Avera Bormann Manor faces challenges in its CMS ratings, earning a D grade with a score of 43/100. The facility ranks in the 44th percentile among South Dakota nursing homes, suggesting significant room for improvement.
With 3.24 total nurse hours per resident per day, Avera Bormann Manor falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent CMS inspections identified 11 deficiencies at Avera Bormann Manor, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologi.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.24 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.92 | 0.7 | Above Average |
| Licensed Practical Nurses (LPN) | 0.00 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 2.32 | 2.4 | Average |
| Weekend Total Nursing | 2.68 | 3.8 | Below Average |
| Weekend RN Hours | 0.53 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0761 Severity DEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologiSep 17, 2025 · Pharmacy Service Deficiencies
- Tag 0689 Severity GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Jun 25, 2025 · Quality of Life and Care Deficiencies
- Tag 0689 Severity JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Mar 30, 2025 · Quality of Life and Care Deficiencies
- Tag 0604 Severity GEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.Jul 10, 2024 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0689 Severity DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Jul 10, 2024 · Quality of Life and Care Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 2.8% | 4.5% | Better |
| Falls with major injury | 7.1% | 3.0% | Worse |
| On antipsychotic medication | 11.5% | 14.5% | Better |
| Urinary tract infections | 4.4% | 2.5% | Worse |
| ADL decline (daily activities) | 20.9% | 14.0% | Worse |
| Excessive weight loss | 4.4% | 7.5% | Better |
| New/worsened incontinence | 22.1% | 45.0% | Better |
⚠️ Penalties & Fines
3 penalties recorded by CMS
Total fines: $34,749
How This Grade Was Calculated
This facility's grade of D is based on a score of 43 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 3★ → 24 pts (max 40)
- Health Inspection Rating: 3★ → 15 pts (max 25)
- Staffing Rating: 4★ → 16 pts (max 20)
- Quality Measures Rating: 2★ → 6 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -3 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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