Provider Name: AVERA BRADY HEALTH AND REHAB
Address: 500 S OHLMAN, MITCHELL, SD 57301
Phone: (605) 996-7701
County: Davison (170)
Ownership Type: Non profit - Church related
Certified Beds: 84
Average Residents Per Day: 74.6 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: AVERA QUEEN OF PEACE
First Approved Date: October 1, 1991
Affiliated Entity: AVERA HEALTH (61)
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Resident
Sprinkler System Status: Yes
Overall Rating: 5 ()
Health Inspection Rating: 5 ()
QM Rating: 5 ()
Long Stay QM Rating: 5 ()
Short Stay QM Rating: 5 ()
Staffing Rating: 4 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.39534, LPN Staff Hours Per Day: 0.2367, RN Staff Hours Per Day: 1.2351, Licensed Staff Hours Per Day: 1.4718
Total Nurse Staff Hours Per Day, per resident: 3.86719
Weekend Nurse Staff Hours: 3.30063, Weekend RN Staff Hours: 0.8572
PT Staff Hours Per Day, per resident: 0.0479
Nurse Staff Turnover: 38.0, Nurse Turnover Note:
RN Turnover: 9.5, RN Turnover Note:
Admin Left Number: 2, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.0508, Case Mix LPN Hours Per Day: 0.6970, Case Mix RN Hours Per Day: 0.3113
Adjusted Nurse Aide Hours Per Day, per resident: 2.37948, Adjusted LPN Hours Per Day: 0.2506, Adjusted RN Hours Per Day: 1.4948
Total Adjusted Nurse Hours Per Day, per resident: 3.98453
Adjusted Weekend Nurse Hours Per Day, per resident: 3.40077
Health Survey Dates and Scores: Cycle 1: 2023-08-17 (Score: 8), Cycle 2: 2022-06-24 (Score: 0), Cycle 3: 2020-01-08 (Score: 4)
Total Weighted Health Score: 4.667
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations: 0
Fines and Penalties: Number of Fines: 0, Total Fines in Dollars: 0.00, Payment Denials Number: 0, Total Penalties Number: 0
Location and GPS: 500 S OHLMAN,MITCHELL,SD,57301 (43.7067, -98.047)
Process Date: 2024-03-01
Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Health, Deficiency: Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-09-15
Type: Health, Deficiency: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-09-15
Type: Health, Deficiency: Provide and implement an infection prevention and control program.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2020-02-07
Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Fire Safety, Tag: 0131, Version: New
Description: Meet requirements for sections of health care facilities separated by fire resistive construction.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-09-08