TABLE 3. Summary of overall star rating* and health inspection deficiencies† of nursing homes — West Virginia, 2020.
| Characteristic | Outbreak status |
P-value§ | ||
|---|---|---|---|---|
| Nonoutbreak n = 109 | Outbreak n = 14* | All n = 123 | ||
|
Overall star rating, no. (%)
| ||||
| 1 Star |
13 (12) |
7 (50) |
20 (16) |
<0.001 |
| 2 Star |
34 (31) |
0 (0) |
34 (28) |
|
| 3 Star |
23 (21) |
5 (36) |
28 (23) |
|
| 4 Star |
21 (19) |
1 (7) |
22 (18) |
|
| 5 Star |
18 (17) |
0 (0) |
18 (14) |
|
|
Deficient infection prevention control program, no. (%)†,¶
| ||||
| Within last year |
69 (63) |
12 (86) |
81 (66) |
0.14 |
| Within last 2 years |
90 (83) |
14 (100) |
104 (85) |
0.12 |
|
Summary of complaints, fines, and deficiencies, mean (95% CI)†
| ||||
| No. of substantiated complaints** |
1.3 (0.8–1.8) |
4.8 (1.6–8.0) |
1.7 (1.1–2.3) |
<0.001 |
| No. of health inspection deficiencies |
10.5 (9.2–11.9) |
14.9 (10.5–19.2) |
11.0 (9.7–12.3) |
0.03 |
| No. of penalties |
0.2 (0.1–0.4) |
0.5 (0.1–0.9) |
0.3 (0.2–0.4) |
0.06 |
| No. of fines |
0.2 (0.1–0.3) |
0.4 (0.1–0.8) |
0.2 (0.2–0.3) |
0.17 |
|
Counts of health inspection deficiencies by category, mean (95% CI)†
| ||||
| Quality of life and care |
2.4 (2.0–2.8) |
3.8 (2.6–5.0) |
2.6 (2.2–2.9) |
0.01 |
| Resident assessment and care planning |
2.2 (1.9–2.5) |
3.5 (2.9–4.1) |
2.3 (2.1–2.6) |
<0.001 |
| Nursing and physician services |
0.4 (0.3–0.5) |
0.6 (0.2–0.9) |
0.4 (0.3–0.5) |
0.15 |
| Resident rights |
1.9 (1.6–2.3) |
1.8 (0.9–2.7) |
1.9 (1.6–2.2) |
0.89 |
| Nutrition and dietary |
0.8 (0.6–1.0) |
1.4 (0.4–2.3) |
0.9 (0.7–1.1) |
0.24 |
| Pharmacy service |
1.0 (0.8–1.2) |
1.2 (0.8–1.7) |
1.0 (0.8–1.2) |
0.21 |
| Environmental |
1.0 (0.8–1.1) |
1.2 (0.8–1.7) |
1.0 (0.9–1.1) |
0.35 |
| Administration | 0.4 (0.2–0.5) | 0.8 (0–1.6) | 0.4 (0.3–0.6) | 0.26 |
Abbreviation: CI = confidence interval.
* Only 13 outbreak facilities received a star rating; one outbreak nursing home was designated a Special Focus Facility and not rated because of a history of serious quality issues.
† These health inspection deficiencies were recorded during unannounced inspections conducted during December 13, 2018–February 26, 2020.
§ P-values based on Wilcoxon rank-sum test (for continuous variables) and Fisher’s exact test (for categorical variables).
¶ This CMS inspection finding based on the requirement that “the facility must establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections.” Refer to 42 C.F.R. Sect. 483.80 for full requirements.
** Number of concerns or complaints (related to abuse, neglect, poor care, insufficient staffing, unsafe or unsanitary conditions, dietary problems, or mistreatment) reported to CMS that were investigated and substantiated; inspectors responsible for annual health inspections are federally required to investigate all complaints.