Provider Name: TIESZEN MEMORIAL HOME
Address: 312 EAST STATE ST, MARION, SD 57043
Phone: (605) 648-3611
County: Turner (620)
Ownership Type: Non profit - Corporation
Certified Beds: 64
Average Residents Per Day: 55.9 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: TIESZEN MEMORIAL HOME INC
First Approved Date: June 15, 1993
Affiliated Entity: ()
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Both
Sprinkler System Status: Yes
Overall Rating: 4 ()
Health Inspection Rating: 4 ()
QM Rating: 4 ()
Long Stay QM Rating: 4 ()
Short Stay QM Rating: (2)
Staffing Rating: 4 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.47270, LPN Staff Hours Per Day: 0.3395, RN Staff Hours Per Day: 0.6566, Licensed Staff Hours Per Day: 0.9961
Total Nurse Staff Hours Per Day, per resident: 3.46885
Weekend Nurse Staff Hours: 3.04944, Weekend RN Staff Hours: 0.4937
PT Staff Hours Per Day, per resident: 0.0422
Nurse Staff Turnover: 58.6, Nurse Turnover Note:
RN Turnover: 33.3, RN Turnover Note:
Admin Left Number: 0, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 1.8166, Case Mix LPN Hours Per Day: 0.6087, Case Mix RN Hours Per Day: 0.2543
Adjusted Nurse Aide Hours Per Day, per resident: 2.77302, Adjusted LPN Hours Per Day: 0.4116, Adjusted RN Hours Per Day: 0.9728
Total Adjusted Nurse Hours Per Day, per resident: 4.08035
Adjusted Weekend Nurse Hours Per Day, per resident: 3.58700
Health Survey Dates and Scores: Cycle 1: 2023-08-23 (Score: 4), Cycle 2: 2022-05-26 (Score: 16), Cycle 3: 2019-10-30 (Score: 16)
Total Weighted Health Score: 10.000
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: 312 EAST STATE ST,MARION,SD,57043 (43.4266, -97.255)
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: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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 2023-09-25
Type: Health, Deficiency: Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-06-29
Type: Health, Deficiency: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-06-29
Type: Health, Deficiency: Ensure services provided by the nursing facility meet professional standards of quality.
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 2019-12-19
Type: Health, Deficiency: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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 2019-12-19
Type: Health, Deficiency: Provide and implement an infection prevention and control program.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-12-19
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: