SENIOR CITIZENS HOME

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for South Dakota are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

Long-Term Stay Preventive Actions

Long-Term Stay Deficiencies

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 04/13/2011.

Administration

Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 03/10/2010 Correction Date: 05/17/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 02/19/2009 Correction Date: 04/21/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 03/10/2010 Correction Date: 05/17/2010

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 02/19/2009 Correction Date: 04/21/2009
1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents. Inspection Date: 02/19/2009 Correction Date: 04/21/2009

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 02/19/2009 Correction Date: 04/21/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 03/10/2010 Correction Date: 05/17/2010
Properly Mark Drugs and Other Similar Products. Inspection Date: 04/13/2011 Correction Date: 06/08/2011

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 02/19/2009 Correction Date: 04/21/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 04/13/2011 Correction Date: 06/08/2011
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 04/13/2011 Correction Date: 06/08/2011

Resident Assessment

1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan. Inspection Date: 02/19/2009 Correction Date: 04/21/2009
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan. Inspection Date: 03/10/2010 Correction Date: 05/17/2010
Provide a Final Summary of the Resident's Health Status and a Summary of the Resident's Stay, when the Resident is Ready to Leave the Nursing Home. Inspection Date: 03/10/2010 Correction Date: 05/17/2010

Resident Rights

Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged. Inspection Date: 04/13/2011 Correction Date: 06/08/2011
Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 04/13/2011 Correction Date: 06/08/2011

The table below lists incident reports by the nursing staff or administration for Senior Citizens Home, as well as complaints by residents or their family in the previous three years.

Resident Assessment

Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them. Complaint Filed: 09/09/2009 Correction Date: 10/22/2009