Provider Name: STRAND-KJORSVIG COMMUNITY REST HOME
Address: 801 S MAIN, ROSLYN, SD 57261
Phone: (605) 486-4523
County: Day (180)
Ownership Type: Non profit - Corporation
Certified Beds: 35
Average Residents Per Day: 32.7 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: STRAND-KJORSVIG COMMUNITY REST HOME
First Approved Date: August 25, 2008
Affiliated Entity: ()
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Resident
Sprinkler System Status: Yes
Overall Rating: 3 ()
Health Inspection Rating: 4 ()
QM Rating: 1 ()
Long Stay QM Rating: 1 ()
Short Stay QM Rating: (2)
Staffing Rating: 2 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 1.80238, LPN Staff Hours Per Day: 0.5904, RN Staff Hours Per Day: 0.5507, Licensed Staff Hours Per Day: 1.1411
Total Nurse Staff Hours Per Day, per resident: 2.94354
Weekend Nurse Staff Hours: 2.14478, Weekend RN Staff Hours: 0.4438
PT Staff Hours Per Day, per resident: 0.0153
Nurse Staff Turnover: 69.7, Nurse Turnover Note:
RN Turnover: 60.0, RN Turnover Note:
Admin Left Number: 1, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 1.8258, Case Mix LPN Hours Per Day: 0.6710, Case Mix RN Hours Per Day: 0.2905
Adjusted Nurse Aide Hours Per Day, per resident: 2.01108, Adjusted LPN Hours Per Day: 0.6493, Adjusted RN Hours Per Day: 0.7142
Total Adjusted Nurse Hours Per Day, per resident: 3.32862
Adjusted Weekend Nurse Hours Per Day, per resident: 2.42537
Health Survey Dates and Scores: Cycle 1: 2024-01-04 (Score: 16), Cycle 2: 2022-11-17 (Score: 16), Cycle 3: 2021-06-29 (Score: 0)
Total Weighted Health Score: 13.333
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations:
Fines and Penalties: Number of Fines: 8, Total Fines in Dollars: 30974.45, Payment Denials Number: 0, Total Penalties Number: 8
Location and GPS: 801 S MAIN,ROSLYN,SD,57261 (45.4940, -97.492)
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: Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has plan of correction on 2024-02-18
Type: Health, Deficiency: Ensure each resident receives an accurate assessment.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has plan of correction on 2024-02-18
Type: Health, Deficiency: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has plan of correction on 2024-02-18
Type: Health, Deficiency: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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 2023-01-02
Type: Health, Deficiency: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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 2023-01-02
Type: Health, Deficiency: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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 2023-01-02
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: