Custer Regional Senior Care - Custer Nursing Home
General Information
UPDATEFederal Provider Number
435032
Provider Name
CUSTER REGIONAL SENIOR CARE
Provider Address
1065 MONTGOMERY ST
CUSTER, SD 57730
CUSTER, SD 57730
Provider Phone Number
6056732237
Provider SSA County
160
Provider County Name
Custer
Ownership Type
Non profit - Corporation
Number of Certified Beds
76
Number of Residents in Certified Beds
72
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
REGIONAL HEALTH NETWORK INC
Date First Approved to Provide Medicare and Medicaid services
1984-10-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.89167
Reported LPN Staffing Hours per Resident per Day
0.19444
Reported RN Staffing Hours per Resident per Day
0.64514
Reported Licensed Staffing Hours per Resident per Day
0.83958
Reported Total Nurse Staffing Hours per Resident per Day
3.73125
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07361
Expected CNA Staffing Hours per Resident per Day
2.51787
Expected LPN Staffing Hours per Resident per Day
0.58049
Expected RN Staffing Hours per Resident per Day
0.83665
Expected Total Nurse Staffing Hours per Resident per Day
3.93502
Adjusted CNA Staffing Hours per Resident per Day
2.81797
Adjusted LPN Staffing Hours per Resident per Day
0.27801
Adjusted RN Staffing Hours per Resident per Day
0.57616
Adjusted Total Nurse Staffing Hours per Resident per Day
3.82216
Cycle 1 Total Number of Health Deficiencies
17
Cycle 1 Number of Standard Health Deficiencies
16
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
784
Cycle 1 Standard Survey Health Date
2014-12-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
784
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
2013-11-20
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
16
Cycle 3 Number of Standard Health Deficiencies
16
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
100
Cycle 3 Standard Health Survey Date
2012-10-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
100
Total Weighted Health Survey Score
426.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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