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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%
No
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?

No
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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