JACKIE WITHROW HOSPITAL - BECKLEY, WV

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Staff Information

Quality Measures

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: Few (Minimal harm or potential for actual harm)

Hire sufficient dietary support personnel: Few (Minimal harm or potential for actual harm)

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: Few (Minimal harm or potential for actual harm)

Approved construction type or materials: Some (Actual harm)

Exit stairways and towers that are smoke proof: Many (Minimal harm or potential for actual harm)

Exits that are accessible at all times: Few (Minimal harm or potential for actual harm)

Provide proper discharge planning and communication, of the resident's health status and summary of the resident's stay: Some (Potential for minimal harm)

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

Properly constructed piped-in oxygen systems: Some (Actual harm)

Keep clinical record information safe, so that it will not be lost, destroyed or used by the wrong person: Many (Minimal harm or potential for actual harm)

Review or revise the resident's care plan after any major change in a resident's physical or mental health: Few (Minimal harm or potential for actual harm)

Provide special eating equipment and utensils for each resident who needs them: Many (Minimal harm or potential for actual harm)

Review or revise the resident's care plan after any major change in a resident's physical or mental health: Few (Minimal harm or potential for actual harm)

Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour: Many (Potential for minimal harm)

Exits that are accessible at all times: Many (Potential for minimal harm)

Automatic sprinkler systems that have been maintained in working order: Many (Potential for minimal harm)

Weekly inspections and monthly testing of generators: Many (Potential for minimal 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)

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)

Store, cook, and serve food in a safe and clean way: Some (Potential for minimal 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)

Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents: Many (Minimal harm or potential for actual harm)

Give each resident a notice of rights, rules, services and charges. Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for: Many (Potential for minimal harm)

Reasonably accommodate the needs and preferences of each resident: 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)

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

Post nurse staffing information/data on a daily basis: Many (Potential for minimal harm)

A two-hour-resistant firewall in common walls: Some (Potential for minimal harm)

Smoke barrier doors that can resist smoke for at least 20 minutes: Some (Potential for minimal harm)

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

Protected exits that allow the resident to escape the building: Many (Potential for minimal harm)

Properly located and lighted Exit signs: Many (Potential for minimal harm)

An approved installation, maintenance and testing program for fire alarm systems: Many (Potential for minimal harm)

Automatic sprinkler systems that have been maintained in working order: Many (Potential for minimal harm)

Heating and ventilation systems that have been properly installed according to the manufacturer's instructions: Many (Potential for minimal harm)

Weekly inspections and monthly testing of generators: Many (Potential for minimal harm)

A two-hour-resistant firewall in common walls: Some (Potential for minimal harm)

Corridor and hallway doors that block smoke: Many (Potential for minimal harm)

Proper stairway enclosures and vertical shafts: Many (Potential for minimal harm)

Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour: Many (Minimal harm or potential for actual harm)

Smoke barrier doors that can resist smoke for at least 20 minutes: Many (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)

Exits that are accessible at all times: Few (Minimal harm or potential for actual harm)

Properly located and lighted Exit signs: Some (Potential for minimal harm)

An approved installation, maintenance and testing program for fire alarm systems: Many (Minimal harm or potential for actual harm)

Properly maintained smoke detectors: Many (Minimal harm or potential for actual harm)

An approved automatic sprinkler system connected to the fire alarm system: Few (Minimal harm or potential for actual harm)

Automatic sprinkler systems that have been maintained in working order: Many (Minimal harm or potential for actual harm)

Restrictions on the use of portable space heaters: Many (Minimal harm or potential for actual harm)

Weekly inspections and monthly testing of generators: Some (Potential for minimal harm)

Properly installed electrical wiring and equipment: Some (Potential for minimal harm)

Give each resident a notice of rights, rules, services and charges. Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for: Many (Potential for minimal 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 (Minimal harm or potential for actual harm)

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

Allow residents to easily view the results of the nursing home's most recent survey: Many (Potential for minimal harm)

Tell the resident or the resident's representative in writing how long the nursing home will hold the resident's bed: Many (Potential for minimal harm)

Keep each resident free from physical restraints, unless needed for medical treatment: Few (Minimal harm or potential for actual harm)

Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property: Few (Minimal harm or potential for actual harm)

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

Provide housekeeping and maintenance services: Some (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)

Make sure services provided by the nursing facility meet professional standards of quality: Few (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)

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

Store, cook, and serve food in a safe and clean way: Many (Minimal harm or potential for actual harm)

At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor: Few (Minimal harm or potential for actual harm)

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards: Some (Minimal harm or potential for actual harm)

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

Make sure that a working call system is available in each resident's room or bathroom and bathing area: Few (Minimal harm or potential for actual harm)

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests: Some (Minimal harm or potential for actual harm)

Other nearby hospitals and nursing homes

• 1204 S. KANAWHA GROUP HOME (0.70 miles)
• BECKLEY ARH HOSPITAL (1.15 miles)
• BECKLEY ARH HOME HEALTH (1.15 miles)
• BECKLEY VA MEDICAL CENTER (1.73 miles)
• PINE LODGE CARE AND REHABILITATION CENTER (1.36 miles)
• TEMPLE STREET GROUP HOME (0.68 miles)