TALLAHATCHIE GENERAL HOSPITAL EXTENDED CARE FACILITY
Address
201 SOUTH MARKET ST/P. O. BOX 230
CHARLESTON, MS 38921
(662) 647-5535
Nursing Home Ratings
Health Inspections | |
Quality Measures | |
Nursing Staff | |
R.N. Staff Only | |
Overall Rating |
Percent of Beds Occupied
Number of Residents and Certified Beds
- Residents: 61
- Certified Beds: 98
This Facility Accepts
- Medicaid
Operational Details
- Operated By Government - County
- Offers Only Resident Counseling
- Located Inside of a Hospital Facility
- This Facility is Not Part of a Chain or Franchise
Rating Details For Tallahatchie General Hospital Extended Care Facility
Nursing Staff -
The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.
Nursing Hours Per Resident Per Day | Reported | Expected |
Registered Nurse (RN) Hours | 18 Minutes | 1 Hour |
Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 1 Hour and 36 Minutes | 39 Minutes |
Certified Nursing Assistant (CNA) Hours | 3 Hours and 20 Minutes | 2 Hours and 29 Minutes |
Total Licensed Nurse Hours | 1 Hour and 54 Minutes | 1 Hour and 39 Minutes |
Total Nurse Hours | 5 Hours and 14 Minutes | 4 Hours and 9 Minutes |
Quality of Care -
Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Mississippi are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.
This Facility | Mississippi Average |
Long-Term Stay Preventive Actions
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 94% |
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 87% | 94% |
Long-Term Stay Deficiencies
Percent of Long-Stay Residents Who Are More Depressed or Anxious | 18% | 14% |
Percent of Long-Stay Residents Who Lose Too Much Weight | 3% | 8% |
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 39% | 49% |
Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 10% | 9% |
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 9% | 15% |
Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 4% | 4% |
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 4% | 4% |
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | 28% | 9% |
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores | - | 2% |
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 5% | 11% |
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 8% | 11% |
Percent of Long-Stay Residents Who Were Physically Restrained | 9% | 7% |
Health Inspection Details -
All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 04/08/2010.
Degree of Harm
- - Potential for Minimal Harm
- - Minimal Harm or Potential for Harm
- - Resident Harmed
- - Immediate Jeopardy to Resident Health
Residents Affected
- - Isolated
- - Some Residents
- - Many Residents
Deficiencies Found By Inspectors | Degree of Harm | Residents Affected |
Administration
Post Nurse Staffing Information.
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Set Up or Keep a Group of People to Review and Ensure Quality.
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Keep Accurate and Appropriate Medical Records.
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Keep Accurate and Appropriate Medical Records.
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Environmental
Keep Safe, Clean and Homelike Surroundings.
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Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
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Have a Program to Keep Infection from Spreading.
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Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area.
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Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests.
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Keep Safe, Clean and Homelike Surroundings.
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Keep Safe, Clean and Homelike Surroundings.
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Have a Program to Keep Infection from Spreading.
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Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests.
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Mistreatment
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
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Nutrition and Dietary
Store, Cook, and Give out Food in a Safe and Clean Way.
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Store, Cook, and Give out Food in a Safe and Clean Way.
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Pharmacy Service
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
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Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
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At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
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Properly Mark Drugs and Other Similar Products.
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Properly Mark Drugs and Other Similar Products.
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Quality Care
Provide Activities to Meet the Needs of Each Resident.
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Give Professional Services That Meet a Professional Standard of Quality.
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Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
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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.
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Give Professional Services That Meet a Professional Standard of Quality.
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Resident Assessment
Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health.
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Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
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1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
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Provide a Final Summary of the Resident's Health Status and a Summary of the Resident's Stay, when the Resident is Ready to Leave the Nursing Home.
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Develop a Plan with the Resident and Family for the Resident's Care After Leaving the Nursing Home.
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Make Sure That Doctors See a Resident's Plan of Care at Every Visit and Make Notes About Progress and Orders in Writing.
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Resident Rights
Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
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Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey.
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Provide Services to Meet the Needs and Preferences of Each Resident.
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Keep Each Resident's Personal and Medical Records Private and Confidential.
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Deficiencies from Complaints and Incidents
The table below lists incident reports by the nursing staff or administration for Tallahatchie General Hospital Extended Care Facility, as well as complaints by residents or their family in the previous three years.
Degree of Harm
- - Potential for Minimal Harm
- - Minimal Harm or Potential for Harm
- - Resident Harmed
- - Immediate Jeopardy to Resident Health
Residents Affected
- - Isolated
- - Some Residents
- - Many Residents
Formal Complaints | Degree of Harm | Residents Affected |
Mistreatment
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
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Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
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Protect Residents from Mistreatment, Neglect, And/Or Theft of Personal Property.
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Resident Assessment
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
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Fire Safety
Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Tallahatchie General Hospital Extended Care Facility had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 04/06/2010.
Degree of Harm
- - Potential for Minimal Harm
- - Minimal Harm or Potential for Harm
- - Resident Harmed
- - Immediate Jeopardy to Resident Health
Residents Affected
- - Isolated
- - Some Residents
- - Many Residents
Deficiencies Found By Inspectors | Degree of Harm | Residents Affected |
Building Construction
Approved Construction Type or Materials.
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Electrical
Weekly Inspections and Monthly Testing of Generators.
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Weekly Inspections and Monthly Testing of Generators.
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Fire Alarm Systems
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
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An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
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Furnishings and Decorations
Properly Sized and Located Linen or Trash Receptacles.
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Hazardous Area
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
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Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
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Smoke Compartmentation and Control
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
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Proper Construction of Ducts Through Walls Designed to Prevent Smoke Passage.
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Smoking Regulations
Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
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