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Avera Maryhouse Long Term Care

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Pierre Care And Rehabilitation Center
Pierre, SD
< 1 mile

About Avera Maryhouse Long Term Care

General Information

Legal Business NameAvera St Marys
Ownership TypeNon Profit - Church Related
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareAugust 26, 1985 (32 years)
Capacity80
Residents61
Percent Occupied76%
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 Avera Maryhouse Long Term Care

Avera Maryhouse Long Term Care
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

March 16, 2016 - 13 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
CManyPotential for Minimal HarmHealth InspectionPost nurse staffing information/data on a daily basis.
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.

October 7, 2015 - 1 year ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintHave a program that investigates, controls and keeps infection from spreading.

June 3, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
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 InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

February 20, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
GFewActual HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .

July 10, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmComplaintGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
ESomePotential for HarmComplaintAllow residents the right to participate in the planning or revision of care and treatment.
DFewPotential for HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.

April 9, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Avera Maryhouse Long Term 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 40min
2hr 10min
ReportedExpected
CNA
40min
35min
ReportedExpected
LPN
1hr 10min
50min
ReportedExpected
RN
4hr 30min
3hr 30min
ReportedExpected
Total Nursing

Quality Measures for Long Stay Residents

98.2%
98.1%
98.1%
98.1%
97.1%
Q4 2015Q1 2016Q2 2016Q3 2016SD
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
100.0%
100.0%
100.0%
94.9%
Q4 2015Q1 2016Q2 2016Q3 2016SD
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
40.6%
40.5%
36.8%
33.3%
44.6%
Q4 2015Q1 2016Q2 2016Q3 2016SD
Percentage of low risk long-stay residents who lose control of their bowels or bladder
14.9%
16.0%
14.5%
10.5%
19.1%
Q4 2015Q1 2016Q2 2016Q3 2016SD
Percentage of long-stay residents who received an antianxiety or hypnotic medication
25.7%
23.5%
22.3%
35.0%
19.5%
Q4 2015Q1 2016Q2 2016Q3 2016SD
Percentage of long-stay residents whose ability to move independently worsened
7.0%
4.4%
4.0%
7.4%
16.3%
Q4 2015Q1 2016Q2 2016Q3 2016SD
Percentage of long-stay residents who received an antipsychotic medication
15.6%
14.6%
32.7%
23.6%
17.6%
Q4 2015Q1 2016Q2 2016Q3 2016SD
Percentage of long-stay residents whose need for help with daily activities has increased
5.8%
2.6%
3.9%
7.4%
10.8%
Q4 2015Q1 2016Q2 2016Q3 2016SD
Percentage of long-stay residents who self-report moderate to severe pain
4.2%
4.0%
7.4%
3.4%
7.1%
Q4 2015Q1 2016Q2 2016Q3 2016SD
Percentage of long-stay residents who lose too much weight
0.0%
0.0%
0.0%
0.0%
4.6%
Q4 2015Q1 2016Q2 2016Q3 2016SD
Percentage of high risk long-stay residents with pressure ulcers
0.0%
0.0%
0.0%
0.0%
5.5%
Q4 2015Q1 2016Q2 2016Q3 2016SD
Percentage of long-stay residents who have depressive symptoms
2.1%
2.0%
5.6%
5.2%
4.6%
Q4 2015Q1 2016Q2 2016Q3 2016SD
Percentage of long-stay residents with a urinary tract infection
0.0%
0.0%
5.5%
6.8%
5.6%
Q4 2015Q1 2016Q2 2016Q3 2016SD
Percentage of long-stay residents experiencing one or more falls with major injury
5.2%
0.0%
0.0%
3.9%
3.5%
Q4 2015Q1 2016Q2 2016Q3 2016SD
Percentage of long-stay residents with a catheter inserted and left in their bladder
0.0%
0.0%
0.0%
0.0%
0.6%
Q4 2015Q1 2016Q2 2016Q3 2016SD
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

88.7%
89.6%
94.6%
95.5%
79.9%
Q4 2015Q1 2016Q2 2016Q3 2016SD
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
95.7%
90.8%
90.8%
90.8%
80.2%
Q4 2015Q1 2016Q2 2016Q3 2016SD
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
70.6%
77.1%
66.9%
58.2%
75.3%
Q4 2015Q1 2016Q2 2016Q3 2016SD
Percentage of short-stay residents who made improvements in function
12.9%
13.4%
11.3%
13.5%
17.6%
Q4 2015Q1 2016Q2 2016Q3 2016SD
Percentage of short-stay residents who self-report moderate to severe pain
2.1%
2.0%
2.2%
0.0%
2.4%
Q4 2015Q1 2016Q2 2016Q3 2016SD
Percentage of short-stay residents who newly received an antipsychotic medication
0.0%
1.4%
1.3%
0.0%
1.6%
Q4 2015Q1 2016Q2 2016Q3 2016SD
Percentage of short-stay residents with pressure ulcers that are new or worsened