WELCH COMMUNITY HOSPITAL - WELCH, WV

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Address

454 MCDOWELL STREET
WELCH, WV, 24801

Phone (make sure to verify first before calling): (304) 436-8461

Hospital Type: Acute Care Hospitals
Hospital Owner: Government - State
Emergency Services: Yes

Overall Star Rating: 2 Stars
Health Inspections Star Rating: 1 Star
Nurse Staffing Star Rating: 4 Stars
Quality Measures Star Rating: 3 Stars
RN Only Star Rating: 3 Stars

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

Chronic Obstructive Pulmonary Disease with Major Complications

Average Covered Charges

This Hospital:	$6,497
West Virginia:	$16,204

Average Total Payments

This Hospital:	$13,482
West Virginia:	$7,123

Number of discharges: 11

This Hospital:	12.22%
State:	3.14%

Chronic Obstructive Pulmonary Disease without Complications

Average Covered Charges

This Hospital:	$7,237
West Virginia:	$9,702

Average Total Payments

This Hospital:	$8,680
West Virginia:	$4,286

Number of discharges: 17

This Hospital:	18.89%
West Virginia:	3.30%

Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications

Average Covered Charges

Here:	$10,449
West Virginia:	$11,121

Average Total Payments

Here:	$9,034
State:	$4,399

Number of discharges: 11

Here:	12.22%
State:	3.99%

Kidney and Urinary Tract Infections without Major Complications

Average Covered Charges

This Hospital:	$7,101
West Virginia:	$10,257

Average Total Payments

Here:	$9,264
West Virginia:	$4,701

Number of discharges: 11

Here:	12.22%
West Virginia:	3.45%

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

Average Covered Charges

This Hospital:	$6,433
State:	$9,782

Average Total Payments

Here:	$8,117
State:	$4,200

Number of discharges: 14

This Hospital:	15.56%
State:	1.96%

Simple Pneumonia and Pleurisy with Complications

Average Covered Charges

This Hospital:	$9,900
State:	$14,392

Average Total Payments

Here:	$12,023
West Virginia:	$6,029

Number of discharges: 12

Here:	13.33%
West Virginia:	3.71%

Simple Pneumonia and Pleurisy without Complications

Average Covered Charges

This Hospital:	$8,236
West Virginia:	$9,911

Average Total Payments

Here:	$8,520
West Virginia:	$4,263

Number of discharges: 14

This Hospital:	15.56%
West Virginia:	1.55%

Provided Services

Anatomical Laboratory Services
Anesthesia Services
Blood Bank Services
CT Scanner Services
Clinical Laboratory Services
Dedicated Emergency Department Services
Diagnostic Radiology Services
Dietary Services
Emergency Services
ICU - Cardiac (Non-Surgical)Services
ICU - Medical/Surgical Services
ICU - Surgical Services
Inpatient Surgical Services
Magnetic Resonance Imaging (Mri) Services
Neonatal Nursery Services
Obstetric Services
Operating Room Services
Outpatient Services
Outpatient Surgery Unit Services
Pediatric Services
Pharmacy Services
Postoperative Recovery Room Services
Respiratory Care Services
Social Services
Urgent Care Center Services

Employment Full-Time Equivalent

Licensed Practical Or Vocational Nurses : 52.00
Registered Professional Nurses : 53.00
Other Salaried Personnel : 176.00
Certified Registered Nurse Anesthetists (CRNA) : 2.00
Dieticians : 1.00
Respiratory Therapists : 8.00
Physicians : 1.00
Medical Social Workers : 2.00
Medical Laboratory Technologists : 1.00
Diagnostic Radiology Technicians : 1.00

Number Of Beds

Total: 124
Total Certified: 124

Quality Measures

Percent of long-stay residents who received an antipsychotic medication

This Hospital:	33.3%
West Virginia:	21.3%

Process of Care

Heart Attack

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

This Hospital:	38
State:	11

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

This Hospital:	89.0%
State:	96.9%

Heart Failure

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

This Hospital:	21.0%
West Virginia:	98.4%

Percent of Patients Given Discharge Instructions

Here:	26.0%
State:	91.6%

Pneumonia

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

This Hospital:	91.0%
West Virginia:	95.2%

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

Here:	70.0%
West Virginia:	96.0%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	85.0%
State:	98.3%

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

Here:	86.0%
West Virginia:	93.3%

Percent of Patients Assessed and Given Influenza Vaccination

Here:	59.0%
West Virginia:	93.2%

Percent of Patients Assessed and Given Pneumococcal Vaccination

Here:	61.0%
West Virginia:	95.7%

Surgery

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

This Hospital:	60.0%
West Virginia:	95.5%

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

This Hospital:	60.0%
West Virginia:	96.5%

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

This Hospital:	95.0%
West Virginia:	99.8%

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

This Hospital:	38.0%
State:	98.9%

Outcome of Care

30-Day Mortality Rates from Pneumonia

This Hospital:	15.4%
State:	12.3%

30-Day Readmission Rates from Pneumonia

Here:	18.6%
West Virginia:	19.6%

Use of Medical Imaging

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

Here:	27.300%
West Virginia:	8.958%

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

Here:	0.019%
State:	0.275%

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

Here:	1.200%
West Virginia:	3.183%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys: Between 100 and 299
Survey Response Rate: 27%

How often did nurses communicate well with patients?

Sometimes or never

Here:	3%
State:	6%

Usually

This Hospital:	12%
State:	17%

Always

This Hospital:	85%
West Virginia:	77%

How often did doctors communicate well with patients?

Sometimes or never

Here:	4%
State:	4%

Usually

Here:	13%
West Virginia:	14%

Always

Here:	83%
West Virginia:	82%

How often did patients receive help quickly from hospital staff?

Sometimes or never

Here:	4%
West Virginia:	12%

Usually

This Hospital:	12%
West Virginia:	23%

Always

This Hospital:	84%
State:	65%

How often was patients' pain well controlled?

Sometimes or never

Here:	5%
West Virginia:	8%

Usually

Here:	17%
State:	23%

Always

This Hospital:	78%
State:	69%

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

Sometimes or never

This Hospital:	19%
State:	20%

Usually

Here:	15%
West Virginia:	18%

Always

Here:	66%
West Virginia:	62%

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

Sometimes or never

Here:	4%
West Virginia:	9%

Usually

This Hospital:	16%
State:	18%

Always

Here:	80%
State:	73%

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

Sometimes or never

This Hospital:	4%
State:	13%

Usually

Here:	24%
State:	32%

Always

This Hospital:	72%
West Virginia:	55%

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

Yes

Here:	85%
West Virginia:	83%

This Hospital:	15%
West Virginia:	17%

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

6 or lower

Here:	11%
West Virginia:	11%

7 or 8

This Hospital:	19%
West Virginia:	24%

9 or 10

Here:	70%
State:	65%

Would patients recommend the hospital to friends and family?

This Hospital:	4%
State:	6%

Yes, probably

Here:	24%
West Virginia:	29%

Yes, definitely

This Hospital:	72%
State:	65%

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)

A two-hour-resistant firewall in common walls: Some (Minimal harm or potential for actual harm)

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

An approved installation, maintenance and testing program for fire alarm systems: Few (Immediate jeopardy to resident health or safety)

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)

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

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

Allow residents to easily view the results of the nursing home's most recent survey: Some (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: 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: 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)

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)

Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%: Few (Minimal harm or potential for actual harm)

Make sure that residents are safe from serious medication errors: Few (Minimal harm or potential for actual harm)

Develop policies and procedures for influenza and pneumococcal immunizations: Few (Minimal harm or potential for actual harm)

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

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

Make sure that special or therapeutic diets are ordered by the attending doctor: Many (Potential for minimal 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: Few (Minimal harm or potential for actual harm)

Put firmly secured handrails on each side of hallways: Some (Potential for minimal harm)

Operate and provide services according to Federal, State, and local laws and professional standards: Few (Minimal harm or potential for actual harm)

Give the resident's representative the ability to exercise the resident's rights: Few (Minimal harm or potential for actual harm)

1) Protect current or future residents from giving up their Medicaid or Medicare benefits; or 2) follow federal rules for admissions: Some (Potential for minimal harm)

Conduct initial and periodic assessments of each resident's functional capacity: Few (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)

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)

Encode and automate the resident's assessment data: Many (Potential for minimal 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 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)

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)

Have enough nurses to care for every resident in a way that maximizes the resident's well being: Some (Minimal harm or potential for actual harm)

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

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

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

Make sure that special or therapeutic diets are ordered by the attending doctor: Many (Potential for minimal harm)

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

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

Operate and provide services according to Federal, State, and local laws and professional standards: Many (Minimal harm or potential for actual harm)

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

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

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

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

Protect each resident from all abuse, physical punishment, and being separated from others: Few (Immediate jeopardy to resident health or safety)

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 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 activities to meet the interests and needs of each resident: Few (Immediate jeopardy to resident health or safety)

Ensure the activities program is directed by a qualified professional: Many (Minimal harm or potential for actual harm)

Provide medically-related social services to help each resident achieve the highest possible quality of life: Some (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)

Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured: Some (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 that residents receive proper treatment and assistive devices to maintain their vision and hearing: 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 (Actual harm)

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

Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature: Many (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)

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

Keep all essential equipment working safely: 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: Some (Minimal harm or potential for actual harm)

Be administered in an acceptable way that maintains the well-being of each resident : Some (Actual harm)

Operate and provide services according to Federal, State, and local laws and professional standards: Many (Potential for minimal 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)

Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action: Some (Actual harm)

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