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Custer Regional Senior Care

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About Custer Regional Senior Care

General Information

Legal Business NameRegional Health Network Inc
Ownership TypeNon Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareOctober 1, 1984 (32 years)
Capacity76
Residents72
Percent Occupied95%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalYes
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Custer Regional Senior Care

Custer Regional Senior Care
was reviewed by Medicare to have a rating of 2 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of South Dakota Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

January 23, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

December 18, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
LManyImmediate JeopardyHealth InspectionEstablish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility
LManyImmediate JeopardyHealth InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
LManyImmediate JeopardyHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
LManyImmediate JeopardyHealth InspectionMake sure that the facility is administered in an acceptable way that maintains the well-being of each resident .
IManyActual HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
IManyActual HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
FManyPotential for HarmHealth InspectionTry to resolve each resident's complaints quickly.
FManyPotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
GFewActual HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
ESomePotential for HarmHealth InspectionProvide housekeeping and maintenance services.
ESomePotential for HarmHealth InspectionProvide activities to meet the interests and needs of each resident.
CManyPotential for Minimal HarmHealth InspectionAllow residents to easily view the results of the nursing home's most recent inspection.
CManyPotential for Minimal HarmHealth InspectionProvide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.
CManyPotential for Minimal HarmHealth Inspection1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day.
DFewPotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

December 17, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionExits that are accessible at all times.
ESomePotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
CManyPotential for Minimal HarmFire Safety InspectionWeekly inspections and monthly testing of generators.
DFewPotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Custer Regional Senior Care require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 55min
2hr 30min
ReportedExpected
CNA
10min
35min
ReportedExpected
LPN
40min
50min
ReportedExpected
RN
3hr 45min
3hr 55min
ReportedExpected
Total Nursing

This facility also provides approximately 30min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

100.0%
94.9%
94.9%
97.9%
Q1 2015Q2 2015Q3 2015SD
Assessed and Appropriately Given the Seasonal Influenza Vaccine
79.4%
73.9%
67.1%
95.7%
Q1 2015Q2 2015Q3 2015SD
Assessed and Appropriately Given the Pneumococcal Vaccine
58.8%
75.7%
43.8%
44.6%
Q1 2015Q2 2015Q3 2015SD
Low Risk Residents Who Lose Control of Their Bowel or Bladder
15.4%
15.6%
10.9%
17.4%
Q1 2015Q2 2015Q3 2015SD
Received an Antipsychotic Medication
10.3%
11.8%
13.2%
17.3%
Q1 2015Q2 2015Q3 2015SD
Need for Help with ADLs has Increased
4.6%
10.6%
9.6%
10.7%
Q1 2015Q2 2015Q3 2015SD
Self Report Moderate to Severe Pain
14.9%
13.2%
15.7%
7.6%
Q1 2015Q2 2015Q3 2015SD
Lose Too Much Weight
3.9%
6.1%
9.3%
4.7%
Q1 2015Q2 2015Q3 2015SD
High Risk Residents With Pressure Ulcers
13.6%
10.4%
13.0%
5.9%
Q1 2015Q2 2015Q3 2015SD
Have Depressive Symptoms
6.0%
2.9%
4.3%
4.9%
Q1 2015Q2 2015Q3 2015SD
With a Urinary Tract Infection
1.5%
2.9%
1.4%
5.0%
Q1 2015Q2 2015Q3 2015SD
Experiencing One or More Falls with Major Injury
2.7%
1.5%
2.8%
4.2%
Q1 2015Q2 2015Q3 2015SD
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
0.0%
0.6%
Q1 2015Q2 2015Q3 2015SD
Were Physically Restrained

Quality Measures for Short Stay Residents

-
-
-
79.5%
Q1 2015Q2 2015Q3 2015SD
* The data for this facility for some quarters is unavailable.
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
81.5%
Q1 2015Q2 2015Q3 2015SD
* The data for this facility for some quarters is unavailable.
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
-
-
-
19.2%
Q1 2015Q2 2015Q3 2015SD
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
-
-
-
2.1%
Q1 2015Q2 2015Q3 2015SD
* The data for this facility for some quarters is unavailable.
Newly Received an Antipsychotic Medication
-
-
-
1.6%
Q1 2015Q2 2015Q3 2015SD
* The data for this facility for some quarters is unavailable.
With Pressure Ulcers That Are New or Worsened