Springs Nursing Center

General Info

Address:
167 Spring Street
Hot Springs, VA 24445
Get Directions

  (540) 839-2299

Administrator:
Mike Shelor
Chief Administrative Officer

Facility Comments: Semi-Private Special Care Daily Room Rate: $220

Stays


For Fiscal year 1/1/2017 - 12/31/2017
Licensed beds60
Patient days19,267
Full Time Equivalents57

Rates

Semi-Private Daily Room Rate 220
Private Daily Room Rate 225

Updated on: 2/5/2019

Efficiency Indicators

For Fiscal Year 1/1/2017 - 12/31/2017
What are Efficiency Indicators?

Charges

Indicator Description Quartile Rank 1 through 4
The average full patient charge based on charge schedules per adjusted admission. Admissions are adjusted for case mix and outpatient service revenue. The desired direction is toward a lower value.
QuartileMin.Max.
1 166.50 216.33
2 216.33 235.34
3 235.34 261.33
4 261.33 327.00
(lower is better)
166.50 
232.00
.
2
 327.00
The average dollar amount expected to be collected per adjusted admission. Admissions are adjusted for case mix and outpatient service revenue. The desired direction is toward a lower value.
QuartileMin.Max.
1 142.09 170.41
2 170.41 178.36
3 178.36 196.47
4 196.47 284.68
(lower is better)
142.09 
170.27
.
1
 284.68

Costs

Indicator Description Quartile Rank 1 through 4
The average total operating costs (adjusted by the wage index) per adjusted admission. Admissions are adjusted for case mix and outpatient service revenue. The desired direction is toward a lower value.
QuartileMin.Max.
1 140.20 167.78
2 167.78 181.35
3 181.35 209.52
4 209.52 287.08
(lower is better)
140.20 
188.15
.
3
 287.08
The average personnel expenses (adjusted by the wage index) per adjusted admission. Admissions are adjusted for case mix and outpatient service revenue. The desired direction is toward a lower value.
QuartileMin.Max.
1 64.49 98.15
2 98.15 111.39
3 111.39 126.48
4 126.48 226.97
(lower is better)
64.49 
117.28
.
3
 226.97
The average supply, maintenance and non-personnel expenses (adjusted by the wage index) per adjusted admission. Admissions are adjusted for case mix and outpatient service revenue. The desired direction is toward a lower value.
QuartileMin.Max.
1 27.06 41.60
2 41.60 47.97
3 47.97 62.10
4 62.10 117.34
(lower is better)
27.06 
60.84
.
3
 117.34
The average physical facility costs (e.g., expenses for depreciation, amortization, interest, insurance and taxes as related to the acquisition of permanent assets) per adjusted admission. Admissions are adjusted for case mix and outpatient service revenue. The desired direction is toward a lower value.
QuartileMin.Max.
1 0.34 4.97
2 4.97 10.96
3 10.96 20.16
4 20.16 43.71
(lower is better)
0.34 
3.70
.
1
 43.71

Productivity/Utilization

Indicator Description Quartile Rank 1 through 4
The number of staff, converted to the average number of employees who work full time, for each occupied bed. The number of occupied beds has been adjusted to account for outpatient service revenue and case mix. The desired direction is toward a lower value.
QuartileMin.Max.
1 2.83 3.62
2 3.62 4.24
3 4.24 5.06
4 5.06 9.12
(lower is better)
2.83 
4.74
.
3
 9.12

Financial Viability

Indicator Description Quartile Rank 1 through 4
The average number of hours the hospital paid to employees or an agency, per adjusted admission. Admissions are adjusted for case mix and outpatient service revenue. The desired direction is toward a lower value.
QuartileMax.Min.
1 10.05 5.56
2 5.56 1.83
3 1.83 -1.86
4 -1.86 -43.23
(higher is better)
10.05 
-9.81
.
4
 -43.23
Expressed as a percentage, the average utilization of the average number of beds, excluding long-term care beds and normal newborn bassinets, that are operational to receive patients during the reporting period. The desired direction is toward a higher value.
QuartileMax.Min.
1 59.53 21.48
2 21.48 3.74
3 3.74 -0.81
4 -0.81 -61.84
(higher is better)
59.53 
-52.65
.
4
 -61.84
Expressed as a percentage, the average utilization of the number of licensed beds reported by the facility, as approved by the Virginia Department of Health. For hospitals, licensed beds exclude normal newborn bassinets, but include neonatal ICU bassinets. The desired direction is toward a higher value.
QuartileMax.Min.
1 125.00 12.59
2 12.59 0.00
3 0.00 0.00
4 0.00 -14,821.22
(higher is better)
125.00 
-19.27
.
4
 -14,821.22
Expressed as a percentage, the average utilization of high capital-cost services that are subject to Certificate of Public Need (COPN) law. Special services include: ICU/CCU, obstetrics, neonatal ICU, MRI, CT, lithotripsy, cardiac catheterization, radiation therapy and cardiac surgery. The desired direction is toward a higher value.
QuartileMin.Max.
1 0.00 0.00
2 0.00 0.56
3 0.56 2.95
4 2.95 17.44
(lower is better)
0.00 
0.89
.
3
 17.44

Community Support

Indicator Description Quartile Rank 1 through 4
The average number of days a patient stays in the hospital, adjusted for case mix using the current version of the 3M APR-DRGs. The desired direction is toward a lower value.
QuartileMax.Min.
1 10.32 5.33
2 5.33 3.20
3 3.20 1.93
4 1.93 0.00
(higher is better)
10.32 
3.36
.
2
 0.00
A measure of the facility's ability to generate cash to cover its long-term debt. The desired direction is toward a higher value.
QuartileMax.Min.
1 92.08 75.79
2 75.79 58.71
3 58.71 44.36
4 44.36 0.00
(higher is better)
92.08 
78.53
.
1
 0.00

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Updated on: 02/05/2019

Financial Information

For Fiscal Year 1/1/2017 - 12/31/2017

Revenue

  • Gross patient revenue $5,798,442
  • Contractual allowance $1,542,816
  • Net patient revenue $4,255,626
  • Other operating revenue $25,103

Expense

  • Labor$2,931,261
  • Non-labor$1,520,467
  • Capital$92,553
  • Taxes$17,160
  • Bad-debt$141,059
  • Total expense$4,702,500
  • .
  • Operating income($421,771)
  • Net non-operating gains (loss)$1,485
  • Revenue and gains
    in excess of expenses and losses($420,286)

Balance Sheet

  • Current assets$585,820
  • Net fixed assets$217,167
  • Other assets$46,955
  • Total assets$849,942
  • .
  • Current liabilities$874,057
  • Long term liabilities$193,408
  • Total liabilities$1,067,465
  • Net worth($217,523)
Click here for more information on operating and total margins.

Updated on: 02/05/2019

Staffing

Be careful when comparing staffing levels of different nursing facilities.
Information comes from data that the nursing facility reports to its state agency.
It contains the nursing facility staffing hours for a two-week period prior to the time of the state inspection.
The Centers for Medicare & Medicaid Services (CMS) receives this data and converts it into the number of staff hours per resident per day.
How to Read a Staffing Chart
Springs Nursing CenterVirginia AverageNational Average
Average number of residents per day53.397.485.9
Total number of licensed nurse staff hours per resident per day1 hour 41 minutes1 hour 40 minutes1 hour 34 minutes
RN hours per resident per day31 minutes36 minutes41 minutes
LPN/LVN hours per resident per day1 hour 11 minutes1 hour 4 minutes53 minutes
Nurse aide hours per resident per day2 hour 20 minutes2 hour 9 minutes2 hour 20 minutes
Physical therapist staff hours per resident per day7 minutes7 minutes7 minutes

Updated on: 11/28/2018

Quality Measures

Information comes from data that the nursing home regularly report on all residents. It includes aspects of residents' health, physical funcioning, mental status and general well being. The Centers for Medicare & Medicaid Services (CMS) receives this data and converts it into the number of staff hours per resident per day.
Read why Quality Measures are important to you at www.Medicare.gov

Short-Stay Residents

Quality Measures Score (higher are better) State Nation
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 66.7%
81.8%
85.3%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 92.4%
83.3%
85.6%
Percentage of short-stay residents who made improvements in function N/A 68%
69.8%
Percentage of short-stay residents who were successfully discharged to the community N/A 54%
57.4%
Quality Measures Score (lower are better) State Nation
Percentage of short-stay residents who were rehospitalized after a nursing home admission 21.3%
21.9%
21.4%
Percentage of short-stay residents who had an outpatient emergency department visit 25.6%
12.4%
12.8%
Percentage of short-stay residents who newly received an antipsychotic medication 0%
1.9%
1.8%
Percentage of short-stay residents who self-report moderate to severe pain 14.3%
12.8%
13.2%
Percentage of short-stay residents with pressure ulcers that are new or worsened 0.9%
0.9%
0.7%

Long-Stay Residents

Quality Measures Score (higher are better) State Nation
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96.4%
95.2%
95.7%
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.5%
93.9%
94.1%
Quality Measures Score (lower are better) State Nation
Percentage of long-stay residents who received an antipsychotic medication 36.3%
15%
14.5%
Percentage of long-stay residents whose ability to move independently worsened 19.3%
18.2%
20.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 33.2%
21.6%
21.5%
Number of hospitalizations per 1000 long-stay resident days 2.2%
1.7%
1.5%
Percentage of long-stay residents whose need for help with daily activities has increased 17.2%
14.9%
15.9%
Percentage of long-stay residents who self-report moderate to severe pain 5.8%
5.7%
6.5%
Percentage of high risk long-stay residents with pressure ulcers 4.1%
5.6%
5.5%
Percentage of long-stay residents who lose too much weight 7.8%
7%
7%
Percentage of low risk long-stay residents who lose control of their bowels or bladder 48.8%
48.2%
55%
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.4%
1.8%
1.2%
Percentage of long-stay residents with a urinary tract infection 2%
3%
3.9%
Percentage of long-stay residents who have depressive symptoms 2.6%
4.6%
2.8%
Percentage of long-stay residents who were physically restrained 0%
0.3%
0.3%
Percentage of long-stay residents experiencing one or more falls with major injury 9.3%
3.4%
3.7%

Updated on: 11/28/2018