US Nursing Home Finder: CUSTER REGIONAL SENIOR CARE CUSTER SD

General Information: CUSTER REGIONAL SENIOR CARE
Nursing home name	CUSTER REGIONAL SENIOR CARE
Address	1065 MONTGOMERY ST CUSTER, SD 57730
Phone number	(605) 673-2237
Located within a hospital	No
Type of ownership	Non profit - Church related
Owner operates multiple homes	Yes
Accept Medicare or Medicaid	Medicare and Medicaid
Continue Care Retirement Community	No
Resident and family councils	BOTH
Certified number of beds	72
Total number of residents	72
Perc of occupied beds	100
Sprinkler status	fully sprinklered
Last health survey date	08/26/2009
Fire survey date:	08/27/2009

Ratings Summary: CUSTER REGIONAL SENIOR CARE
Overall rating	2 out of 5 stars
Nursing Home Staffing	3 out of 5 stars
Registered Nurses only	4 out of 5 stars
Health Inspections	2 out of 5 stars
Quality Measures	2 out of 5 stars

Nursing Home Staffing Info: CUSTER REGIONAL SENIOR CARE
	National Average	CUSTER REGIONAL SENIOR CARE
Overall staff rating	Not Available.	3 out of 5 stars
Registered Nurses only rating	Not Available	4 out of 5 stars
Total Number of Residents	94.2	72
Total Number of Licensed Nurse Staff Hours per Resident per Day	1.4 hours	0.86 hours
Registered Nurses Hours per Residents per Day	0.6 hours	0.7 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day	0.8 hours	0.16 hours
Certified Nursing Assistants Hours per Residents per Day	0.6 hours	0.7 hours

Health Inpections: CUSTER REGIONAL SENIOR CARE
Inspection Results: 08/26/2009
Corrected	Category	Deficiency	Severity
10/28/2009	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	D
10/28/2009	Resident Assessment Deficiencies	1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan.	D
10/28/2009	Quality Care Deficiencies	Provide social services for related medical problems to help each resident achieve the highest possible quality of life.	D
10/28/2009	Resident Rights Deficiencies	Make sure each resident has the right to choose activities, schedules and health care according to his or her interests, assessment, and plan of care.	D
10/28/2009	Resident Rights Deficiencies	Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for; or 2) how to apply for Medicaid, along with the names and addresses of State groups that can help.	B
Inspection Results: 09/04/2008
Corrected	Category	Deficiency	Severity
09/22/2008	Administration Deficiencies	Hire nurse aides who have shown that they are skilled and care for residents safely on-the-job.	C
09/04/2008	Environmental Deficiencies	Have a program to keep infection from spreading.	C
10/22/2008	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	E
10/22/2008	Resident Assessment Deficiencies	1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan.	D
10/22/2008	Mistreatment Deficiencies	1) Hire only people who have 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.	E
10/22/2008	Resident Rights Deficiencies	Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for; or 2) how to apply for Medicaid, along with the names and addresses of State groups that can help.	B
Inspection Results: 08/15/2007
Corrected	Category	Deficiency	Severity
09/11/2007	Administration Deficiencies	Give or get lab tests to meet the needs of residents.	D
09/11/2007	Administration Deficiencies	Keep accurate and appropriate medical records.	B
09/11/2007	Environmental Deficiencies	Make sure that staff members wash their hands when needed.	D
11/09/2007	Pharmacy Service Deficiencies	Properly mark drugs and other similar products.	E
09/11/2007	Pharmacy Service Deficiencies	Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly.	D
09/11/2007	Quality Care Deficiencies	Give or get dental care for each resident.	G
09/11/2007	Administration Deficiencies	post nurse staffing information.	C
09/11/2007	Quality Care Deficiencies	Give each resident enough fluids to keep them healthy and prevent dehydration.	D
11/09/2007	Quality Care Deficiencies	Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.	E
09/11/2007	Resident Assessment Deficiencies	Do a new assessment after any major change in a resident's physical or mental health.	D
09/11/2007	Environmental Deficiencies	Keep safe, clean and homelike surroundings.	E
09/11/2007	Quality Care Deficiencies	Provide social services for related medical problems to help each resident achieve the highest possible quality of life.	D
09/11/2007	Quality Care Deficiencies	Provide activities to meet the needs of each resident.	E
09/11/2007	Mistreatment Deficiencies	Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.	E
09/11/2007	Resident Rights Deficiencies	Let residents give themselves their drugs if they are able.	D

Fire Safety Inpections: CUSTER REGIONAL SENIOR CARE
Inspection Results: 08/27/2009
Corrected	Category	Deficiency	Severity
10/01/2009	Fire Alarm Systems Deficiencies	properly maintained smoke detectors.	C
10/01/2009	Fire Alarm Systems Deficiencies	an approved installation, maintenance and testing program for fire alarm systems.	C
08/27/2009	Corridor Walls and Doors Deficiencies	corridor and hallway doors that block smoke.	B
09/17/2009	Exits and Egress Deficiencies	exits that are accessible at all times.	E
Inspection Results: 08/15/2007
Corrected	Category	Deficiency	Severity
10/01/2007	Furnishings and Decorations Deficiencies	restrictions on the use of highly flammable materials.	C
09/24/2007	Smoking Regulations Deficiencies	posted "No-smoking" signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed.	B

Resident Complaints: CUSTER REGIONAL SENIOR CARE
Not available

Quality Measures: CUSTER REGIONAL SENIOR CARE
Quality Measures	National Average	CUSTER REGIONAL SENIOR CARE
Overall quality rating	Not Available	2 out of 5 stars
Long-Stay Residents
Percent of low-risk long-stay residents who have pressure sores	2%	1%
Percent of low-risk long-stay residents who lose control of their bowels or bladder	50%	32%
Percent of long-stay residents whose need for help with daily activities has increased	14%	28%
Percent of long-stay residents who have/had a catheter inserted and left in their bladder	5%	8%
Percent of long-stay residents who were assessed and given pneumococcal vaccination	89%	90+%
Percent of long-stay residents who have moderate to severe pain	3%	3%
Percent of long-stay residents who are more depressed or anxious	14%	30%
Percent of long-stay residents who spend most of their time in bed or in a chair	4%	0%
Percent of long-stay residents whose ability to move about in and around their room got worse	11%	23%
Percent of high-risk long-stay residents who have pressure sores	11%	4%
Percent of long-stay residents given influenza vaccination during the flu season	91%	90+%
Percent of long-stay residents who were physically restrained	3%	1%
Percent of long-stay residents who lose too much weight	8%	14%
Percent of long-stay residents who had a urinary tract infection	9%	7%
Short-Stay Residents
Percent of short-stay residents who have pressure sores	13%	9%
Percent of short-stay residents who were assessed and given pneumococcal vaccination	83%	90+%
Percent of short-stay residents who have delirium	2%	1%
Percent of short-stay residents given influenza vaccination during the flu season	83%	75%
Percent of short-stay residents who had moderate to severe pain	19%	22%

Severity Codes Explanation. Note: The higher the letter, the higher the severity.
A	Isolated /Potential for minimal harm
B	Pattern /Potential for minimal harm
C	Widespread /Potential for minimal harm
D	Isolated /Minimal harm or potential for actual harm
E	Pattern /Minimal harm or potential for actual harm
F	Widespread /Minimal harm or potential for actual harm
G	Isolated /Actual harm
H	Pattern /Actual harm
I	Widespread /Actual harm
J	Isolated /Immediate jeopardy to resident health or safety
K	Pattern /Immediate jeopardy to resident health or safety
L	Widespread /Immediate jeopardy to resident health or safety

US Nursing Home Finder™: CUSTER REGIONAL SENIOR CARE CUSTER SD