LAKE ANDES SENIOR LIVING

Nursing Home Inspector

740 EAST LAKE ST POST OFFICE BOX 130
LAKE ANDES, SD 57356
Charles Mix County
Phone: 605-487-7674
Provider Number: 435097
Last Inspection: 06/07/2017

About the Nursing Home

Number of Beds: 40
Number of Residents: 35
Beds Available: 5
Percent Occupancy: 88%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: For profit - Corporation
Within Hospital?: NO

About State Inspection Deficiencies

Nursing Homes that are Medicare and/or Medicaid certified are licensed by the state and are required to comply with rigid standards enforced by regular facility inspections and extensive evaluations.

The state inspection deficiencies provided here are accounts reported by state inspectors of every discrepancy found where the home failed to meet the minimum standards set forth by state and federal regulations. If a home does not show any deficiencies, it has met the minimum standards required.

Please note: Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home.


Deficiency Ratings

Our nursing home inspector tool compares the severity of deficiences rather than the number of deficiences. We calculate the severity of each deficiency using the formula:

Severity Rating = Scope + Level of Harm.

Deficiency Rating= Sum of ALL Severity Ratings

Severity Scope Level of Harm
2 1-Isolated 1-Potential for minimal harm
3 2-Pattern 1-Potential for minimal harm
3 1-Isolated 2-Minimal harm or potential for actual harm
4 3-Widespread 1-Potential for minimal harm
4 2-Pattern 2-Minimal harm or potential for actual harm
4 1-Isolated 3-Actual harm
5 3-Widespread 2-Minimal harm or potential for actual harm
5 2-Pattern 3-Actual harm
5 1-Isolated 4-Immediate jeopardy to resident health or safety
6 3-Widespread 3-Actual harm
6 2-Pattern 4-Immediate jeopardy to resident health or safety
7 3-Widespread 4-Immediate jeopardy to resident health or safety

Deficiency Ratings
By Region

Lower Numbers Are Better

 

8

Facility
7

County
14

SD
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

8

2017
25

2016
8

2015

Medicare Ratings

Overall Rating: Overall Rating
Health Rating: Health Rating
Staff Rating: Staff Rating
Quality Rating: Quality Rating

 

Details by Inspection Date

6/7/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide a tasty and well-balanced diet that meets the nutritional needs of each resident. Pattern : Minimal 4 7/27/2017
 
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 7/27/2017
 

3/9/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Protect each resident from mistreatment, neglect and misappropriation of personal property. Isolated : Actual 4 3/30/2016
 
Failed To: Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. Isolated : Minimal 3 3/30/2016
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Pattern : Minimal 4 3/30/2016
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 4/27/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 4/27/2016
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Pattern : Minimal 4 3/30/2016
 
Failed To: Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Isolated : Minimal 3 4/19/2016
 

4/29/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. Pattern : Minimal 4 6/10/2015
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Pattern : Minimal 4 6/10/2015
 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

No Complaint Deficiencies Reported

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg SD State Avg
Number of Residents 35 45.00 55.67
Registered Nurses 0.56 0.82 0.83
Licensed Practical / Vocational Nurses 0.50 0.37 0.38
Certified Nursing Assistants 2.41 2.74 2.47
Total Staff Hours 3.47 3.92 3.67

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% SD State Avg%
of high risk long-stay residents with pressure ulcers 9 6 4
of long-stay residents assessed and appropriately given the pneumococcal vaccine 96 98 95
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97 98 97
of long-stay residents experiencing one or more falls with major injury 5 4 5
of long-stay residents who have depressive symptoms 5 5 4
of long-stay residents who lose too much weight 6 8 7
of long-stay residents who received an antianxiety or hypnotic medication 14 11 18
of long-stay residents who received an antipsychotic medication 15 16 16
of long-stay residents who self-report moderate to severe pain 4 7 9
of long-stay residents who were physically restrained 0 1 0
of long-stay residents whose ability to move independently worsened 14 19 19
of long-stay residents whose need for help with daily activities has increased 15 15 16
of long-stay residents with a catheter inserted and left in their bladder 3 3 2
of long-stay residents with a urinary tract infection 2 3 4
of low risk long-stay residents who lose control of their bowels or bladder 9 39 45
of short-stay residents assessed and appropriately given the pneumococcal vaccine 86 85 82
of short-stay residents who newly received an antipsychotic medication 0 10 9
of short-stay residents who self-report moderate to severe pain 7 Not Available   76
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 76 1 2
of short-stay residents with pressure ulcers that are new or worsened 6 15 17