Avera Rosebud Country Care Center

To go along with its strong overall grade, we awarded this nursing home a grade of A+ for our inspections rating. Our inspection scores account for several factors found on a nursing home's inspection report. One of the most important criteria we rely on is the number and severity of deficiencies. Facilities with better grades in this area generally have very few severe deficiencies. While this nursing home had some deficiencies on its report, none of them were serious based on CMS' scale. Finally, this facility had no substantiated complaints this year from residents, which is an excellent sign.

This first-rate facility also excelled in the area of nursing, where it received a grade of A+. Few nursing homes performed better in this area. Our nursing grade is largely based on a nursing home's nurse staffing. This nursing home averages 0.5 hours of nursing care per resident per day. Finally, our nursing grades also factor in quality-based assessments, such as avoiding major falls. This facility performed well in this area. Avoiding major falls is typically a good indicator that a place has reliable quality controls in place. Major falls can many times be avoided if more nurses aids and better safety protocols are in place.

This facility also performed well in the category of long-term care, where it received a score of A. Not many facilities received a better grade in this area. When facilities receive a score in this range in long-term care it typically means it's well-staffed and is a quality place to live on a permanent basis. After we finished looking at the quantity of care provided by nurses, we next considered the nursing home's vaccination record. This nursing home vaccinated 97.93814 percent of its patients against pneumonia, which is very impressive. Pneumonia is too frequently a life or death condition for nursing home residents so we strongly prefer when a nursing home doesn't leave this to chance. Clearly, this facility is doing something right in this area as it also excelled at keeping its patients out of the hospital. In fact, it had less than one hospitalization per one thousand long-term resident days, which is an impressively low number.

The final category we rated was short-term care, where this facility was awarded a grade of A-. This finished off an elite profile. Few facilities earned an A- or better in every category. In the area of short-term care, we endeavor to qualify indicators of a nursing home's rehabilitation services. We analyze a nursing home's skilled nursing services, such as those performed by registered nurses and physical and occupational therapists. Fortunately, it looks like this nursing home employs registered nurses. Not every nursing home employs these types of nurses. On the other hand, according to the data they provided, they do not appear to employ physical therapists. The last item we looked at in this category is the number of patients who were able to leave the facility and return home. We discovered that 0 percent of this facility's residents returned home.