CUSTER REGIONAL SENIOR CARE - CUSTER, SD

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Addresss:

1065 MONTGOMERY ST
CUSTER, SD, 57730

Phone (make sure to verify first before calling): (605) 673-2237

Number of Certified Beds: 76
Total Number of Residents: 72
Percent of Occupied Beds: 95%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: Non profit - Corporation
Located Within a Hospital?: No
Multi Nursing Home Ownership?: Yes
Resident and Family Councils: Both
Continuing Care Retirement Community?: No
Quality Indicator Survey?: No
Special Focus Facility?: No
Type: Skilled Nursing Facilities

Overall Star Rating: 2 Stars
Health Inspections Star Rating: 1 Star
Nurse Staffing Star Rating: 4 Stars
Quality Measures Star Rating: 4 Stars
RN Only Star Rating: 4 Stars

Other nearby hospitals and nursing homes

GOLDEN LIVINGCENTER - MEADOWBROOK (RAPID CITY, 25.72 miles)
BLACK HILLS SURGICAL HOSPITAL LLP (RAPID CITY, 26.45 miles)
CASTLE MANOR (HOT SPRINGS, 24.29 miles)
CUSTER REGIONAL HOSPITAL - CRITICAL ACCESS HOSP (0.02 miles)
PHS INDIAN HOSPITAL AT RAPID CITY - SIOUX SAN (RAPID CITY, 26.56 miles)
MICHAEL J FITZMAURICE SOUTH DAKOTA VETERANS HOME (HOT SPRINGS, 23.66 miles)
SOUTHERN HILLS HOSPITAL (HOT SPRINGS, 24.29 miles)

Employment Full-Time Equivalent

Administrative Staff - Full Time: 0.57

Certified Nurse Aides - Full Time: 21.04

Certified Nurse Aides - Part Time: 9.79

Dietitians - Under Contract: 0.17

Food Service Personnel - Full Time: 10.34

Food Service Personnel - Part Time: 0.80

Housekeeping Personnel - Full Time: 4.87

Licensed Practical/ Vocational Nurses - Full Time: 4.76

Licensed Practical/ Vocational Nurses - Part Time: 0.37

Medical Directors - Under Contract: 0.09

Nurses With Administrative Duties - Full Time: 2.31

Persons Not Included In Any Other Categories - Full Time: 2.83

Registered Nurses - Full Time: 1.31

Rn Director Of Nursing - Full Time: 1.03

Social Workers - Full Time: 1.14

Activities Professionals - Full Time: 0.76

Occupational Therapists - Part Time: 0.07

Pharmacists - Under Contract: 0.17

Physical Therapists - Part Time: 0.64

Podiatrists - Under Contract: 0.01

Speech Pathologists - Under Contract: 0.23

Nurse Aides In Training - Full Time: 0.81

Other Physicians - Under Contract: 0.11

Persons Not Included In Any Other Categories - Part Time: 3.30

Registered Nurses - Part Time: 3.69

Occupational Therapists - Full Time: 0.29

Physical Therapists - Full Time: 0.40

Physical Therapy Aide - Full Time: 3.31

Occupational Therapy Assistants - Part Time: 0.20

Physical Therapy Aide - Part Time: 0.69

Number Of Beds

Total: 73

Total Certified: 73

For Residents With Alzeheimers: 16

Provided Services

Activities Services Are Provided Onsite To Residents

Administration And Storage Of Blood Services Are Provided Offsite To Residents

Clinical Laboratory Services Are Provided Offsite To Residents

Dental Services Are Provided Offsite To Residents

Diagnostic Xray Services Are Provided Offsite To Residents

Dietary Services Are Provided Onsite To Non Residents

Dietary Services Are Provided Onsite To Residents

Housekeeping Services Are Provided Onsite To Residents

Mental Health Services Are Provided Offsite To Residents

Nursing Services Are Provided Onsite To Residents

Occupational Therapy Services Are Provided Offsite To Residents

Occupational Therapy Services Are Provided Onsite To Residents

Pharmacy Services Are Provided Onsite To Residents

Physical Therapy Services Are Provided Offsite To Residents

Physical Therapy Services Are Provided Onsite To Residents

Physician Services Are Provided Offsite To Residents

Physician Services Are Provided Onsite To Residents

Podiatry Services Are Provided Offsite To Residents

Social Work Services Are Provided Onsite To Residents

Speech/Language Pathology Services Are Provided Offsite To Residents

Speech/Language Pathology Services Are Provided Onsite To Residents

Complaint Deficiency

Give each resident a notice of rights, rules, services and charges. Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for
- Harm: Potential for minimal harm
- Scope: Some
Make sure each resident has the right to have a choice over activities, their schedules and health care according to his or her interests, assessment, and plan of care
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide medically-related social services to help each resident achieve the highest possible quality of life
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Allow the resident the right to participate in the planning or revision of the resident's care plan
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Corridor and hallway doors that block smoke
- Harm: Potential for minimal harm
- Scope: Some
Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Some
An approved installation, maintenance and testing program for fire alarm systems
- Harm: Potential for minimal harm
- Scope: Many
Properly maintained smoke detectors
- Harm: Potential for minimal harm
- Scope: Many
Construction that can resist fire for one hour or an approved fire extinguishing system
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Automatic sprinkler systems that have been maintained in working order
- Harm: Potential for minimal harm
- Scope: Many
No-smoking signs where oxygen is used
- Harm: Potential for minimal harm
- Scope: Some
Send and promptly deliver unopened mail to residents
- Harm: Potential for minimal harm
- Scope: Many
Keep each resident free from physical restraints, unless needed for medical treatment
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide housekeeping and maintenance services
- Harm: Potential for minimal harm
- Scope: Many
Make sure services provided by the nursing facility meet professional standards of quality
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Exits that are accessible at all times
- Harm: Potential for minimal harm
- Scope: Some
Give each resident a notice of rights, rules, services and charges. Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for
- Harm: Potential for minimal harm
- Scope: Many
Provide activities to meet the interests and needs of each resident
- Harm: Potential for minimal harm
- Scope: Some
Provide housekeeping and maintenance services
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Allow the resident the right to participate in the planning or revision of the resident's care plan
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Make sure services provided by the nursing facility meet professional standards of quality
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Some
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Keep accurate, complete and organized clinical records on each resident that meet professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Few

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	0.730
South Dakota:	0.829

Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day

Here:	0.190
State:	0.353

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	0.920
State:	1.169

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.080
State:	0.070

Number Therapy Hours Per Resident Per Day

Here:	0.080
State:	0.077

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased

This Nursing Home:	32.2%
South Dakota:	16.7%

Percent of long-stay residents who self-report moderate to severe pain

Here:	24.8%
State:	13.0%

Percent of long-stay high-risk residents with pressure ulcers

Here:	2.3%
State:	5.1%

Percent of long-stay residents who lose too much weight

This Nursing Home:	1.6%
State:	6.5%

Percent of long-stay low-risk residents who lose control of their bowels or bladder

This Nursing Home:	59.4%
South Dakota:	44.4%

Percent of long-stay residents with a urinary tract infection

This Nursing Home:	6.3%
South Dakota:	5.7%

Percent of long-stay residents who have depressive symptoms

Here:	1.6%
State:	9.2%

Percent of long-stay residents experiencing one or more falls with major injury

Here:	6.3%
State:	4.9%

Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine

Here:	100.0%
South Dakota:	97.7%

Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine

This Nursing Home:	92.2%
State:	97.7%

Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine

Here:	54.2%
State:	81.7%

Percent of long-stay residents who received an antipsychotic medication

Here:	25.0%
State:	20.3%

CUSTER REGIONAL SENIOR CARE - CUSTER, SD

Complaint Deficiency

Staff Information

Quality Measures

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