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Castle Manor

Details

Type of Ownership Non profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 48
Continuing Care? No
Resident Council? Yes
Family Council? No
Multi-Home Chain? No
Located in a Hospital? No
Special Focus Facility? No

View:    Health Inspections  |  Quality Measures  |  Staffing  |  Fire Inspections

Health Inspections  

Most Recent Inspection: 01/12/2012

Date of last standard health inspection: 01/12/2012
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 0
Average number of Health Deficiencies in SD: 21
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in SD: 0 - 21

Inspection, 00/08/2012

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates, controls and keeps infection from spreading. 00/08/2012 00/01/2002 2 Few
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 00/08/2012 00/01/2002 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide activities to meet the interests and needs of each resident. 00/08/2012 00/01/2002 2 Some
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Allow residents the right to participate in the planning or revision of care and treatment. 00/08/2012 00/01/2002 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Send unopened mail from residents and promptly deliver unopened mail to residents. 00/08/2012 00/01/2002 1 Many
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 00/08/2012 00/01/2002 2 Some

Inspection, 02/07/2003

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident. 02/07/2003 02/06/2004 2 Many
Establish 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 02/07/2003 02/06/2004 2 Many
Employ staff that are licensed, certified, or registered in accordance with state laws. 02/07/2003 02/06/2004 2 Few
Choose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility. 02/07/2003 02/06/2004 2 Many
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 02/07/2003 02/06/2004 2 Few
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. 02/07/2003 02/06/2004 2 Many
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. 02/07/2003 02/06/2004 2 Some
Provide housekeeping and maintenance services. 02/07/2003 02/06/2004 2 Many
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/07/2003 02/06/2004 2 Many
Have a program that investigates, controls and keeps infection from spreading. 02/07/2003 02/06/2004 2 Many
Keep all essential equipment working safely. 02/07/2003 02/06/2004 1 Some
Make sure that a working call system is available in each resident's room or bathroom and bathing area. 02/07/2003 02/06/2004 2 Few
Have enough backup water supply for essential areas of the nursing home. 02/07/2003 02/06/2004 1 Many
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Protect each resident from mistreatment, neglect and misappropriation of personal property. 02/07/2003 02/06/2004 3 Some
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Hire a qualified dietician. 02/07/2003 02/06/2004 2 Many
1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. 02/07/2003 02/06/2004 2 Some
Store, cook, and serve food in a safe and clean way. 02/07/2003 02/06/2004 2 Some
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure 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. 02/07/2003 02/06/2004 2 Many
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. 02/07/2003 02/06/2004 2 Few
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. 02/07/2003 02/06/2004 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 02/07/2003 02/06/2004 2 Many
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/07/2003 02/06/2004 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 02/07/2003 02/06/2004 3 Few
Have enough nurses to care for every resident in a way that maximizes the resident's well being. 02/07/2003 02/06/2004 2 Many
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 02/07/2003 02/06/2004 3 Few
Allow residents the right to participate in the planning or revision of care and treatment. 02/07/2003 02/06/2004 2 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide care for each resident in a way that maintains or improves their quality of life. 02/07/2003 02/06/2004 3 Many
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 02/07/2003 02/06/2004 3 Some

Inspection, 01/02/2001

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 01/02/2001 01/00/2002 2 Some
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 01/02/2001 01/00/2002 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/02/2001 01/00/2002 4 Few
Have a program that investigates, controls and keeps infection from spreading. 01/02/2001 01/00/2002 2 Some
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store, cook, and serve food in a safe and clean way. 01/02/2001 01/00/2002 2 Many
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. 01/02/2001 01/00/2002 2 Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 01/02/2001 01/00/2002 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/02/2001 01/00/2002 3 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 01/02/2001 01/00/2002 3 Few

Nursing Home Staffing  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

National Average Average in SD Golden Living Center, Asheville
RN Staff Only1 N/A N/A 5 out of 5 stars
Total Number of Residents 86 56 41
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 9 hours 28 minutes 1 hour 21 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 9 hours 7 minutes 54 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 8 hours 42 minutes 27 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 10 hours 42 minutes 2 hours 35 minutes

1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.

Quality Measures  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

Long-Term Residents

Short-Term Residents

Fire Safety Inspections

Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.

Most Recent Inspection: 01/12/2012

Automatic Sprinkler Systems in all required areas Partial
Date of last standard fire safety inspection: 01/12/2012
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Fire Safety Deficiencies for this nursing home: 0
Average number of Fire Safety Deficiencies in SD: 0
Average number of Fire Safety Deficiencies in US: 2
Range of Fire Safety Deficiencies in SD: 0 - 0
 

209 N 16th St
Hot Springs, SD 57747

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