GOOD SAMARITAN SOCIETY WAGNER

Nursing Home Inspector

515 W HWY 46
WAGNER, SD 57380
Charles Mix County
Phone: 605-384-3661
Provider Number: 435106
Last Inspection: 05/11/2017

About the Nursing Home

Number of Beds: 57
Number of Residents: 57
Beds Available: 0
Percent Occupancy: 100%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Both
Ownership: Non 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

 

13

Facility 		7

County 		14

SD 		20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 
13

2017		 13

2016		 25

2015

Medicare Ratings

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

 

Details by Inspection Date

5/11/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Pattern : Minimal 4 6/28/2017
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 6/28/2017
 
Failed To: Provide care for each resident in a way that maintains or improves their quality of life. Isolated : Minimal 3 6/28/2017
 
Failed To: Provide medically-related social services to help each resident achieve the highest possible quality of life. Isolated : Minimal 3 6/28/2017
 

2/24/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 4/12/2016
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 4/12/2016
 
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. Pattern : Minimal 4 4/12/2016
 
Failed To: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Isolated : Minimal 3 4/12/2016
 

3/25/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 5/13/2015
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 5/13/2015
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Pattern : Minimal 4 5/13/2015
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Pattern : Minimal 4 5/13/2015
 
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Widespread : Minimal 5 5/13/2015
 
Failed To: Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Pattern : Minimal 4 5/13/2015
 

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 57 45.00 55.67
Registered Nurses 0.77 0.82 0.83
Licensed Practical / Vocational Nurses 0.15 0.37 0.38
Certified Nursing Assistants 2.03 2.74 2.47
Total Staff Hours 2.95 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 6 6 4
of long-stay residents assessed and appropriately given the pneumococcal vaccine 100 98 95
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98 98 97
of long-stay residents experiencing one or more falls with major injury 3 4 5
of long-stay residents who have depressive symptoms 5 5 4
of long-stay residents who lose too much weight 9 8 7
of long-stay residents who received an antianxiety or hypnotic medication 9 11 18
of long-stay residents who received an antipsychotic medication 28 16 16
of long-stay residents who self-report moderate to severe pain 10 7 9
of long-stay residents who were physically restrained 3 1 0
of long-stay residents whose ability to move independently worsened 26 19 19
of long-stay residents whose need for help with daily activities has increased 17 15 16
of long-stay residents with a catheter inserted and left in their bladder 4 3 2
of long-stay residents with a urinary tract infection 6 3 4
of low risk long-stay residents who lose control of their bowels or bladder 51 39 45
of short-stay residents assessed and appropriately given the pneumococcal vaccine 85 85 82
of short-stay residents who had an outpatient emergency department visit 10 10 9
of short-stay residents who newly received an antipsychotic medication 3 Not Available   76
of short-stay residents who self-report moderate to severe pain 23 1 2
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 91 15 17
of short-stay residents who were rehospitalized after a nursing home admission 15 89 79
of short-stay residents with pressure ulcers that are new or worsened 0 15 15