual harm)

Conduct initial and periodic assessments of each resident's functional capacity: Few (Minimal harm or potential for actual harm)

Allow the resident the right to participate in the planning or revision of the resident's care plan: Few (Minimal harm or potential for actual harm)

Make sure services provided by the nursing facility meet professional standards of quality: Few (Immediate jeopardy to resident health or safety)

Provide care by qualified persons according to each resident's written plan of care: Some (Minimal harm or potential for actual harm)

Provide necessary care and services to maintain the highest well being of each resident : Few (Minimal harm or potential for actual harm)

Make sure that each residents' abilities in activities of daily living do not decline, unless unavoidable: Few (Minimal harm or potential for actual harm)

Assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene: Few (Minimal harm or potential for actual harm)

Make sure that each resident who enters the nursing home without a catheter is not given a catheter, and receive proper services to prevent urinary tract infections and restore normal bladder function: Few (Minimal harm or potential for actual harm)

Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion: Few (Immediate jeopardy to resident health or safety)

Make sure that each resident gets a nutritional and well balanced diet, unless it is not possible to do so: Few (Minimal harm or potential for actual harm)

Give each resident enough fluids to keep them healthy and prevent dehydration: Few (Minimal harm or potential for actual harm)

Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses: Few (Minimal harm or potential for actual harm)

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: Few (Minimal harm or potential for actual harm)

Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature: Some (Minimal harm or potential for actual harm)

Have a program that investigates, controls and keeps infection from spreading: Few (Minimal harm or potential for actual harm)

Give or get quality lab services/tests in a timely manner to meet the needs of residents: Few (Minimal harm or potential for actual harm)

Quickly tell the resident's doctor the results of lab tests: Few (Immediate jeopardy to resident health or safety)

Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality: Few (Minimal harm or potential for actual harm)

Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured: Few (Minimal harm or potential for actual harm)

Allow the resident the right to participate in the planning or revision of the resident's care plan: Few (Minimal harm or potential for actual harm)

Provide care by qualified persons according to each resident's written plan of care: Few (Immediate jeopardy to resident health or safety)

Provide necessary care and services to maintain the highest well being of each resident : Few (Immediate jeopardy to resident health or safety)

Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion: Few (Minimal harm or potential for actual harm)

Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents: Few (Minimal harm or potential for actual harm)

Give each resident enough fluids to keep them healthy and prevent dehydration: Few (Minimal harm or potential for actual harm)

Make sure that doctors visit residents regularly, as required: Few (Minimal harm or potential for actual harm)

Give or get quality lab services/tests in a timely manner to meet the needs of residents: Few (Minimal harm or potential for actual harm)

Keep accurate, complete and organized clinical records on each resident that meet professional standards: Few (Minimal harm or potential for actual harm)

Other nearby hospitals and nursing homes

DECATUR COUNTY DIALYSIS CENTER (0.42 miles)
FLINT RIVER HOSPICE, INC (1.44 miles)
GENTIVA HEALTH SERVICES (1.20 miles)
MEMORIAL MANOR NH (1.57 miles)
RCG - BAINBRIDGE (0.97 miles)
VNA OF SOUTHWEST GEORGIA INC (0.23 miles)
WIREGRASS HOSPICE, BAINBRIDGE (1.57 miles)

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