South Dakota Nursing Homes >> Marion Nursing Homes >> Tieszen Memorial Home

Tieszen Memorial Home - Marion Nursing Home

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Federal Provider Number
435069
Provider Name
TIESZEN MEMORIAL HOME
Provider Address
312 EAST STATE ST
MARION, SD 57043
Provider Phone Number
(605) 648-3611
Provider SSA County
620
Provider County Name
Turner
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
64
Number of Residents in Certified Beds
62
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TIESZEN MEMORIAL HOME INC
Date First Approved to Provide Medicare and Medicaid services
1993-06-15
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
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
2.20645
Reported LPN Staffing Hours per Resident per Day
0.24113
Reported RN Staffing Hours per Resident per Day
0.60968
Reported Licensed Staffing Hours per Resident per Day
0.85081
Reported Total Nurse Staffing Hours per Resident per Day
3.05726
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04355
Expected CNA Staffing Hours per Resident per Day
2.17737
Expected LPN Staffing Hours per Resident per Day
0.54403
Expected RN Staffing Hours per Resident per Day
0.76611
Expected Total Nurse Staffing Hours per Resident per Day
3.48751
Adjusted CNA Staffing Hours per Resident per Day
2.48647
Adjusted LPN Staffing Hours per Resident per Day
0.36788
Adjusted RN Staffing Hours per Resident per Day
0.59463
Adjusted Total Nurse Staffing Hours per Resident per Day
3.53361
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-06-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-06-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-05-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
36.66700
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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