AVERA BORMANN MANOR Nursing Home


AVERA BORMANN MANOR (CCN: 43A137) is a Non profit - Corporation facility located in PARKSTON, SD (57366). The facility has an overall rating of 4/5, health inspection rating of 4/5, and a staffing rating of 4/5. It offers 49 certified beds and maintains an average of 48.2 residents per day. The nursing staff includes Nurse Aides, LPNs, and RNs working 3.10156 total hours per resident per day. It has been certified since July 1, 2011 and the last listed health inspection was on June 8, 2023, The facility is located in Hutchinson county and provides senior and nursing home care.

AVERA BORMANN MANOR Summary


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Provider Name: AVERA BORMANN MANOR

Address: 501 NORTH 4TH STREET, PARKSTON, SD 57366

Phone: (605) 928-3384

County: Hutchinson (330)

Ownership Type: Non profit - Corporation

Certified Beds: 49

Average Residents Per Day: 48.2 ()

Provider Type: Medicaid, Resides in Hospital: No

Legal Business Name: Legal Business Name Not Available

First Approved Date: July 1, 2011

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: 4 ()

Health Inspection Rating: 4 ()

QM Rating: 3 ()

Long Stay QM Rating: 3 ()

Short Stay QM Rating: (2)

Staffing Rating: 4 ()

Staffing Report Note:

PT Staffing Note:

Nurse Aide Staff Hours Per Day, per resident: 2.03924, LPN Staff Hours Per Day: 0.1083, RN Staff Hours Per Day: 0.9540, Licensed Staff Hours Per Day: 1.0623

Total Nurse Staff Hours Per Day, per resident: 3.10156

Weekend Nurse Staff Hours: 2.56998, Weekend RN Staff Hours: 0.5052

PT Staff Hours Per Day, per resident: 0.0000

Nurse Staff Turnover: 47.6, Nurse Turnover Note:

RN Turnover: 30.0, RN Turnover Note:

Admin Left Number: , Admin Turnover Note: 6

Case Mix Nurse Aide Hours Per Day, per resident: 1.8980, Case Mix LPN Hours Per Day: 0.6223, Case Mix RN Hours Per Day: 0.2718

Adjusted Nurse Aide Hours Per Day, per resident: 2.18876, Adjusted LPN Hours Per Day: 0.1284, Adjusted RN Hours Per Day: 1.3221

Total Adjusted Nurse Hours Per Day, per resident: 3.50119

Adjusted Weekend Nurse Hours Per Day, per resident: 2.90112

Health Survey Dates and Scores: Cycle 1: 2023-06-08 (Score: 8), Cycle 2: 2022-01-20 (Score: 8), Cycle 3: 2019-05-15 (Score: 16)

Total Weighted Health Score: 9.333

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: 501 NORTH 4TH STREET,PARKSTON,SD,57366 (43.3989, -97.990)

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 2023-06-08

Type: Health, Deficiency: Keep residents' personal and medical records private and confidential.

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 2023-07-27

Citation on 2022-01-20

Type: Health, Deficiency: Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

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 2022-03-11

Citation on 2019-05-15

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

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 2019-07-04

Citation on 2019-05-15

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 2019-07-04


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 2023-06-06

Type: Fire Safety, Tag: 0226, Version: New

Description: Have horizontal exits used in accordance with safety requirements.

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 2023-07-07

Citation on 2023-06-06

Type: Fire Safety, Tag: 0712, Version: New

Description: Have simulated fire drills held at unexpected times.

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

Corrected: Deficient, Provider has date of correction on 2023-07-13

Citation on 2019-05-15

Type: Fire Safety, Tag: 0353, Version: New

Description: Inspect, test, and maintain automatic sprinkler systems.

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 2019-05-28

Citation on 2019-05-15

Type: Fire Safety, Tag: 0919, Version: New

Description: Meet requirements for the use of electrical equipment.

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 2019-05-22