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Jefferson Davis Community Hospital Ecf

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About Jefferson Davis Community Hospital Ecf

General Information

Legal Business NameForrest County General Hospital
Ownership TypeNon Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJanuary 20, 1970 (47 years)
Capacity60
Residents54
Percent Occupied90%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsBoth
In HospitalYes
Continuing Care Retirement CommunityNo
Special Focus FacilityYes
Auto Sprinkler System In Required AreasYes

Ratings for Jefferson Davis Community Hospital Ecf

Jefferson Davis Community Hospital Ecf
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

February 26, 2016 - 16 months ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$194,780 fine
KSomeImmediate JeopardyComplaintSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
KSomeImmediate JeopardyComplaintHave a program that investigates, controls and keeps infection from spreading.
KSomeImmediate JeopardyComplaintProvide care by qualified persons according to each resident's written plan of care.
KSomeImmediate JeopardyComplaintEnsure services provided by the nursing facility meet professional standards of quality.
KSomeImmediate JeopardyComplaintGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

December 4, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
GFewActual HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
GFewActual HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.

November 25, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
ESomePotential 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 InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
DFewPotential for HarmHealth InspectionProvide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.
DFewPotential for HarmHealth InspectionKeep residents' personal and medical records private and confidential.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Jefferson Davis Community Hospital Ecf 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.

2hr 25min
2hr 15min
ReportedExpected
CNA
50min
35min
ReportedExpected
LPN
25min
55min
ReportedExpected
RN
3hr 40min
3hr 50min
ReportedExpected
Total Nursing

This facility also provides approximately 1min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

100.0%
92.5%
92.5%
92.5%
96.7%
Q4 2015Q1 2016Q2 2016Q3 2016MS
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
98.0%
97.8%
100.0%
97.0%
Q4 2015Q1 2016Q2 2016Q3 2016MS
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
-
-
-
-
49.5%
Q4 2015Q1 2016Q2 2016Q3 2016MS
* The data for this facility for some quarters is unavailable.
Percentage of low risk long-stay residents who lose control of their bowels or bladder
15.6%
8.2%
13.3%
13.0%
26.7%
Q4 2015Q1 2016Q2 2016Q3 2016MS
Percentage of long-stay residents who received an antianxiety or hypnotic medication
25.8%
30.2%
18.0%
37.2%
18.1%
Q4 2015Q1 2016Q2 2016Q3 2016MS
Percentage of long-stay residents whose ability to move independently worsened
37.8%
29.2%
35.6%
27.3%
20.3%
Q4 2015Q1 2016Q2 2016Q3 2016MS
Percentage of long-stay residents who received an antipsychotic medication
42.9%
26.1%
31.8%
28.3%
17.1%
Q4 2015Q1 2016Q2 2016Q3 2016MS
Percentage of long-stay residents whose need for help with daily activities has increased
10.7%
8.9%
9.9%
11.3%
9.6%
Q4 2015Q1 2016Q2 2016Q3 2016MS
Percentage of long-stay residents who self-report moderate to severe pain
8.7%
4.1%
4.3%
0.0%
7.9%
Q4 2015Q1 2016Q2 2016Q3 2016MS
Percentage of long-stay residents who lose too much weight
16.0%
24.1%
3.6%
8.8%
7.1%
Q4 2015Q1 2016Q2 2016Q3 2016MS
Percentage of high risk long-stay residents with pressure ulcers
0.0%
0.0%
2.2%
0.0%
1.6%
Q4 2015Q1 2016Q2 2016Q3 2016MS
Percentage of long-stay residents who have depressive symptoms
10.9%
2.0%
6.5%
6.5%
5.2%
Q4 2015Q1 2016Q2 2016Q3 2016MS
Percentage of long-stay residents with a urinary tract infection
2.1%
0.0%
0.0%
4.3%
3.2%
Q4 2015Q1 2016Q2 2016Q3 2016MS
Percentage of long-stay residents experiencing one or more falls with major injury
5.9%
3.9%
1.2%
3.4%
2.4%
Q4 2015Q1 2016Q2 2016Q3 2016MS
Percentage of long-stay residents with a catheter inserted and left in their bladder
0.0%
0.0%
0.0%
0.0%
2.0%
Q4 2015Q1 2016Q2 2016Q3 2016MS
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

-
-
-
-
86.9%
Q4 2015Q1 2016Q2 2016Q3 2016MS
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
-
-
-
-
84.2%
Q4 2015Q1 2016Q2 2016Q3 2016MS
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
-
-
-
-
60.8%
Q4 2015Q1 2016Q2 2016Q3 2016MS
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who made improvements in function
-
-
-
-
17.0%
Q4 2015Q1 2016Q2 2016Q3 2016MS
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who self-report moderate to severe pain
-
-
-
-
2.7%
Q4 2015Q1 2016Q2 2016Q3 2016MS
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who newly received an antipsychotic medication
-
-
-
-
1.1%
Q4 2015Q1 2016Q2 2016Q3 2016MS
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents with pressure ulcers that are new or worsened