Wagner Community Memorial Hospital Avera

Wagner Community Memorial Hospital Avera, located in Wagner, SD, is a 15-bed Critical Access Hospital providing innovative health services close to home. As part of the Avera Health network, we offer advanced services, including 24-hour emergency care, a medical/surgical area, pediatric care, and swing bed/intermediate care. Our hospital is equipped with the latest technology, such as CT, MRI, and digital mammography, and we provide telemedicine services for consultations with a wide range of specialists. We are committed to delivering quality, cost-effective healthcare with a strong focus on your safety and comfort.

Identifiers

Hospital Name Wagner Community Memorial Hospital Avera
Facility ID 431315

Location

Address 513 3RD ST SW
City/Town Wagner
State SD
ZIP Code 57380
County/Parish CHARLES MIX

Health System

Health System Avera Health
Health System Website Domain avera.org
Recently Joined Health System (Past 4 Years) No

Health System Size & Scope

Health System Total Hospitals 35
Health System Total Beds 1519
Health System Hospital Locations Iowa, Minnesota, Nebraska and South Dakota

Ownership & Characteristics

Hospital Type Critical Access Hospitals
Hospital Ownership Voluntary non-profit - Private
Ownership Details Avera Health
Emergency Services Yes

Bryan Slaba

Chief Executive Officer

Joined Wagner Community Memorial Hospital – Avera (WCMH-A) in 2007 as CFO and was elevated to CEO in 2008. Under his leadership, WCMH-A has been transformed, facilities expanded and reconstructed, relationships built with employees, area facilities, Indian Health Services, and the Yankton Sioux Tribe, an eight-chair dialysis center established, relationships built with physicians, telemedicine and eCare services implemented, and a “Grow Your Own” project sponsored to support nurses becoming Nurse Practitioners. He received the American Hospital Association's (AHA) Rural Hospital Leadership Award in 2017.

Danielle Turner

Human Resources

Involved with the South Dakota Healthcare Human Resource Association and listed as a point of contact for Wagner Community Memorial Avera.

Residency Programs

Allopathic Residency Program No
Dental Residency Program No
Osteopathic Residency Program No
Other Residency Programs No
Pediatric Residency Program No

Capacity & Services

Licensed Beds 20

Staffing & Personnel

FTE Employees on Payroll 83.12
FTE Interns & Residents NA

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 634
Inpatient Days (Title XIX) 107
Total Inpatient Days 999
Bed Count 20
Available Bed Days 7300
Discharges (Title V) NA
Discharges (Title XVIII) 71
Discharges (Title XIX) 17
Total Discharges 139

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 203
Inpatient Days (Title XIX; Adults & Peds) 40
Total Inpatient Days (Adults & Peds) 415
Bed Count (Adults & Peds) 20
Available Bed Days (Adults & Peds) 7300
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 71
Discharges (Title XIX; Adults & Peds) 17
Total Discharges (Adults & Peds) 139

Quality Summary

Care Quality Stengths The hospital is average in every measured mortality rate Hospital has a low ER wait and treatment time of less than 2 hours
Care Quality Concerns NA

Hospital Overall Rating

Patient Experience Star Ratings

Nurse Communication – Star Rating
Doctor Communication – Star Rating
Staff Responsiveness – Star Rating
Communication About Medicines – Star Rating
Discharge Information – Star Rating
Care Transition – Star Rating
Cleanliness – Star Rating
Quietness – Star Rating
Overall Hospital Rating – Star Rating
Recommend Hospital – Star Rating

Recommendation Percentage

Percent of Patients Who Definitely Recommend the Hospital

Mortality Group Indicators

Mortality Group – Rate of Complications for Hip/Knee Replacement Patients
Mortality Group – Death Rate for Heart Attack Patients
Mortality Group – Death Rate for CABG Surgery Patients
Mortality Group – Death Rate for COPD Patients
Mortality Group – Death Rate for Heart Failure Patients
Mortality Group – Death Rate for Pneumonia Patients
Mortality Group – Death Rate for Stroke Patients
Mortality Group – Pressure Ulcer Rate
Mortality Group – Death Rate Among Surgical Inpatients With Serious Treatable Complications
Mortality Group – Iatrogenic Pneumothorax Rate
Mortality Group – In-Hospital Fall with Hip Fracture Rate
Mortality Group – Postoperative Hemorrhage or Hematoma Rate
Mortality Group – Postoperative Acute Kidney Injury Requiring Dialysis Rate
Mortality Group – Postoperative Respiratory Failure Rate
Mortality Group – Perioperative Pulmonary Embolism or Deep Vein Thrombosis Rate
Mortality Group – Postoperative Sepsis Rate
Mortality Group – Postoperative Wound Dehiscence Rate
Mortality Group – Abdominopelvic Accidental Puncture or Laceration Rate
Mortality Group – CMS Medicare PSI 90: Patient Safety and Adverse Events Composite

Timely & Effective Care

Timely and Effective Care: Average (Median) Time in the Emergency Department Before Leaving (Lower Is Better) 108

Readmission Scores & Groups

Readmission Score Hospital Return Days for Heart Attack Patients Not Available
Readmission Score Hospital Return Days for Heart Failure Patients Not Available
Readmission Score Hospital Return Days for Pneumonia Patients Not Available
Readmission Score Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) Not Available
Readmission Score Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy Not Available
Readmission Score Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy Not Available
Readmission Score Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery Not Available
Readmission Score Acute Myocardial Infarction (AMI) 30-Day Readmission Rate Not Available
Readmission Score Rate of Readmission for CABG Not Available
Readmission Score Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients Not Available
Readmission Score Heart Failure (HF) 30-Day Readmission Rate Not Available
Readmission Score Rate of Readmission After Hip/Knee Replacement Not Available
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide) 14.7
Readmission Score Pneumonia (PN) 30-Day Readmission Rate Not Available
Readmission Group Hospital Return Days for Heart Attack Patients Number of Cases Too Small
Readmission Group Hospital Return Days for Heart Failure Patients Number of Cases Too Small
Readmission Group Hospital Return Days for Pneumonia Patients Number of Cases Too Small
Readmission Group Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) Number of Cases Too Small
Readmission Group Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy Number of Cases Too Small
Readmission Group Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy Number of Cases Too Small
Readmission Group Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery Not Available
Readmission Group Acute Myocardial Infarction (AMI) 30-Day Readmission Rate Number of Cases Too Small
Readmission Group Rate of Readmission for CABG Not Available
Readmission Group Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients Number of Cases Too Small
Readmission Group Heart Failure (HF) 30-Day Readmission Rate Number of Cases Too Small
Readmission Group Rate of Readmission After Hip/Knee Replacement Not Available
Readmission Group Rate of Readmission After Discharge From Hospital (Hospital-Wide) No Different Than the National Rate
Readmission Group Pneumonia (PN) 30-Day Readmission Rate Number of Cases Too Small

Infection SIRs

CLABSI SIR (Standardized Infection Ratio) NA
CAUTI SIR (Standardized Infection Ratio) NA
SSI SIR (Standardized Infection Ratio) NA
CDI SIR (Standardized Infection Ratio) NA
MRSA SIR (Standardized Infection Ratio) NA

Fiscal Period

Fiscal Year Begin Jul 01, 2022
Fiscal Year End Jun 30, 2023

Charity & Uncompensated Care ($ thousands)

Charity Care Cost $519
Bad Debt Expense $1,426
Uncompensated Care Cost $1,151
Total Uncompensated Care $1,216

Operating Expenses ($ thousands)

Total Salaries $7,721
Overhead Expenses (Non-Salary) $6,701
Depreciation Expense $800
Total Operating Costs $13,198

Charges ($ thousands)

Inpatient Charges $4,631
Outpatient Charges $25,068
Total Patient Charges $29,700

Wage-Related Details ($ thousands)

Core Wage Costs
Wage Costs (RHC/FQHC)
Adjusted Salaries
Contract Labor (Patient Care)
Wage Costs (Part A Teaching)
Wage Costs (Interns & Residents)

Balance Sheet – Current Assets ($ thousands)

Cash & Bank Balances $695
Short-Term Investments
Notes Receivable
Accounts Receivable $6,718
Allowance for Doubtful Accounts $-3,215
Inventory $146
Prepaid Expenses $87
Other Current Assets
Total Current Assets $4,615

Balance Sheet – Fixed Assets ($ thousands)

Land Value $4
Land Improvements Value $463
Building Value $10,135
Leasehold Improvements
Fixed Equipment Value $4,323
Major Movable Equipment
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets $5,842

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments $6,790
Other Assets $537
Total Other Assets $7,327
Total Assets $17,784

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $155
Salaries & Wages Payable $648
Payroll Taxes Payable $44
Short-Term Debt $87
Deferred Revenue
Other Current Liabilities $5
Total Current Liabilities $938

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable $3,027
Unsecured Loans
Other Long-Term Liabilities
Total Long-Term Liabilities $3,027
Total Liabilities $3,966

Balance Sheet – Equity ($ thousands)

General Fund Balance $13,818
Total Fund Balances $13,818
Total Liabilities & Equity $17,784

DRG & Program Payments ($ thousands)

DRG (Non-Outlier)
DRG (Pre-Oct 1)
DRG (Post-Oct 1)
Outlier Payments
DSH Adjustment
Eligible DSH %
Simulated MC Payments
Total IME Payments

Revenue & Income Statement ($ thousands)

Inpatient Revenue $5,937
Outpatient Revenue $25,068
Total Patient Revenue $31,006
Contractual Allowances & Discounts $16,799
Net Patient Revenue $14,207
Total Operating Expenses $14,422
Net Service Income $-215
Other Income $952
Total Income $737
Other Expenses
Net Income $737

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $2,030
Medicaid Charges $4,789
Net CHIP Revenue
CHIP Charges

EHR Information

EHR Epic
EHR Version EpicCare Inpatient (not Community Connect)
EHR is Changing Yes--In Process of Replacing

ERP Information

ERP Workday
ERP Version NA
EHR is Changing No