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Michael J Fitzmaurice South Dakota Veterans Home

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About Michael J Fitzmaurice South Dakota Veterans Home

General Information

Legal Business NameLegal Business Name Not Available
Ownership TypeGovernment - State
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareFebruary 11, 2011 (6 years)
Capacity52
Residents50
Percent Occupied96%
Program ParticipationMedicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Michael J Fitzmaurice South Dakota Veterans Home

Michael J Fitzmaurice South Dakota Veterans Home
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

August 19, 2015 - 16 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
DFewPotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
DFewPotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
BSomePotential for Minimal HarmHealth InspectionProvide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.

May 28, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
KSomeImmediate JeopardyHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
FManyPotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
FManyPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
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 InspectionMake sure that the facility is administered in an acceptable way that maintains the well-being of each resident .
ESomePotential for 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.
ESomePotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth 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
ESomePotential for HarmHealth InspectionImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
ESomePotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
ESomePotential for HarmHealth InspectionAllow residents to self-administer drugs if determined safe.
ESomePotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
ESomePotential for HarmHealth InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
DFewPotential for HarmHealth InspectionEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
DFewPotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
DFewPotential for HarmHealth InspectionPrepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.
BSomePotential for Minimal HarmHealth InspectionProvide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Michael J Fitzmaurice South Dakota Veterans Home 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 50min
2hr 10min
ReportedExpected
CNA
30min
35min
ReportedExpected
LPN
1hr
50min
ReportedExpected
RN
4hr 20min
3hr 35min
ReportedExpected
Total Nursing

This facility also provides approximately 40min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

100.0%
100.0%
100.0%
97.9%
Q1 2015Q2 2015Q3 2015SD
Assessed and Appropriately Given the Seasonal Influenza Vaccine
98.0%
98.0%
94.2%
95.7%
Q1 2015Q2 2015Q3 2015SD
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
27.8%
44.6%
Q1 2015Q2 2015Q3 2015SD
* The data for this facility for some quarters is unavailable.
Low Risk Residents Who Lose Control of Their Bowel or Bladder
2.1%
8.5%
4.1%
17.4%
Q1 2015Q2 2015Q3 2015SD
Received an Antipsychotic Medication
13.6%
17.1%
19.1%
17.3%
Q1 2015Q2 2015Q3 2015SD
Need for Help with ADLs has Increased
5.3%
8.6%
15.0%
10.7%
Q1 2015Q2 2015Q3 2015SD
Self Report Moderate to Severe Pain
16.0%
10.2%
11.5%
7.6%
Q1 2015Q2 2015Q3 2015SD
Lose Too Much Weight
-
-
-
4.7%
Q1 2015Q2 2015Q3 2015SD
* The data for this facility for some quarters is unavailable.
High Risk Residents With Pressure Ulcers
7.3%
7.3%
5.0%
5.9%
Q1 2015Q2 2015Q3 2015SD
Have Depressive Symptoms
2.0%
4.1%
3.8%
4.9%
Q1 2015Q2 2015Q3 2015SD
With a Urinary Tract Infection
2.0%
2.0%
3.8%
5.0%
Q1 2015Q2 2015Q3 2015SD
Experiencing One or More Falls with Major Injury
7.3%
9.1%
6.7%
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