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Sunset Manor Avera Health

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About Sunset Manor Avera Health

General Information

Legal Business NameSunset Manor Inc.
Ownership TypeNon Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJanuary 1, 1997 (20 years)
Capacity56
Residents52
Percent Occupied93%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Sunset Manor Avera Health

Sunset Manor Avera Health
was reviewed by Medicare to have a rating of 3 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

June 3, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmHealth InspectionProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
ESomePotential for HarmHealth InspectionDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
ESomePotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
ESomePotential for HarmHealth InspectionProvide housekeeping and maintenance services.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential 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 InspectionProvide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
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.

April 9, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionKeep each resident free from physical restraints, unless needed for medical treatment.
ESomePotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
ESomePotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Sunset Manor Avera Health 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 30min
2hr 5min
ReportedExpected
CNA
35min
35min
ReportedExpected
LPN
1hr
55min
ReportedExpected
RN
4hr 5min
3hr 40min
ReportedExpected
Total Nursing

This facility also provides approximately 10min 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
86.8%
88.7%
90.4%
95.7%
Q1 2015Q2 2015Q3 2015SD
Assessed and Appropriately Given the Pneumococcal Vaccine
48.4%
54.5%
46.7%
44.6%
Q1 2015Q2 2015Q3 2015SD
Low Risk Residents Who Lose Control of Their Bowel or Bladder
43.8%
46.9%
56.2%
17.4%
Q1 2015Q2 2015Q3 2015SD
Received an Antipsychotic Medication
8.5%
32.7%
22.4%
17.3%
Q1 2015Q2 2015Q3 2015SD
Need for Help with ADLs has Increased
14.2%
9.5%
8.8%
10.7%
Q1 2015Q2 2015Q3 2015SD
Self Report Moderate to Severe Pain
5.7%
1.9%
0.0%
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
18.0%
11.5%
7.7%
5.9%
Q1 2015Q2 2015Q3 2015SD
Have Depressive Symptoms
3.8%
5.8%
3.8%
4.9%
Q1 2015Q2 2015Q3 2015SD
With a Urinary Tract Infection
5.7%
5.7%
7.7%
5.0%
Q1 2015Q2 2015Q3 2015SD
Experiencing One or More Falls with Major Injury
1.9%
2.2%
2.3%
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