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Welch Community Hospital

Details

Type of Ownership Government - State
Participates in Medicare? No
Participates in Medicaid? Yes
Certified Beds 59
Continuing Care? No
Resident Council? Yes
Family Council? No
Multi-Home Chain? No
Located in a Hospital? No
Special Focus Facility? No

View:    Health Inspections  |  Quality Measures  |  Staffing  |  Fire Inspections

Health Inspections  

Most Recent Inspection: 06/04/2010

Date of last standard health inspection: 06/04/2010
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 0
Average number of Health Deficiencies in WV: 3
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in WV: 0 - 8

Inspection, 02/09/2011

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 02/09/2011 00/03/2001 2 Some
Have a program that investigates, controls and keeps infection from spreading. 02/09/2011 00/03/2001 2 Few
Make sure that a working call system is available in each resident's room or bathroom and bathing area. 02/09/2011 00/03/2001 2 Some
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store, cook, and serve food in a safe and clean way. 02/09/2011 00/03/2001 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide activities to meet the interests and needs of each resident. 02/09/2011 00/03/2001 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Conduct initial and periodic assessments of each resident's functional capacity. 02/09/2011 00/03/2001 2 Few
Ensure each resident receives an accurate assessment by a qualified health professional. 02/09/2011 00/03/2001 2 Few
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 02/09/2011 00/03/2001 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give residents a notice of rights, rules, services and charges. 02/09/2011 00/03/2001 1 Many
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. 02/09/2011 00/03/2001 2 Some
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 02/09/2011 00/03/2001 2 Few

Inspection, 00/04/2006

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure the activities program is directed by a qualified professional. 00/04/2006 01/08/2008 2 Many
Post nurse staffing information/data on a daily basis. 00/04/2006 01/08/2008 1 Many
Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident. 00/04/2006 01/08/2008 4 Some
Operate and provide services according to Federal, State, and local laws and professional standards. 00/04/2006 01/08/2008 1 Many
Keep clinical record information safe. 00/04/2006 01/08/2008 2 Many
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. 00/04/2006 01/08/2008 4 Some
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 00/04/2006 01/08/2008 4 Some
Have a program that investigates, controls and keeps infection from spreading. 00/04/2006 01/00/2009 2 Many
Keep all essential equipment working safely. 00/04/2006 01/00/2009 2 Many
Make sure that a working call system is available in each resident's room or bathroom and bathing area. 00/04/2006 01/08/2008 2 Some
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep each resident free from physical restraints, unless needed for medical treatment. 00/04/2006 01/08/2008 2 Few
Protect each resident from all abuse, physical punishment, and involuntary separation from others. 00/04/2006 01/08/2008 3 Few
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. 00/04/2006 01/08/2008 2 Few
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. 00/04/2006 01/08/2008 2 Many
Store, cook, and serve food in a safe and clean way. 00/04/2006 01/08/2008 2 Many
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide activities to meet the interests and needs of each resident. 00/04/2006 01/08/2008 3 Few
Provide medically-related social services to help each resident achieve the highest possible quality of life. 00/04/2006 01/08/2008 2 Some
Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing. 00/04/2006 01/08/2008 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Conduct initial and periodic assessments of each resident's functional capacity. 00/04/2006 01/08/2008 2 Few
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 00/04/2006 01/08/2008 2 Some
Allow residents the right to participate in the planning or revision of care and treatment. 00/04/2006 01/08/2008 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. 00/04/2006 01/08/2008 2 Few
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 00/04/2006 01/08/2008 2 Some

Inspection, 01/00/2004

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Post nurse staffing information/data on a daily basis. 01/00/2004 00/03/2007 1 Many
Operate and provide services according to Federal, State, and local laws and professional standards. 01/00/2004 00/03/2007 2 Many
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/00/2004 01/07/2009 2 Some
Have a program that investigates, controls and keeps infection from spreading. 01/00/2004 00/03/2007 2 Some
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Hire sufficient dietary support personnel. 01/00/2004 00/03/2007 2 Many
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. 01/00/2004 00/03/2007 2 Many
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. 01/00/2004 01/07/2009 2 Many
Make sure that special or therapeutic diets are ordered by the attending doctor. 01/00/2004 00/03/2007 1 Many
Store, cook, and serve food in a safe and clean way. 01/00/2004 00/07/2010 2 Many
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure 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. 01/00/2004 01/07/2009 2 Few
Ensure residents maintain acceptable nutritional status. 01/00/2004 01/07/2009 2 Few
Have enough nurses to care for every resident in a way that maximizes the resident's well being. 01/00/2004 00/03/2007 2 Some
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Conduct initial and periodic assessments of each resident's functional capacity. 01/00/2004 01/07/2009 2 Few
Review or revise the resident's care plan after any major change in physical or mental health. 01/00/2004 00/07/2010 2 Few
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 01/00/2004 01/07/2009 2 Few
Encode each resident 01/00/2004 00/03/2007 1 Many
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give the resident's representative the ability to exercise the resident's rights. 01/00/2004 00/03/2007 2 Few
1) Protect current or future residents from giving up their Medicaid or Medicare benefits; or 2) follow federal rules for admissions. 01/00/2004 00/03/2007 1 Some

Inspection, 01/01/2002

Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Protect each resident from all abuse 01/01/2002 02/08/2003 and involuntary separation from others. physical punishment
1) Hire only people with no legal history of abusing 01/01/2002 02/08/2003 neglect or mistreatment of residents. neglecting or mistreating residents; or 2) report

Nursing Home Staffing  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

National Average Average in WV Golden Living Center, Asheville
RN Staff Only1 N/A N/A 1 out of 5 stars
Total Number of Residents 86 74 48
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 14 hours 50 minutes 1 hour 50 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 13 hours 58 minutes 19 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 14 hours 9 minutes 1 hour 30 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 15 hours 40 minutes 2 hours 30 minutes

1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.

Quality Measures  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

Long-Term Residents

Short-Term Residents

Fire Safety Inspections

Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.

Most Recent Inspection: 05/27/2010

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 05/27/2010
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Fire Safety Deficiencies for this nursing home: 0
Average number of Fire Safety Deficiencies in WV: 0
Average number of Fire Safety Deficiencies in US: 2
Range of Fire Safety Deficiencies in WV: 0 - 0

Inspection, 03/00/2011

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 03/00/2011 00/00/0000 1 Many
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 03/00/2011 00/00/0000 1 Many

Inspection, 02/07/2005

Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 02/07/2005 01/06/2006 1 Some
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Walls that prevent smoke from passing through and would resist fire for at least one hour. 02/07/2005 01/06/2006 1 Many

Inspection, 01/04/2005

Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 01/04/2005 02/01/2005 1 Many
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved installation, maintenance and testing program for fire alarm systems. 01/04/2005 03/00/2006 1 Many
 

454 Mcdowell Street
Welch, WV 24801

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