AVERA OAHE MANOR Nursing Home


AVERA OAHE MANOR (CCN: 43A113) is a Non profit - Corporation facility located in GETTYSBURG, SD (57442). The facility has an overall rating of 3/5, health inspection rating of 3/5, and a staffing rating of 3/5. It offers 53 certified beds and maintains an average of 34.1 residents per day. The nursing staff includes Nurse Aides, LPNs, and RNs working 3.52534 total hours per resident per day. It has been certified since July 1, 1991 and the last listed health inspection was on January 25, 2024, The facility is located in Potter county and provides senior and nursing home care.

AVERA OAHE MANOR Summary


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Provider Name: AVERA OAHE MANOR

Address: 700 E GARFIELD, GETTYSBURG, SD 57442

Phone: (605) 765-2461

County: Potter (530)

Ownership Type: Non profit - Corporation

Certified Beds: 53

Average Residents Per Day: 34.1 ()

Provider Type: Medicaid, Resides in Hospital: No

Legal Business Name: Legal Business Name Not Available

First Approved Date: July 1, 1991

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: 3 ()

QM Rating: 3 ()

Long Stay QM Rating: 3 ()

Short Stay QM Rating: (2)

Staffing Rating: 3 ()

Staffing Report Note:

PT Staffing Note:

Nurse Aide Staff Hours Per Day, per resident: 2.16626, LPN Staff Hours Per Day: 0.6543, RN Staff Hours Per Day: 0.7047, Licensed Staff Hours Per Day: 1.3590

Total Nurse Staff Hours Per Day, per resident: 3.52534

Weekend Nurse Staff Hours: 3.14431, Weekend RN Staff Hours: 0.5136

PT Staff Hours Per Day, per resident: 0.0000

Nurse Staff Turnover: 56.8, Nurse Turnover Note:

RN Turnover: 60.0, RN Turnover Note:

Admin Left Number: 0, Admin Turnover Note:

Case Mix Nurse Aide Hours Per Day, per resident: 1.9873, Case Mix LPN Hours Per Day: 0.6051, Case Mix RN Hours Per Day: 0.2889

Adjusted Nurse Aide Hours Per Day, per resident: 2.22061, Adjusted LPN Hours Per Day: 0.7979, Adjusted RN Hours Per Day: 0.9191

Total Adjusted Nurse Hours Per Day, per resident: 3.85635

Adjusted Weekend Nurse Hours Per Day, per resident: 3.43955

Health Survey Dates and Scores: Cycle 1: 2024-01-25 (Score: 20), Cycle 2: 2022-12-07 (Score: 0), Cycle 3: 2021-07-15 (Score: 32)

Total Weighted Health Score: 15.333

Reported Incidents: 0, Substantiated Complaints: 0

Infection Control Citations:

Fines and Penalties: Number of Fines: 0, Total Fines in Dollars: 0.00, Payment Denials Number: 0, Total Penalties Number: 0

Location and GPS: 700 E GARFIELD,GETTYSBURG,SD,57442 (45.0135, -99.948)

Process Date: 2024-03-01


Health Inspection Citations Details

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:

Citation on 2024-01-25

Type: Health, Deficiency: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

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 2024-03-10

Citation on 2024-01-25

Type: Health, Deficiency: Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

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 2024-03-10

Citation on 2024-01-25

Type: Health, Deficiency: Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

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 2024-03-10

Citation on 2021-07-15

Type: Health, Deficiency: Provide activities to meet all resident's needs.

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 2021-09-03

Citation on 2021-07-15

Type: Health, Deficiency: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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 2021-09-03

Citation on 2021-07-15

Type: Health, Deficiency: Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised.

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 2021-09-03

Citation on 2021-07-15

Type: Health, Deficiency: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted 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 2021-09-03

Citation on 2021-07-15

Type: Health, Deficiency: Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

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 2021-09-03


Fire Safety Citations Details

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:

Citation on 2024-01-23

Type: Fire Safety, Tag: 0321, Version: New

Description: Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has plan of correction on 2024-03-08

Citation on 2022-12-06

Type: Fire Safety, Tag: 0241, Version: New

Description: Have correct number of accessible exits for each story.

Severity: C - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.

Corrected: Fire Safety Evaluation Survey on 2023-01-25

Citation on 2022-12-06

Type: Fire Safety, Tag: 0293, Version: New

Description: Have properly located and lighted "Exit" signs.

Severity: C - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-01-09

Citation on 2022-12-06

Type: Fire Safety, Tag: 0916, Version: New

Description: Have a battery powered remote alarm panel in a location accessible by operating personnel.

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 2023-01-25