AVERA BRADY HEALTH AND REHAB

MITCHELL, SD · 84 beds · Non profit - Corporation

100 Trust Score
Grade: A+ LOW Risk → Stable

Red Flags

No red flags identified.

Green Flags

  • 4-star health inspection rating
  • 5-star staffing rating
  • Below-average deficiency count (3 vs 7 state avg)
  • No fines or penalties on record
  • Above-average RN staffing (1.51 hrs vs 0.90 state avg)

Quick Facts

★★★★★
CMS Overall
★★★★☆
Health Inspection
3
0.4x state avg
Deficiencies
$0
Fines (3-yr)
★★★★★
Staffing

Violation Timeline

December 11, 2024

3 deficiencyies
F0655 Potential Harm Scope/Severity: E

Resident Assessment and Care Planning Deficiencies

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

F0684 Potential Harm Scope/Severity: E

Quality of Life and Care Deficiencies

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Provide appropriate treatment and care according to orders, resident’s preferences and goals.

F0760 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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Ensure that residents are free from significant medication errors.

August 16, 2023

2 deficiencyies
F0803 Potential Harm Scope/Severity: D

Nutrition and Dietary Deficiencies

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Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

F0812 Potential Harm Scope/Severity: D

Nutrition and Dietary Deficiencies

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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

See full violation history →

Staffing

1.51
RN hrs/res/day
0.22
LPN hrs/res/day
3.25
CNA hrs/res/day
4.33
Weekend hrs/res/day
38%
Total nurse turnover
16%
RN turnover

A nurse checks on each resident roughly every 4.8 hours on average.

Fines & Penalties

No fines or penalties on record.

Ownership

Non profit - Corporation Chain: AVERA HEALTH
  • AVERA HEALTH

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 07/01/2009

    100% Organization
  • AVERA HEALTH

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 07/01/2009

    Organization
  • ROCKWELL, HILARY

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 07/01/2023

    Individual
  • BERGELEEN, DARLENE

    CORPORATE DIRECTOR

    Since since 07/01/2023

    Individual
  • BROOKBANK, JULIE

    CORPORATE DIRECTOR

    Since since 07/01/2018

    Individual
  • CLAUSSEN, JESSICA

    CORPORATE DIRECTOR

    Since since 07/01/2021

    Individual
  • DIERKS, TREVOR

    CORPORATE DIRECTOR

    Since since 07/01/2023

    Individual
  • HUNHOFF, MARK

    CORPORATE DIRECTOR

    Since since 07/01/2019

    Individual
  • KOEHLER, JEAN

    CORPORATE DIRECTOR

    Since since 07/01/2018

    Individual
  • LARSON, TRACEY

    CORPORATE DIRECTOR

    Since since 07/01/2019

    Individual
  • PUETZ, MARK

    CORPORATE DIRECTOR

    Since since 07/01/2023

    Individual
  • SANDHOFF, DIANE

    CORPORATE DIRECTOR

    Since since 07/01/2023

    Individual
  • STAHLE, NICOLE

    CORPORATE DIRECTOR

    Since since 07/01/2023

    Individual
  • TEGETHOFF, JENNIFER

    CORPORATE DIRECTOR

    Since since 07/01/2021

    Individual
  • THOMPSON, RYAN

    CORPORATE DIRECTOR

    Since since 07/01/2018

    Individual
  • TOLSMA, JAY

    CORPORATE DIRECTOR

    Since since 07/01/2018

    Individual
  • ZOMER, BRAD

    CORPORATE DIRECTOR

    Since since 07/01/2018

    Individual
  • DOVER, JAMES

    CORPORATE OFFICER

    Since since 10/23/2023

    Individual
  • LAUTT, JULIE

    CORPORATE OFFICER

    Since since 03/01/2020

    Individual
  • ROCKWELL, HILARY

    CORPORATE OFFICER

    Since since 07/01/2023

    Individual

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