The Wexford House is one of just a few available facilities in Kingsport, Tennessee. This nursing home was given an overall grade of B, which is a very respectable rating. This grade was right in line with the city grade in Kingsport. This place's strong report card was highlighted by its inspection rating, which is addressed in the next section.
The Wexford House
Updated May 1, 2022 by Sara Levinsohn
2421 John B Dennis Highway,
Kingsport TN 37660
69.08% estimated occupancy 1
Registered Staff Hours
On top of performing well in its overall grade, this facility performed at an even higher level in the area of inspections. In fact, it received a nearly flawless inspection report this year. As a result, it received one of our highest grades in that category with a score of A+. Our inspection scores are tied to many datapoints located in the a nursing home's recent inspection reports. Facilities that score well in this category have very few deficiencies on their reports. Most importantly, these facilities generally do not have any severe deficiencies which are associated with risks to patient safety. Although this place had a few deficiencies on its government inspection report, none were serious based on CMS' deficiency scale. Finally, this facility had no substantiated complaints this year from residents, which is an excellent sign.
Long-term Care Quality
Among this facility's other accomplishments is its first-rate long-term care score. It received one of our most impressive grades in that area, with a grade of A-. Nursing homes that do well in long-term care tend to be well-staffed and provide extensive hands on care to patients. After considering the very impressive nursing hours provided by this nursing home, we then looked at the nursing home's vaccination statistics. This nursing home vaccinated 100 percent of its patients against pneumonia, which is much higher than the vast majority of nursing homes. This combination proved to be effective as this place was able to keep its residents out of the hospital. It had only 1.65 hospitalizations per one thousand long-term resident days.
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Turning to the area of nursing care, this was not one of this facility's strong suits. We awarded it a grade of D in this category. Clearly, this facility performed much better in the categories discussed above. Our nursing score assesses a handful of components, but the main consideration is the level of nurse hours per patient per week. We do not think quantity of care was the reason for this facility's poor nursing rating. With 4.1 hours of nursing care per resident on a daily basis, this facility actually surpassed the national average. Lastly, we turn to some quality-focused statistics in rounding out our nursing grades. Specifically, we look at the percent of patients who sustained pressure ulcers and major falls. We view these datapoints as predictive measures of the quality of nursing care, since better care tends to reduce these problems.
Short-term Care Quality
This nursing home's worst area was short-term care, which is the last area we assessed. For this category, we awarded this facility a grade of just D. Short-term care scores are important for prospective residents looking for rehabilitation. Rehabilitation usually mandates higher levels of highly-skilled nursing services. This includes a wide scope of services, ranging from registered nurses to physical and occupational therapists, as well as other forms of therapy. We found that this nursing home was below average in terms of its quantity of physical therapy and registered nurse hours offered to its patients based on the measures we considered. The final item we assessed in this category is the percentage of residents who were able to leave the facility and return to the community. We discovered that just 49 percent of this facility's patients were able to return home, which is well below average. The combination of these poor statistics doomed this facility's short-term care grade.
Rating Over Time
Compared to national and state averages across all facilities.
The Wexford House Quality Metrics
Minimizes Pressure Ulcers
In The Wexford House, 9.49% of Patients had Pressure Ulcers
This tells you the percent of residents that suffered from a pressure ulcer. Pressure ulcers, also called bed sores, are routinely the result of residents not being moved frequently enough. Better nursing protocols limits the number of pressure ulcers sustained by residents in a nursing home.
Minimizes Serious Falls
In The Wexford House, 3.51% of Patients had Serious Falls
This is the percent of residents who have had a major fall. Falls leading to major injuries are considered by many experts to be an indicator of the quality of nursing care at a nursing home. Major falls leading to injury are routinely the result of lower quality nursing care.
Minimizes Urinary Tract Infections
In The Wexford House, 3.12% of Patients had UTIs
This figure is an indication of the percentage of long-term patients who have suffered from urinary tract infections. While a higher rate infections could reflect poorly on a facility's hygiene protocols, it can be difficult to compare different nursing homes due to nursing homes having reporting standards.
Appropriately Uses Anti-Psychotic Medication
In The Wexford House, 15.81% of Patients use Anti-Psychotic Medication
This figure is a measure of the percentage of long-term patients that are administered antipsychotic medication. Excessive reliance on these medications may suggest a nursing home is using these medications to subdue residents in scenarios where such drugs aren't medically indicated. Nevertheless, some nursing homes need to rely on these medications due to an increased number of residents suffering from cognitive disorders.
Appropriately Uses Anti-Anxiety Medication
In The Wexford House, 29.04% of Patients use Anti-Anxiety Medication
This statistic gauges the percent of long-term stay residents receiving antianxiety medications.
Managing Depression Among Residents
In The Wexford House, 8.77% of Patients
This datapoint measures the percentage of long-term patients who are exhibiting symptoms of depression.
Appropriate Vaccine Usage
In The Wexford House, 89.84% of Patients
This is the percentage of residents that were administered the pneumonia and flu vaccines. High vaccination rates should be the norm at this point.
Residents Maintain Autonomy
In The Wexford House, 16.62% Percentage of Patients
This datapoint is a measure of the percent of long-term residents who needed additional assistance with activities of daily living over time. Activities of daily living include activities such as moving around and using the bathroom.
Ability to Keep Residents Mobile
In The Wexford House, 26.14% Percentage of Residents
This datapoint is a measure of the percent of long-term care patients that retained mobility levels. Many in the industry argue that mobility is important for patients mental and physical health.
In The Wexford House, 1.21 Hospitalizations per 1,000 resident days
This datapoint is a measure of the number of hospitalizations per 1,000 days of patient care. Avoiding hospitalizations is important to maintaining the physical health of residents.
Short-term Care: Rehospitalizations
In The Wexford House, 26.14 Percentage of Residents Rehospitalized
This is a measure of the number of rehospitalizations per 1,000 days of short-term patient care.
Short-term Care: ER Visits
In The Wexford House, 11.25 Percentage of Patients
This datapoint measures the number of times residents are sent to the emergency room per thousand days of short-term patient care. Avoiding emergency medical situations is one way to gauge patient care during rehabilitation.
Short-term Care: Facilitates Functional Improvement
In The Wexford House, 72.83% Percentage of Resident
This is a measure of the percentage of short-term stay patients who experienced functional improvements.
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