South Dakota Nursing Homes >> Parkston Nursing Homes >> Avera Bormann Manor

Avera Bormann Manor - Parkston Nursing Home

General Information

UPDATE
Federal Provider Number
43A137
Provider Name
AVERA BORMANN MANOR
Provider Address
501 NORTH 4TH STREET
PARKSTON, SD 57366
Provider Phone Number
6059283384
Provider SSA County
330
Provider County Name
Hutchinson
Ownership Type
Non profit - Church related
Number of Certified Beds
47
Number of Residents in Certified Beds
47
Provider Type
Medicaid
Provider Resides in Hospital
Y
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
2011-07-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.37660
Reported LPN Staffing Hours per Resident per Day
0.12128
Reported RN Staffing Hours per Resident per Day
0.90532
Reported Licensed Staffing Hours per Resident per Day
1.02660
Reported Total Nurse Staffing Hours per Resident per Day
4.40320
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03085
Expected CNA Staffing Hours per Resident per Day
2.43936
Expected LPN Staffing Hours per Resident per Day
0.56879
Expected RN Staffing Hours per Resident per Day
0.69897
Expected Total Nurse Staffing Hours per Resident per Day
3.70713
Adjusted CNA Staffing Hours per Resident per Day
3.39645
Adjusted LPN Staffing Hours per Resident per Day
0.17698
Adjusted RN Staffing Hours per Resident per Day
0.96779
Adjusted Total Nurse Staffing Hours per Resident per Day
4.78777
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-11-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-09-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-08-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
49.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01

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