CASTLE MANOR
Address
209 N 16TH ST
HOT SPRINGS, SD 57747
(605) 745-3460
Nursing Home Ratings
| Health Inspections | |
| Quality Measures | |
| Nursing Staff | |
| R.N. Staff Only | |
| Overall Rating | |
Percent of Beds Occupied
90%Number of Residents and Certified Beds
- Residents: 43
- Certified Beds: 48
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 "Clinically Complex". 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 Castle Manor. 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 |
Clinically Complex
- Pneumonia, hemiplegia with ADL score >=5
- Surgical wounds or open lesions with treatment
- Burns
- Chemotherapy while a resident
- Oxygen therapy while a resident
- IV medications or transfusions while a resident
- Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
| ADL Index Range: 6-10 - No Signs of depression | 23.1% |
| ADL Index Range: 0-1 - No Signs of depression | 38.5% |
| Total Percent: | 61.5% |
Behavioral Symptoms and Cognitive Performance
- Cognitive impairment BIMS score less than or equal to 9
- CPS great than or equal to 3
- Hallucinations or delusions
- Physical or verbal behavioral symptoms toward others
- Other behavioral symptoms
- Rejection of care or wandering
- Activities of Daily Living (ADL) score of 5 or less
| ADL Index Range: 2-5 - Less restorative nursing | 13.8% |
| Total Percent: | 13.8% |
Reduced Physical Function
- Urinary and/or bowel training program
- Passive and/or active range of motion (ROM)
- Amputation/prosthesis training
- Dressing or grooming training
- Eating or swallowing training
- Transfer training
- Splint or brace assistance
- Bed mobility and/or walking training
- Communication training
| ADL Index Range: 2-5 - Less restorative nursing | 16.9% |
| ADL Index Range: 0-1 - Less restorative nursing | 7.7% |
| Total Percent: | 24.6% |
Rating Details For Castle Manor
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 | 51 Minutes | 49 Minutes |
| Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 44 Minutes | 34 Minutes |
| Certified Nursing Assistant (CNA) Hours | 2 Hours and 31 Minutes | 2 Hours and 14 Minutes |
| Total Licensed Nurse Hours | 1 Hour and 35 Minutes | 1 Hour and 23 Minutes |
| Total Nurse Hours | 4 Hours and 6 Minutes | 3 Hours and 37 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 Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 94% |
| Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 93% |
Long-Term Stay Deficiencies
| Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 12% | 7% |
| Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 19% | 12% |
| Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 15% | 7% |
| Percent of Long-Stay Residents Who Were Physically Restrained | 5% | 3% |
| Percent of Long-Stay Residents Who Lose Too Much Weight | 13% | 8% |
| Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 20% | 15% |
| Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 63% | 49% |
| Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | 8% | 2% |
| Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 22% | 9% |
| Percent of Long-Stay Residents Who Are More Depressed or Anxious | 30% | 27% |
| Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores | 7% | 3% |
| Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 4% | 4% |
Short-Term Stay Preventive Actions
| Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 88% |
| Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 89% |
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 12/08/2010.
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 |
Administration
Keep Accurate and Appropriate Medical Records.
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Keep Accurate and Appropriate Medical Records.
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Environmental
Provide Needed Housekeeping and Maintenance.
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Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
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Provide Needed Housekeeping and Maintenance.
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Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
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Have a Program to Keep Infection from Spreading.
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Have a Program to Keep Infection from Spreading.
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Mistreatment
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.
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Nutrition and Dietary
Store, Cook, and Give out Food in a Safe and Clean Way.
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1) Provide 3 Meals Daily at Regular Times; or 2) Serve Breakfast Within 14 Hours After Dinner; or 3) Offer a Snack at Bedtime Each Day.
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Pharmacy Service
Properly Mark Drugs and Other Similar Products.
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Quality Care
Give Professional Services That Meet a Professional Standard of Quality.
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Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
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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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Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
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Provide Activities to Meet the Needs of Each Resident.
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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.
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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.
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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.
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Resident Rights
Listen to the Resident or Family Groups or Act on Their Complaints or Suggestions.
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Listen to the Resident or Family Groups or Act on Their Complaints or Suggestions.
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Send and Promptly Deliver Unopened Mail to Residents.
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Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
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