General Information: CASTLE MANOR
Nursing home name CASTLE MANOR
Address209 N 16TH ST
HOT SPRINGS, SD 57747
Phone number (605) 745-3159
Located within a hospital Yes
Type of ownership Non profit - Corporation
Owner operates multiple homesNo
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityNo
Resident and family councils RESIDENT
Certified number of beds 48
Total number of residents 44
Perc of occupied beds 92
Sprinkler status partially sprinklered
Last health survey date 12/09/2009
Fire survey date: 12/09/2009
Ratings Summary: CASTLE MANOR
Overall rating 2 out of 5 stars
2 out of 5 stars
Nursing Home Staffing 5 out of 5 stars
5 out of 5 stars
Registered Nurses only 5 out of 5 stars
5 out of 5 stars
Health Inspections 1 out of 5 stars
1 out of 5 stars
Quality Measures 2 out of 5 stars
2 out of 5 stars
Nursing Home Staffing Info: CASTLE MANOR
National AverageCASTLE MANOR
Overall staff rating Not Available. 5 out of 5 stars
5 out of 5 stars
Registered Nurses only rating Not Available 5 out of 5 stars
5 out of 5 stars
Total Number of Residents 94.2 44
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.4 hours 1.28 hours
Registered Nurses Hours per Residents per Day 0.6 hours 0.69 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.8 hours 0.59 hours
Certified Nursing Assistants Hours per Residents per Day 0.6 hours 0.69 hours
Health Inpections: CASTLE MANOR
Inspection Results: 12/09/2009
CorrectedCategoryDeficiencySeverity
01/28/2010Administration Deficiencies Keep accurate and appropriate medical records. E
01/28/2010Environmental Deficiencies Have a program to keep infection from spreading. D
01/28/2010Nutrition and Dietary Deficiencies 1) Provide 3 meals daily at regular times; or 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day. E
01/28/2010Environmental Deficiencies Make sure that the nursing home area is free of dangers that cause accidents. E
01/28/2010Quality Care Deficiencies Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. E
01/28/2010Resident 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. E
01/28/2010Environmental Deficiencies Provide needed housekeeping and maintenance. E
01/28/2010Quality Care Deficiencies Provide social services for related medical problems to help each resident achieve the highest possible quality of life. E
01/28/2010Resident Rights Deficiencies Listen to the resident or family groups or act on their complaints or suggestions. C
01/28/2010Mistreatment 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. D
Inspection Results: 10/29/2008
CorrectedCategoryDeficiencySeverity
12/18/2008Environmental Deficiencies Make sure that the nursing home area is free of dangers that cause accidents. E
12/18/2008Nutrition and Dietary Deficiencies Store, cook, and give out food in a safe and clean way. E
12/18/2008Administration Deficiencies Keep accurate and appropriate medical records. D
12/18/2008Quality Care Deficiencies Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. D
12/18/2008Quality Care Deficiencies Give professional services that meet a professional standard of quality. D
12/18/2008Resident 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
12/18/2008Environmental Deficiencies Provide needed housekeeping and maintenance. D
12/18/2008Resident Rights Deficiencies Listen to the resident or family groups or act on their complaints or suggestions. B
Inspection Results: 10/31/2007
CorrectedCategoryDeficiencySeverity
11/29/2007Environmental Deficiencies Move, clean and store sheets, towels and other linens in a way that prevents the spread of infection. B
12/01/2007Pharmacy Service Deficiencies Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. B
11/29/2007Nutrition and Dietary Deficiencies Store, cook, and give out food in a safe and clean way. E
11/29/2007Nutrition and Dietary Deficiencies 1) Provide 3 meals daily at regular times; or 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day. B
12/01/2007Environmental Deficiencies Make sure that the nursing home area is free of dangers that cause accidents. E
11/29/2007Quality Care Deficiencies Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. B
11/29/2007Quality Care Deficiencies Give each resident care and services to get or keep the highest quality of life possible. G
12/17/2007Resident Assessment Deficiencies Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. D

Fire Safety Inpections: CASTLE MANOR
Not available

Resident Complaints: CASTLE MANOR
Not available

Quality Measures: CASTLE MANOR
Quality MeasuresNational AverageCASTLE MANOR
Overall quality rating Not Available 2 out of 5 stars
2 out of 5 stars
Long-Stay Residents
Percent of long-stay residents whose need for help with daily activities has increased 14% 19%
Percent of low-risk long-stay residents who lose control of their bowels or bladder 50% 65%
Percent of long-stay residents who were assessed and given pneumococcal vaccination 89% 90+%
Percent of long-stay residents who have/had a catheter inserted and left in their bladder 5% 11%
Percent of long-stay residents who had a urinary tract infection 9% 13%
Percent of long-stay residents who are more depressed or anxious 14% 32%
Percent of long-stay residents who have moderate to severe pain 3% 6%
Percent of low-risk long-stay residents who have pressure sores 2% 2%
Percent of long-stay residents who lose too much weight 8% 14%
Percent of long-stay residents given influenza vaccination during the flu season 91% 90+%
Percent of long-stay residents who were physically restrained 3% 4%
Percent of long-stay residents who spend most of their time in bed or in a chair 4% 8%
Percent of high-risk long-stay residents who have pressure sores 11% 9%
Percent of long-stay residents whose ability to move about in and around their room got worse 11% 10%
Short-Stay Residents
Percent of short-stay residents who were assessed and given pneumococcal vaccination 83% 85%
Percent of short-stay residents who had moderate to severe pain 19% 20%
Percent of short-stay residents who have pressure sores 13% 26%
Percent of short-stay residents who have delirium 2% 0%
Percent of short-stay residents given influenza vaccination during the flu season 83% 89%
Severity Codes Explanation. Note: The higher the letter, the higher the severity.
AIsolated /Potential for minimal harm
BPattern /Potential for minimal harm
CWidespread /Potential for minimal harm
DIsolated /Minimal harm or potential for actual harm
EPattern /Minimal harm or potential for actual harm
FWidespread /Minimal harm or potential for actual harm
GIsolated /Actual harm
HPattern /Actual harm
IWidespread /Actual harm
JIsolated /Immediate jeopardy to resident health or safety
KPattern /Immediate jeopardy to resident health or safety
LWidespread /Immediate jeopardy to resident health or safety
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