Avera Mother Joseph Manor Retirement Community
1002 North Jay Street, Aberdeen, SD 57401


Avera Mother Joseph Manor Retirement Community is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 435042. The address is 1002 North Jay Street, Aberdeen, SD 57401. The zip code is 57401. The phone number is 6056225850.


Avera Mother Joseph Manor Retirement Community · 1002 North Jay Street, Aberdeen, SD 57401

Federal Provider Number 435042
Provider Name AVERA MOTHER JOSEPH MANOR RETIREMENT COMMUNITY
Address 1002 NORTH JAY STREET
ABERDEEN, SD 57401
Phone Number 6056225850
SSA County Code 60
County Name Brown
Ownership Type Non profit - Corporation
Certified Beds 81
Certified Beds Residents 81
Provider Type Medicare and Medicaid
Resides in Hospital true
Legal Business Name AVERA ST LUKES
Date First Approved to Provide Medicare Medicaid Services 05/11/1990
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Both
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 4
Health Inspection Rating 3
Quality Measure Rating 4
Staffing Rating 4
RN Staffing Rating 5
Reported CNA Staffing Hours per Resident per Day 1.99444
Reported LPN Staffing Hours per Resident per Day 0.30864
Reported RN Staffing Hours per Resident per Day 1.00802
Reported Licensed Staffing Hours per Resident per Day 1.31667
Reported Total Nurse Staffing Hours per Resident per Day 3.3111
Reported Physical Therapist Staffing Hours per Resident Per Day 0.03457
Expected CNA Staffing Hours per Resident per Day 2.2578
Expected LPN Staffing Hours per Resident per Day 0.53929
Expected RN Staffing Hours per Resident per Day 0.81383
Expected Total Nurse Staffing Hours per Resident per Day 3.61092
Adjusted CNA Staffing Hours per Resident per Day 2.16749
Adjusted LPN Staffing Hours per Resident per Day 0.47502
Adjusted RN Staffing Hours per Resident per Day 0.92549
Adjusted Total Nurse Staffing Hours per Resident per Day 3.69621
Cycle 1 Total Number of Health Deficiencies 7
Cycle 1 Number of Standard Health Deficiencies 7
Cycle 1 Health Deficiency Score 44
Cycle 1 Standard Survey Health Date 10/26/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 44
Cycle 2 Standard Health Survey Date 11/18/2015
Cycle 3 Total Number of Health Deficiencies 9
Cycle 3 Number of Standard Health Deficiencies 8
Cycle 3 Number of Complaint Health Deficiencies 5
Cycle 3 Health Deficiency Score 52
Cycle 3 Standard Health Survey Date 10/30/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 52
Total Weighted Health Survey Score 30.667
Number of Substantiated Complaints 3
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Avera Mother Joseph Manor Retirement Community

Owner Name Role Association Date
BIEGLER, LYLE (Individual) DIRECTOR since 07/01/2014
DONELAN, PAM (Individual) DIRECTOR since 07/01/2015
DURST, GEOFFREY (Individual) MANAGING EMPLOYEE since 04/07/1988
EVANS, MICHAEL (Individual) DIRECTOR since 07/01/2014
FORKEL, TODD (Individual) MANAGING EMPLOYEE since 01/01/2012
FORKEL, TODD (Individual) OFFICER since 01/01/2012
FOUBERG, ROBERT (Individual) DIRECTOR since 07/01/2014
GERBER, JEAN (Individual) DIRECTOR since 07/01/2014
GROPP, NADINE (Individual) DIRECTOR since 07/01/2016
KRAFT, JOSHUA (Individual) DIRECTOR since 07/01/2014
LEIFELD, DANETTE (Individual) DIRECTOR since 07/01/2014
LOVRIEN, MARSHALL (Individual) DIRECTOR since 07/01/2016
MEYER, CARMEN (Individual) DIRECTOR since 07/01/2014
OLSON, ROBERT (Individual) DIRECTOR since 07/01/2014
PANOWICZ, KATHLEEN (Individual) DIRECTOR since 07/01/2014
PETERS, STEPHEN (Individual) DIRECTOR since 07/01/2014
REYNEN, DIANA (Individual) DIRECTOR since 07/01/2016
SEYER, TOM (Individual) DIRECTOR since 07/01/2016
SNYDER, THOMAS (Individual) MANAGING EMPLOYEE since 07/01/2006
THOMAS, MARY (Individual) DIRECTOR since 07/01/2014

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