WINSTON CO NH - LOUISVILLE, MS

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Address

562 EAST MAIN STREE/P. O. BOX 967
LOUISVILLE, MS, 39339

Phone (make sure to verify first before calling): (662) 773-6211

Number of Certified Beds: 120
Total Number of Residents: 110
Percent of Occupied Beds: 92%
Sprinkler Status: Partially Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: Non profit - Corporation
Located Within a Hospital?: Yes
Multi Nursing Home Ownership?: No
Resident and Family Councils: Resident
Continuing Care Retirement Community?: No
Quality Indicator Survey?: No
Special Focus Facility?: No
Type: Skilled Nursing Facilities

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

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

Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications

Average Covered Charges

Here:	$9,181
Mississippi:	$16,954

Average Total Payments

Here:	$5,312
State:	$4,347

Number of discharges: 25

Here:	24.04%
State:	4.02%

Kidney and Urinary Tract Infections without Major Complications

Average Covered Charges

Here:	$10,855
State:	$16,244

Average Total Payments

This Nursing Home:	$5,714
Mississippi:	$4,671

Number of discharges: 17

This Nursing Home:	16.35%
State:	3.46%

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

Average Covered Charges

Here:	$9,152
Mississippi:	$14,414

Average Total Payments

This Nursing Home:	$5,014
Mississippi:	$4,193

Number of discharges: 19

Here:	18.27%
Mississippi:	2.58%

Simple Pneumonia and Pleurisy with Complications

Average Covered Charges

This Nursing Home:	$17,240
State:	$22,633

Average Total Payments

Here:	$7,368
State:	$6,078

Number of discharges: 25

Here:	24.04%
Mississippi:	3.08%

Simple Pneumonia and Pleurisy without Complications

Average Covered Charges

This Nursing Home:	$17,478
Mississippi:	$16,650

Average Total Payments

This Nursing Home:	$5,210
State:	$4,315

Number of discharges: 18

This Nursing Home:	17.31%
State:	1.59%

Employment Full-Time Equivalent

Administrative Staff - Full Time: 1.14
Certified Nurse Aides - Full Time: 48.76
Certified Nurse Aides - Part Time: 0.41
Dietitians - Under Contract: 0.20
Licensed Practical/ Vocational Nurses - Full Time: 18.09
Licensed Practical/ Vocational Nurses - Part Time: 0.20
Medical Directors - Under Contract: 0.01
Persons Not Included In Any Other Categories - Full Time: 2.47
Physical Therapists - Under Contract: 0.50
Registered Nurses - Full Time: 8.34
Rn Director Of Nursing - Full Time: 1.30
Social Workers - Full Time: 0.61
Activities Professionals - Full Time: 1.17
Occupational Therapists - Under Contract: 0.39
Pharmacists - Under Contract: 2.29
Food Service Personnel - Under Contract: 0.54
Speech Pathologists - Under Contract: 0.16
Housekeeping Personnel - Under Contract: 19.03
Registered Nurses - Part Time: 0.23

Provided Services

Activities Services Are Provided Onsite To Residents
Administration And Storage Of Blood Services Are Provided Onsite To Residents
Clinical Laboratory Services Are Provided Onsite To Residents
Dental Services Are Provided Offsite To Residents
Diagnostic Xray Services Are Provided Onsite To Residents
Dietary Services Are Provided Onsite To Residents
Housekeeping Services Are Provided Onsite To Residents
Mental Health Services Are Provided Offsite To Residents
Nursing Services Are Provided Onsite To Residents
Occupational Therapy Services Are Provided Onsite To Residents
Pharmacy Services Are Provided Onsite To Residents
Physical Therapy Services Are Provided Onsite To Residents
Physician Services Are Provided Onsite To Residents
Podiatry Services Are Provided Offsite To Residents
Social Work Services Are Provided Onsite To Residents
Speech/Language Pathology Services Are Provided Onsite To Residents
Vocational Services Are Provided Offsite To Residents

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	0.340
State:	0.625

Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day

Here:	1.690
State:	0.996

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	2.030
State:	1.616

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.010
Mississippi:	0.046

Number Therapy Hours Per Resident Per Day

Here:	0.010
Mississippi:	0.049

Use of Medical Imaging

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

Here:	0.400%
Mississippi:	8.123%

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

Here:	0.163%
Mississippi:	0.163%

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

This Nursing Home:	0.225%
State:	0.073%

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

Here:	5.100%
State:	4.103%

Quality Measures

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

Here:	14.5%
State:	18.2%

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

Here:	19.2%
Mississippi:	13.9%

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

Here:	4.7%
State:	7.3%

Percent of long-stay residents who lose too much weight

This Nursing Home:	6.5%
State:	7.8%

Percent of long-stay low-risk residents who lose control of their bowels or bladder

This Nursing Home:	44.7%
Mississippi:	41.4%

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

Here:	2.6%
Mississippi:	3.2%

Percent of long-stay residents with a urinary tract infection

This Nursing Home:	4.7%
State:	7.3%

Percent of long-stay residents who have depressive symptoms

Here:	1.0%
State:	2.8%

Percent of long-stay residents who were physically restrained

This Nursing Home:	4.7%
Mississippi:	3.9%

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

This Nursing Home:	4.7%
State:	2.9%

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

This Nursing Home:	94.4%
State:	94.9%

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

Here:	100.0%
Mississippi:	96.7%

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

This Nursing Home:	25.0%
Mississippi:	24.8%

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

Here:	51.2%
Mississippi:	84.8%

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

This Nursing Home:	70.7%
State:	85.8%

Percent of short-stay residents who newly received an antipsychotic medication

Here:	4.0%
State:	3.3%

Percent of long-stay residents who received an antipsychotic medication

Here:	14.7%
Mississippi:	26.8%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys: Fewer than 100
Survey Response Rate: 26%

How often did nurses communicate well with patients?

Sometimes or never

This Nursing Home:	6%
State:	5%

Usually

Here:	17%
State:	15%

Always

Here:	77%
State:	80%

How often did doctors communicate well with patients?

Sometimes or never

Here:	8%
State:	4%

Usually

This Nursing Home:	21%
Mississippi:	11%

Always

Here:	71%
Mississippi:	85%

How often did patients receive help quickly from hospital staff?

Sometimes or never

Here:	11%
State:	11%

Usually

This Nursing Home:	26%
State:	22%

Always

This Nursing Home:	63%
State:	67%

How often was patients' pain well controlled?

Sometimes or never

This Nursing Home:	10%
Mississippi:	8%

Usually

This Nursing Home:	21%
State:	20%

Always

Here:	69%
Mississippi:	72%

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

Sometimes or never

Here:	30%
State:	21%

Usually

This Nursing Home:	22%
Mississippi:	17%

Always

This Nursing Home:	48%
Mississippi:	62%

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

Sometimes or never

This Nursing Home:	9%
State:	10%

Usually

Here:	14%
State:	18%

Always

This Nursing Home:	77%
Mississippi:	72%

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

Sometimes or never

Here:	4%
Mississippi:	7%

Usually

Here:	32%
Mississippi:	24%

Always

Here:	64%
State:	69%

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

Yes

This Nursing Home:	73%
Mississippi:	79%

This Nursing Home:	27%
State:	21%

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

6 or lower

This Nursing Home:	18%
State:	10%

7 or 8

Here:	30%
Mississippi:	22%

9 or 10

This Nursing Home:	52%
State:	68%

Would patients recommend the hospital to friends and family?

Here:	12%
Mississippi:	6%

Yes, probably

Here:	41%
Mississippi:	26%

Yes, definitely

Here:	47%
State:	68%

Process of Care

Pneumonia

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

Here:	95.0%
Mississippi:	96.2%

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

This Nursing Home:	94.0%
State:	97.9%

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

Here:	90.0%
State:	93.2%

Percent of Patients Assessed and Given Influenza Vaccination

Here:	77.0%
State:	92.1%

Percent of Patients Assessed and Given Pneumococcal Vaccination

Here:	84.0%
Mississippi:	93.8%

Outcome of Care

30-Day Mortality Rates from Heart Failure

Here:	12.7%
State:	12.2%

30-Day Mortality Rates from Pneumonia

Here:	13.1%
Mississippi:	13.2%

30-Day Readmission Rates from Heart Failure

This Nursing Home:	22.6%
Mississippi:	26.1%

30-Day Readmission Rates from Pneumonia

This Nursing Home:	17.5%
State:	19.6%

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)

Properly installed electrical wiring and equipment: Some (Minimal harm or potential for actual harm)

Approved construction type or materials: Few (Immediate jeopardy to resident health or safety)

Exits that are accessible at all times: Few (Immediate jeopardy to resident health or safety)

Provide proper discharge planning and communication, of the resident's health status and summary of the resident's stay: Few (Minimal harm or potential for actual harm)

Record of quarterly fire drills for each shift under varying conditions: Many (Potential for minimal harm)

Keep each resident's personal and medical records private and confidential: Some (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 (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)

Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible: Few (Minimal harm or potential for actual harm)

Store, cook, and serve food in a safe and clean way: Few (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)

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

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

Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs: Some (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: Few (Minimal harm or potential for actual harm)

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

Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property: 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)

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

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

Have enough backup water supply for essential areas of the nursing home: Many (Potential for minimal harm)

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests: Many (Potential for minimal harm)

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

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

Proper construction of ducts through walls designed to prevent smoke passage: Some (Minimal harm or potential for actual harm)

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

Provide housekeeping and maintenance services: Some (Potential for minimal 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)

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)

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

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

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