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Avera Prince Of Peace

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About Avera Prince Of Peace

General Information

Legal Business NameAvera Mckennan
Ownership TypeNon Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareOctober 1, 1992 (25 years)
Capacity90
Residents80
Percent Occupied89%
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 Prince Of Peace

Avera Prince Of Peace
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

July 7, 2016 - 15 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaint+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 InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
ESomePotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionProtect each resident from all abuse, physical punishment, and involuntary separation from others.
ESomePotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
ESomePotential for HarmHealth InspectionKeep each resident free from physical restraints, unless needed for medical treatment.
ESomePotential for HarmComplaint+InspectionProvide medically-related social services to help each resident achieve the highest possible quality of life.
ESomePotential for HarmComplaint+InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth InspectionMake sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing.
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 services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmHealth InspectionAllow residents to self-administer drugs if determined safe.
DFewPotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.

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 Prince Of Peace 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.

3hr 5min
2hr 15min
ReportedExpected
CNA
10min
40min
ReportedExpected
LPN
1hr 10min
1hr 5min
ReportedExpected
RN
4hr 20min
3hr 60min
ReportedExpected
Total Nursing

This facility also provides approximately 2hr 15min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

97.3%
97.2%
97.2%
97.2%
97.1%
Q4 2015Q1 2016Q2 2016Q3 2016SD
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
88.2%
87.9%
73.8%
79.7%
94.9%
Q4 2015Q1 2016Q2 2016Q3 2016SD
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
32.0%
-
27.3%
20.7%
44.6%
Q4 2015Q1 2016Q2 2016Q3 2016SD
* The data for this facility for some quarters is unavailable.
Percentage of low risk long-stay residents who lose control of their bowels or bladder
11.7%
16.9%
14.3%
8.1%
19.1%
Q4 2015Q1 2016Q2 2016Q3 2016SD
Percentage of long-stay residents who received an antianxiety or hypnotic medication
32.6%
23.0%
13.7%
23.7%
19.5%
Q4 2015Q1 2016Q2 2016Q3 2016SD
Percentage of long-stay residents whose ability to move independently worsened
10.6%
12.5%
15.0%
14.3%
16.3%
Q4 2015Q1 2016Q2 2016Q3 2016SD
Percentage of long-stay residents who received an antipsychotic medication
31.5%
13.2%
21.7%
17.3%
17.6%
Q4 2015Q1 2016Q2 2016Q3 2016SD
Percentage of long-stay residents whose need for help with daily activities has increased
11.9%
7.7%
10.1%
11.2%
10.8%
Q4 2015Q1 2016Q2 2016Q3 2016SD
Percentage of long-stay residents who self-report moderate to severe pain
4.4%
6.2%
6.7%
6.2%
7.1%
Q4 2015Q1 2016Q2 2016Q3 2016SD
Percentage of long-stay residents who lose too much weight
8.2%
11.1%
2.6%
3.1%
4.6%
Q4 2015Q1 2016Q2 2016Q3 2016SD
Percentage of high risk long-stay residents with pressure ulcers
1.5%
6.3%
5.0%
1.6%
5.5%
Q4 2015Q1 2016Q2 2016Q3 2016SD
Percentage of long-stay residents who have depressive symptoms
4.4%
1.6%
0.0%
3.1%
4.6%
Q4 2015Q1 2016Q2 2016Q3 2016SD
Percentage of long-stay residents with a urinary tract infection
4.4%
3.0%
3.3%
3.1%
5.6%
Q4 2015Q1 2016Q2 2016Q3 2016SD
Percentage of long-stay residents experiencing one or more falls with major injury
1.7%
1.6%
3.4%
0.0%
3.5%
Q4 2015Q1 2016Q2 2016Q3 2016SD
Percentage of long-stay residents with a catheter inserted and left in their bladder
1.5%
1.5%
1.6%
0.0%
0.6%
Q4 2015Q1 2016Q2 2016Q3 2016SD
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

85.7%
91.3%
84.2%
79.3%
79.9%
Q4 2015Q1 2016Q2 2016Q3 2016SD
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
71.4%
86.5%
86.5%
86.5%
80.2%
Q4 2015Q1 2016Q2 2016Q3 2016SD
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
88.0%
89.7%
80.5%
72.3%
75.3%
Q4 2015Q1 2016Q2 2016Q3 2016SD
Percentage of short-stay residents who made improvements in function
23.3%
28.9%
26.7%
19.6%
17.6%
Q4 2015Q1 2016Q2 2016Q3 2016SD
Percentage of short-stay residents who self-report moderate to severe pain
0.0%
0.9%
1.5%
2.3%
2.4%
Q4 2015Q1 2016Q2 2016Q3 2016SD
Percentage of short-stay residents who newly received an antipsychotic medication
0.7%
1.4%
0.6%
0.6%
1.6%
Q4 2015Q1 2016Q2 2016Q3 2016SD
Percentage of short-stay residents with pressure ulcers that are new or worsened