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Winona Manor Health Care And Rehabilitation Center

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About Winona Manor Health Care And Rehabilitation Center

General Information

Legal Business NameWinona Manor Healthcare LLC
Ownership TypeFor Profit - Individual
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareMarch 1, 1994 (23 years)
Capacity120
Residents109
Percent Occupied91%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Winona Manor Health Care And Rehabilitation Center

Winona Manor Health Care And Rehabilitation Center
was reviewed by Medicare to have a rating of 1 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Mississippi Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

August 13, 2015 - 16 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmHealth InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
ESomePotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
ESomePotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
ESomePotential for HarmHealth InspectionProvide housekeeping and maintenance services.
DFewPotential for HarmHealth InspectionGive or get quality laboratory services/tests in a timely manner to meet the needs of residents.
DFewPotential for HarmHealth InspectionProvide or obtain laboratory services only when ordered by the attending physician.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmFire Safety InspectionA fire alarm system that can be heard throughout the facility.
DFewPotential for HarmHealth InspectionKeep residents' personal and medical records private and confidential.
DFewPotential for HarmHealth InspectionEnsure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.

September 26, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmHealth InspectionEnsure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
DFewPotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmFire Safety InspectionSigns that state that exit doors are to be kept closed.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Winona Manor Health Care And Rehabilitation Center require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

1hr 60min
2hr 15min
ReportedExpected
CNA
1hr
40min
ReportedExpected
LPN
30min
55min
ReportedExpected
RN
3hr 35min
3hr 50min
ReportedExpected
Total Nursing

This facility also provides approximately 10min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

89.8%
86.4%
86.4%
97.1%
Q1 2015Q2 2015Q3 2015MS
Assessed and Appropriately Given the Seasonal Influenza Vaccine
56.6%
58.2%
63.7%
97.1%
Q1 2015Q2 2015Q3 2015MS
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
29.0%
47.0%
Q1 2015Q2 2015Q3 2015MS
* The data for this facility for some quarters is unavailable.
Low Risk Residents Who Lose Control of Their Bowel or Bladder
28.1%
28.7%
26.4%
22.2%
Q1 2015Q2 2015Q3 2015MS
Received an Antipsychotic Medication
22.8%
32.1%
22.1%
17.4%
Q1 2015Q2 2015Q3 2015MS
Need for Help with ADLs has Increased
12.6%
9.8%
14.3%
10.3%
Q1 2015Q2 2015Q3 2015MS
Self Report Moderate to Severe Pain
4.7%
8.7%
13.2%
8.1%
Q1 2015Q2 2015Q3 2015MS
Lose Too Much Weight
17.7%
12.1%
15.5%
7.7%
Q1 2015Q2 2015Q3 2015MS
High Risk Residents With Pressure Ulcers
0.0%
0.0%
0.0%
2.1%
Q1 2015Q2 2015Q3 2015MS
Have Depressive Symptoms
3.2%
1.0%
6.6%
6.0%
Q1 2015Q2 2015Q3 2015MS
With a Urinary Tract Infection
9.1%
10.2%
6.6%
3.0%
Q1 2015Q2 2015Q3 2015MS
Experiencing One or More Falls with Major Injury
2.8%
3.5%
3.7%
2.6%
Q1 2015Q2 2015Q3 2015MS
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
0.0%
2.5%
Q1 2015Q2 2015Q3 2015MS
Were Physically Restrained

Quality Measures for Short Stay Residents

49.0%
57.1%
51.8%
88.6%
Q1 2015Q2 2015Q3 2015MS
Assessed and Appropriately Given the Pneumococcal Vaccine
62.7%
62.7%
62.7%
85.7%
Q1 2015Q2 2015Q3 2015MS
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
29.0%
12.9%
16.7%
18.8%
Q1 2015Q2 2015Q3 2015MS
Self Report Moderate to Severe Pain
2.9%
2.4%
3.4%
2.9%
Q1 2015Q2 2015Q3 2015MS
Newly Received an Antipsychotic Medication
1.3%
5.3%
5.1%
1.1%
Q1 2015Q2 2015Q3 2015MS
With Pressure Ulcers That Are New or Worsened