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Five Counties Nursing Home

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About Five Counties Nursing Home

General Information

Legal Business NameLemmon Area Medical Association
Ownership TypeNon Profit - Other
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareSeptember 1, 1995 (21 years)
Capacity45
Residents43
Percent Occupied96%
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 Five Counties Nursing Home

Five Counties Nursing Home
was reviewed by Medicare to have a rating of 1 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

September 23, 2015 - 15 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionProvide adequate and comfortable lighting levels in all areas.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionProvide activities to meet the interests and needs of each resident.
ESomePotential for 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 InspectionTry to resolve each resident's complaints quickly.
CManyPotential for Minimal HarmHealth InspectionGive residents a notice of rights, rules, services and charges.
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
DFewPotential for HarmHealth Inspection1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

September 22, 2015 - 15 months ago

 Residents AffectedSeveritySource/TypeDescription
CManyPotential for Minimal HarmFire Safety InspectionHeating and ventilation systems that have been properly installed according to the manufacturer's instructions.
CManyPotential for Minimal HarmFire Safety InspectionEmergency lighting that can last at least 1 1/2 hours.
DFewPotential for HarmFire Safety InspectionWeekly inspections and monthly testing of generators.
DFewPotential for HarmFire Safety InspectionAn approved installation, maintenance and testing program for fire alarm systems.

March 4, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Payment DenialPayment denial for 23 days
LManyImmediate JeopardyComplaintEstablish 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 JeopardyComplaintChoose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility.
LManyImmediate JeopardyComplaintSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
LManyImmediate JeopardyComplaintMake sure that the facility is administered in an acceptable way that maintains the well-being of each resident .
LManyImmediate JeopardyComplaintDevelop 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.
LManyImmediate JeopardyComplaintProtect each resident from all abuse, physical punishment, and involuntary separation from others.
LManyImmediate JeopardyComplaintProtect each resident from mistreatment, neglect and misappropriation of personal property.
LManyImmediate JeopardyComplaint1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
GFewActual HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .

July 29, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionAn approved automatic sprinkler system connected to the fire alarm system.
ESomePotential for HarmFire Safety InspectionProperly working alarms on sprinkler valves.
ESomePotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
CManyPotential for Minimal HarmFire Safety InspectionExit stairways and towers that are smoke proof.
CManyPotential for Minimal HarmFire Safety InspectionAt least two remote exits on each floor or fire section of the building.
CManyPotential for Minimal HarmFire Safety InspectionDoors of sufficient width and proper construction in smoke barriers.

July 24, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionEnsure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion.
ESomePotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
ESomePotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmHealth Inspection1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Five Counties Nursing 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 15min
2hr 20min
ReportedExpected
CNA
40min
40min
ReportedExpected
LPN
35min
50min
ReportedExpected
RN
3hr 30min
3hr 55min
ReportedExpected
Total Nursing

This facility also provides approximately 5min 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
97.4%
100.0%
100.0%
95.7%
Q1 2015Q2 2015Q3 2015SD
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
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
13.2%
14.6%
12.2%
17.4%
Q1 2015Q2 2015Q3 2015SD
Received an Antipsychotic Medication
35.1%
29.3%
17.1%
17.3%
Q1 2015Q2 2015Q3 2015SD
Need for Help with ADLs has Increased
-
7.2%
13.8%
10.7%
Q1 2015Q2 2015Q3 2015SD
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
25.0%
16.2%
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
16.7%
10.0%
2.6%
5.9%
Q1 2015Q2 2015Q3 2015SD
Have Depressive Symptoms
6.2%
2.7%
0.0%
4.9%
Q1 2015Q2 2015Q3 2015SD
With a Urinary Tract Infection
5.3%
4.9%
4.9%
5.0%
Q1 2015Q2 2015Q3 2015SD
Experiencing One or More Falls with Major Injury
9.2%
5.0%
6.7%
4.2%
Q1 2015Q2 2015Q3 2015SD
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
2.4%
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