Avera Oahe Manor - Gettysburg Nursing Home
General Information
UPDATEFederal Provider Number
43A113
Provider Name
AVERA OAHE MANOR
Provider Address
700 E GARFIELD
GETTYSBURG, SD 57442
GETTYSBURG, SD 57442
Provider Phone Number
6057652461
Provider SSA County
530
Provider County Name
Potter
Ownership Type
Non profit - Church related
Number of Certified Beds
50
Number of Residents in Certified Beds
42
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
1991-07-01
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
4
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.50357
Reported LPN Staffing Hours per Resident per Day
0.32857
Reported RN Staffing Hours per Resident per Day
0.74405
Reported Licensed Staffing Hours per Resident per Day
1.07262
Reported Total Nurse Staffing Hours per Resident per Day
3.57619
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05476
Expected CNA Staffing Hours per Resident per Day
2.29472
Expected LPN Staffing Hours per Resident per Day
0.54615
Expected RN Staffing Hours per Resident per Day
0.70353
Expected Total Nurse Staffing Hours per Resident per Day
3.54440
Adjusted CNA Staffing Hours per Resident per Day
2.67702
Adjusted LPN Staffing Hours per Resident per Day
0.49934
Adjusted RN Staffing Hours per Resident per Day
0.79023
Adjusted Total Nurse Staffing Hours per Resident per Day
4.06705
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-06-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-06-05
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-03-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
40.00000
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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