ST. WILLIAMS HOME FOR THE AGED
Address
100 SOUTH 9TH STREET
MILBANK, SD 57252
(605) 432-5811
Nursing Home Ratings
| Health Inspections | |
| Quality Measures | |
| Nursing Staff | |
| R.N. Staff Only | |
| Overall Rating | |
Percent of Beds Occupied
Number of Residents and Certified Beds
- Residents: 57
- Certified Beds: 42
This Facility Accepts
- Medicare
- Medicaid
Operational Details
- Operated By Non Profit - Corporation
- Offers Only Resident Counseling
- This Facility is Not Part of a Chain or Franchise
Resident Services
The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Very High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by St. Williams Home for the Aged. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.
| Resident Services | Resident Conditions | Percent of Service Days |
Very High Rehabilitation
- At least one rehabilitation discipline five days/week
| ADL Index Range: 11-16 | 54.7% |
| ADL Index Range: 0-5 | 26.4% |
| Total Percent: | 81.1% |
High Rehabilitation
- At least one rehabilitation discipline five days/week
| ADL Index Range: 0-5 | 15.1% |
| Total Percent: | 15.1% |
Medium Rehabilitation
- Five days any combination of three rehabilitation disciplines
| ADL Index Range: 0-5 | 3.8% |
| Total Percent: | 3.8% |
Rating Details For St. Williams Home for the Aged
Nursing Staff - 
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.
| Nursing Hours Per Resident Per Day | Reported | Expected |
| Registered Nurse (RN) Hours | 25 Minutes | 47 Minutes |
| Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 34 Minutes | 32 Minutes |
| Certified Nursing Assistant (CNA) Hours | 2 Hours and 8 Minutes | 2 Hours and 13 Minutes |
| Total Licensed Nurse Hours | 59 Minutes | 1 Hour and 20 Minutes |
| Total Nurse Hours | 3 Hours and 7 Minutes | 3 Hours and 33 Minutes |
Quality of Care - 
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.
| This Facility | South Dakota Average |
Long-Term Stay Preventive Actions
| Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 93% |
| Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 94% |
Long-Term Stay Deficiencies
| Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 4% | 9% |
| Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 15% | 12% |
| Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 3% | 7% |
| Percent of Long-Stay Residents Who Were Physically Restrained | - | 3% |
| Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 27% | 49% |
| Percent of Long-Stay Residents Who Lose Too Much Weight | 7% | 8% |
| Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | 1% | 2% |
| Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 8% | 7% |
| Percent of Long-Stay Residents Who Are More Depressed or Anxious | 35% | 27% |
| Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 20% | 15% |
| Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores | 3% | 3% |
| Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 1% | 4% |
Short-Term Stay Preventive Actions
| Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 90% | 88% |
Short-Term Stay Deficiencies
| Percent of Short-Stay Residents Who Have Delirium | - | 3% |
| Percent of Short-Stay Residents Who Have Pressure Sores | 8% | 11% |
| Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 25% | 24% |
Health Inspection Details - 
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 01/12/2011.
Degree of Harm
- Potential for Minimal Harm
- Minimal Harm or Potential for Harm
- Resident Harmed
- Immediate Jeopardy to Resident Health
Residents Affected
- Isolated
- Some Residents
- Many Residents
| Deficiencies Found By Inspectors | Degree of Harm | Residents Affected |
Environmental
Provide Needed Housekeeping and Maintenance.
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Have a Program to Keep Infection from Spreading.
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Nutrition and Dietary
Make Sure That Residents Are Well Nourished.
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Store, Cook, and Give out Food in a Safe and Clean Way.
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Pharmacy Service
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
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Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
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At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
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Properly Mark Drugs and Other Similar Products.
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Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
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Quality Care
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
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Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
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Give Professional Services That Meet a Professional Standard of Quality.
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Give Professional Services That Meet a Professional Standard of Quality.
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Resident Assessment
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
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Resident Rights
Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help.
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Provide Proof That All Residents' Personal Money Which is Deposited with the Nursing Home, is Secure.
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Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
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Keep Each Resident's Personal and Medical Records Private and Confidential.
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Let Residents Give Themselves Their Drugs if They Are Able.
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