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Overview

Address
1401 RIVER RD, GREENWOOD, MS 38930
Phone
(662) 459-7000
Hospital Type
Acute Care
Ownership
Government (Local)
Emergency Services
Yes
1 /5
CMS Overall Rating
p0
Acute Care — General medical and surgical hospital participating in Medicare IPPS. Subject to CMS quality reporting and payment adjustment programs (VBP, HRRP, HAC).

CMS Star Rating — Quality Domain Breakdown

CMS computes the overall star rating from five quality domains. Each domain compares this hospital's measures against national benchmarks.

Mortality 5 of 7 measures reported
5
Better No different Worse
30-day death rates for heart attack, heart failure, pneumonia, COPD, stroke, CABG, and kidney disease.
Safety of Care 3 of 8 measures reported
3
Better No different Worse
Healthcare-associated infections and patient safety indicators (PSI-90 composite).
Readmission 7 of 11 measures reported
7
Better No different Worse
30-day unplanned readmission rates for heart attack, heart failure, pneumonia, COPD, hip/knee replacement, and CABG.
Timely & Effective Care 11 of 12 measures reported
11 measures reported (comparative data not available for this domain)
Process-of-care measures including flu immunization, blood clot prevention, and appropriate use of imaging.

Readmissions — Hospital Readmissions Reduction Program

The Excess Readmission Ratio (ERR) compares this hospital's 30-day readmission rate to expected, adjusting for patient mix. An ERR of 1.0 means readmissions are as expected; > 1.0 triggers a Medicare payment penalty (up to 3%).

This hospital has excess readmissions in at least one condition and is subject to HRRP payment reduction.
Acute Myocardial Infarction (Heart Attack)
— Not reported
Heart Failure 59 discharges
0.9939 p46
Pneumonia
0.9816 p40
COPD
— Not reported
Hip/Knee Replacement
1.0299 p60
CABG Surgery
— Not reported
Expected (1.0) National median

CMS Payment Programs

Three Medicare programs adjust hospital payments based on quality performance. Hospitals can be penalized under multiple programs simultaneously.

Readmissions (HRRP)
Penalized
Worst ERR: 1.0299
Value-Based Purchasing
HAC Reduction
Payment Reduced
HAC Score: 0.5583

Complications & Deaths

30-day mortality rates, patient safety indicators, and complication rates. "Better" means statistically significantly better than the national rate.

Measure Score vs. National Denominator
COMP_HIP_KNEE 4.50 No Different Than the National Rate 66
Hybrid_HWM 4.70 No Different Than the National Rate 136
MORT_30_AMI Number of Cases Too Small
MORT_30_CABG
MORT_30_COPD Number of Cases Too Small
MORT_30_HF 11.80 No Different Than the National Rate 47
MORT_30_PN 22.70 Worse Than the National Rate 83
MORT_30_STK 15.00 No Different Than the National Rate 39
PSI_03 0.56 No Different Than the National Rate 355
PSI_04 Number of Cases Too Small
PSI_06 0.21 No Different Than the National Rate 597
PSI_08 0.27 No Different Than the National Rate 570
PSI_09 2.32 No Different Than the National Rate 110
PSI_10 1.67 No Different Than the National Rate 72
PSI_11 9.06 No Different Than the National Rate 71
PSI_12 3.38 No Different Than the National Rate 113
PSI_13 5.18 No Different Than the National Rate 64
PSI_14 Number of Cases Too Small
PSI_15 1.05 No Different Than the National Rate 54
PSI_90 0.96 No Different Than the National Value

Patient Experience (HCAHPS)

Hospital Consumer Assessment of Healthcare Providers and Systems — standardized patient survey measuring satisfaction with care.

Measure Score Star Rating
H_COMP_1_A_P: Nurses "always" communicated well 78%
H_COMP_1_SN_P: Nurses "sometimes" or "never" communicated well 6%
H_COMP_1_U_P: Nurses "usually" communicated well 16%
H_COMP_1_LINEAR_SCORE: Nurse communication - linear mean score
H_COMP_1_STAR_RATING: Nurse communication - star rating
H_NURSE_RESPECT_A_P: Nurses "always" treated them with courtesy and respect 83%
H_NURSE_RESPECT_SN_P: Nurses "sometimes" or "never" treated them with courtesy and respect 2%
H_NURSE_RESPECT_U_P: Nurses "usually" treated them with courtesy and respect 15%
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 78%
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 8%
H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully 14%
H_NURSE_EXPLAIN_A_P: Nurses "always" explained things so they could understand 74%
H_NURSE_EXPLAIN_SN_P: Nurses "sometimes" or "never" explained things so they could understand 7%
H_NURSE_EXPLAIN_U_P: Nurses "usually" explained things so they could understand 19%
H_COMP_2_A_P: Doctors "always" communicated well 82%
H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well 5%
H_COMP_2_U_P: Doctors "usually" communicated well 13%
H_COMP_2_LINEAR_SCORE: Doctor communication - linear mean score
H_COMP_2_STAR_RATING: Doctor communication - star rating
H_DOCTOR_RESPECT_A_P: Doctors "always" treated them with courtesy and respect 87%
H_DOCTOR_RESPECT_SN_P: Doctors "sometimes" or "never" treated them with courtesy and respect 2%
H_DOCTOR_RESPECT_U_P: Doctors "usually" treated them with courtesy and respect 11%
H_DOCTOR_LISTEN_A_P: Doctors "always" listened carefully 79%
H_DOCTOR_LISTEN_SN_P: Doctors "sometimes" or "never" listened carefully 5%
H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully 16%
H_DOCTOR_EXPLAIN_A_P: Doctors "always" explained things so they could understand 80%
H_DOCTOR_EXPLAIN_SN_P: Doctors "sometimes" or "never" explained things so they could understand 8%
H_DOCTOR_EXPLAIN_U_P: Doctors "usually" explained things so they could understand 12%
H_COMP_5_A_P: Staff "always" explained 60%
H_COMP_5_SN_P: Staff "sometimes" or "never" explained 24%
H_COMP_5_U_P: Staff "usually" explained 16%
H_COMP_5_LINEAR_SCORE: Communication about medicines - linear mean score
H_COMP_5_STAR_RATING: Communication about medicines - star rating
H_MED_FOR_A_P: Staff "always" explained new medications 80%
H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications 13%
H_MED_FOR_U_P: Staff "usually" explained new medications 7%
H_SIDE_EFFECTS_A_P: Staff "always" explained possible side effects 39%
H_SIDE_EFFECTS_SN_P: Staff "sometimes" or "never" explained possible side effects 36%
H_SIDE_EFFECTS_U_P: Staff "usually" explained possible side effects 25%
H_COMP_6_N_P: No, staff "did not" give patients this information 8%
H_COMP_6_Y_P: Yes, staff "did" give patients this information 92%
H_COMP_6_LINEAR_SCORE: Discharge information - linear mean score
H_COMP_6_STAR_RATING: Discharge information - star rating
H_DISCH_HELP_N_P: No, staff "did not" give patients information about help after discharge 6%
H_DISCH_HELP_Y_P: Yes, staff "did" give patients information about help after discharge 94%
H_SYMPTOMS_N_P: No, staff "did not" give patients information about possible symptoms 10%
H_SYMPTOMS_Y_P: Yes, staff "did" give patients information about possible symptoms 90%
H_CLEAN_HSP_A_P: Room was "always" clean 72%
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 11%
H_CLEAN_HSP_U_P: Room was "usually" clean 17%
H_CLEAN_LINEAR_SCORE: Cleanliness - linear mean score
H_CLEAN_STAR_RATING: Cleanliness - star rating
H_QUIET_HSP_A_P: "Always" quiet at night 62%
H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night 7%
H_QUIET_HSP_U_P: "Usually" quiet at night 31%
H_QUIET_LINEAR_SCORE: Quietness - linear mean score
H_QUIET_STAR_RATING: Quietness - star rating
H_HSP_RATING_0_6: Patients who gave a rating of "6" or lower (low) 13%
H_HSP_RATING_7_8: Patients who gave a rating of "7" or "8" (medium) 19%
H_HSP_RATING_9_10: Patients who gave a rating of "9" or "10" (high) 68%
H_HSP_RATING_LINEAR_SCORE: Overall hospital rating - linear mean score
H_HSP_RATING_STAR_RATING: Overall hospital rating - star rating
H_RECMND_DN: "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it) 10%
H_RECMND_DY: "YES", patients would definitely recommend the hospital 57%
H_RECMND_PY: "YES", patients would probably recommend the hospital 33%
H_RECMND_LINEAR_SCORE: Recommend hospital - linear mean score
H_RECMND_STAR_RATING: Recommend hospital - star rating
H_STAR_RATING: Summary star rating

Healthcare Associated Infections

Standardized Infection Ratios (SIR). A SIR < 1.0 means fewer infections than predicted based on national baseline data.

Measure Score (SIR) vs. National
HAI_1_CILOWER
HAI_1_CIUPPER
HAI_1_DOPC 223.000
HAI_1_ELIGCASES 0.129
HAI_1_NUMERATOR 1.000
HAI_1_SIR
HAI_2_CILOWER
HAI_2_CIUPPER
HAI_2_DOPC 450.000
HAI_2_ELIGCASES 0.221
HAI_2_NUMERATOR 0.000
HAI_2_SIR
HAI_3_CILOWER
HAI_3_CIUPPER
HAI_3_DOPC 3.000
HAI_3_ELIGCASES 0.087
HAI_3_NUMERATOR 0.000
HAI_3_SIR
HAI_4_CILOWER
HAI_4_CIUPPER
HAI_4_DOPC
HAI_4_ELIGCASES
HAI_4_NUMERATOR
HAI_4_SIR
HAI_5_CILOWER
HAI_5_CIUPPER
HAI_5_DOPC 3300.000
HAI_5_ELIGCASES 0.076
HAI_5_NUMERATOR 0.000
HAI_5_SIR
HAI_6_CILOWER
HAI_6_CIUPPER
HAI_6_DOPC 3300.000
HAI_6_ELIGCASES 0.923
HAI_6_NUMERATOR 1.000
HAI_6_SIR

Timely & Effective Care

Process-of-care measures including ED wait times, treatment timeliness, and preventive care.

Measure Score Condition
EDV low Emergency Department
GMCS Electronic Clinical Quality Measure
GMCS_Malnutrition_Diagnosis_Documented Electronic Clinical Quality Measure
GMCS_Malnutrition_Screening Electronic Clinical Quality Measure
GMCS_Nutrition_Assessment Electronic Clinical Quality Measure
GMCS_Nutritional_Care_Plan Electronic Clinical Quality Measure
HH_HYPER 0.0 Electronic Clinical Quality Measure
HH_HYPO Electronic Clinical Quality Measure
HH_ORAE Electronic Clinical Quality Measure
IMM_3 91.0 Healthcare Personnel Vaccination
OP_18a 185.0 Emergency Department
OP_18b 176.0 Emergency Department
OP_18c 320.0 Emergency Department
OP_18d 460.0 Emergency Department
OP_22 9.0 Emergency Department
OP_23 Emergency Department
OP_29 98.0 Colonoscopy care
OP_31 Cataract surgery outcome
OP_40 Electronic Clinical Quality Measure
SAFE_USE_OF_OPIOIDS 11.0 Electronic Clinical Quality Measure
SEP_1 48.0 Sepsis Care
SEP_SH_3HR Sepsis Care
SEP_SH_6HR Sepsis Care
SEV_SEP_3HR 66.0 Sepsis Care
SEV_SEP_6HR 89.0 Sepsis Care
STK_02 Electronic Clinical Quality Measure
STK_03 Electronic Clinical Quality Measure
STK_05 Electronic Clinical Quality Measure
VTE_1 47.0 Electronic Clinical Quality Measure
VTE_2 Electronic Clinical Quality Measure

Unplanned Hospital Visits

Readmission and ED return rates within 30 days of discharge.

Measure Score vs. National
EDAC_30_AMI Number of Cases Too Small
EDAC_30_HF 30.80 More Days Than Average per 100 Discharges
EDAC_30_PN 29.10 More Days Than Average per 100 Discharges
Hybrid_HWR 14.80 No Different Than the National Rate
OP_32 16.10 No Different Than the National Rate
OP_35_ADM Number of Cases Too Small
OP_35_ED Number of Cases Too Small
OP_36 1.00 No Different than expected
READM_30_AMI Number of Cases Too Small
READM_30_CABG
READM_30_COPD Number of Cases Too Small
READM_30_HF 19.60 No Different Than the National Rate
READM_30_HIP_KNEE 5.00 No Different Than the National Rate
READM_30_PN 15.70 No Different Than the National Rate

Medicare Spending Per Beneficiary

MSPB ratio: values > 1.0 mean this hospital's episode spending is higher than the national median hospital.

Value
1.01

Financial Health (Cost Report — FY 2023)

All Data

Every labeled metric surfaced for this hospital, with national medians and percentiles where a benchmark is available.

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Source Metric Value National Median Pctl. Raw key
Cost Report Cost-to-Charge Ratio 0.40 metrics.cost_to_charge_ratio
Cost Report Current Ratio 0.88 metrics.current_ratio
Cost Report Employees per Bed 14.92 metrics.employees_per_bed
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Fund Balance ($) $16,886,284 metrics.fund_balance
Cost Report Net Income ($) $-7,241,812 metrics.net_income
Cost Report Net Patient Revenue ($) $55,434,675 metrics.net_patient_revenue
Cost Report Operating Margin (%) -35.0% metrics.operating_margin
Cost Report Total Assets ($) $34,200,854 metrics.total_assets
Cost Report Total Costs ($) $59,102,201 metrics.total_costs
Cost Report Total Liabilities ($) $17,314,570 metrics.total_liabilities
Cost Report Total Margin (%) -10.7% metrics.total_margin
Cost Report Uncompensated Care (%) 9.5% metrics.uncompensated_care_pct
General Information Address 1401 RIVER RD Address
General Information City/Town GREENWOOD City/Town
General Information Count of Facility MORT Measures 5 Count of Facility MORT Measures
General Information Count of Facility Pt Exp Measures Not Available Count of Facility Pt Exp Measures
General Information Count of Facility READM Measures 7 Count of Facility READM Measures
General Information Count of Facility Safety Measures 3 Count of Facility Safety Measures
General Information Count of Facility TE Measures 11 Count of Facility TE Measures
General Information Count of MORT Measures Better 0 Count of MORT Measures Better
General Information Count of MORT Measures No Different 5 Count of MORT Measures No Different
General Information Count of MORT Measures Worse 0 Count of MORT Measures Worse
General Information Count of READM Measures Better 0 Count of READM Measures Better
General Information Count of READM Measures No Different 7 Count of READM Measures No Different
General Information Count of READM Measures Worse 0 Count of READM Measures Worse
General Information Count of Safety Measures Better 0 Count of Safety Measures Better
General Information Count of Safety Measures No Different 3 Count of Safety Measures No Different
General Information Count of Safety Measures Worse 0 Count of Safety Measures Worse
General Information County/Parish LEFLORE County/Parish
General Information Emergency Services Yes Emergency Services
General Information Facility ID 250099 Facility ID
General Information Facility Name GREENWOOD LEFLORE HOSPITAL Facility Name
General Information Hospital overall rating 1 Hospital overall rating
General Information Hospital overall rating footnote Hospital overall rating footnote
General Information Hospital Ownership Government - Local Hospital Ownership
General Information Hospital Type Acute Care Hospitals Hospital Type
General Information Meets criteria for birthing friendly designation Meets criteria for birthing friendly designation
General Information MORT Group Footnote MORT Group Footnote
General Information MORT Group Measure Count 7 MORT Group Measure Count
General Information Pt Exp Group Footnote 5 Pt Exp Group Footnote
General Information Pt Exp Group Measure Count 8 Pt Exp Group Measure Count
General Information READM Group Footnote READM Group Footnote
General Information READM Group Measure Count 11 READM Group Measure Count
General Information Safety Group Footnote Safety Group Footnote
General Information Safety Group Measure Count 8 Safety Group Measure Count
General Information State MS State
General Information TE Group Footnote TE Group Footnote
General Information TE Group Measure Count 12 TE Group Measure Count
General Information Telephone Number (662) 459-7000 Telephone Number
General Information ZIP Code 38930 ZIP Code
HAC Reduction Program fiscal_year 2,026 fiscal_year
HAC Reduction Program measures — cdi — sir 0.72 measures.cdi.sir
HAC Reduction Program payment_reduction Yes payment_reduction
HAC Reduction Program total_hac_score 0.56 total_hac_score
Medicare Spending per Beneficiary End Date 12/31/2024 End Date
Medicare Spending per Beneficiary Measure ID MSPB-1 Measure ID
Medicare Spending per Beneficiary Start Date 01/01/2024 Start Date
Medicare Spending per Beneficiary Value 1.01 Value
Readmissions (HRRP) Heart Failure — Excess readmission ratio 0.99 0.9983 p46 READM-30-HF-HRRP.excess_readmission_ratio
Readmissions (HRRP) Heart Failure — Expected readmission rate 19.5% READM-30-HF-HRRP.expected_readmission_rate
Readmissions (HRRP) Heart Failure — Number of discharges 59 READM-30-HF-HRRP.num_discharges
Readmissions (HRRP) Heart Failure — Number of readmissions 11 READM-30-HF-HRRP.num_readmissions
Readmissions (HRRP) Heart Failure — Predicted readmission rate 19.4% READM-30-HF-HRRP.predicted_readmission_rate
Readmissions (HRRP) Hip/Knee Replacement — Excess readmission ratio 1.03 0.9916 p60 READM-30-HIP-KNEE-HRRP.excess_readmission_ratio
Readmissions (HRRP) Hip/Knee Replacement — Expected readmission rate 3.9% READM-30-HIP-KNEE-HRRP.expected_readmission_rate
Readmissions (HRRP) Hip/Knee Replacement — Predicted readmission rate 4.0% READM-30-HIP-KNEE-HRRP.predicted_readmission_rate
Readmissions (HRRP) Pneumonia — Excess readmission ratio 0.98 0.9955 p40 READM-30-PN-HRRP.excess_readmission_ratio
Readmissions (HRRP) Pneumonia — Expected readmission rate 14.5% READM-30-PN-HRRP.expected_readmission_rate
Readmissions (HRRP) Pneumonia — Predicted readmission rate 14.2% READM-30-PN-HRRP.predicted_readmission_rate
Methodology

Full methodology →