David M Dorsett Healthcare Community
1020 N 10th Street, Spearfish SD 57783 · (605) 642-2716 · 82.38% estimated occupancy 1Updated: Aug 1, 2020 · By Nick Lata
David M Dorsett Healthcare Community is an average-sized facility located in Spearfish, South Dakota. Featuring an overall score of F, we consider this to be a lower end facility. Based on our analysis, this facility probably isn't a good fit for anyone. We wouldn't blame you if you are ready to stop reading and find another nursing home. However, if you want to learn more about this facility's category grades, we will discuss inspections in the next section.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 105 Beds
CCRC :
For profit - Limited Liability company
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Facility Inspections
Although we gave this facility a terrible overall grade, we awarded it a B- for our inspections rating. In fact, the facility received very impressive inspection report this year. Our inspection grades weigh several factors found on a nursing home's inspection reports. One key criteria we consider is the number and severity of deficiencies. This particular nursing home received 8 deficiencies on its inspection report. Overall, this is still a solid inspection report, but we'd always recommend looking into any deficiencies you find troubling.
Short-term Care Quality
Remarkably, we gave this nursing home a grade of C for our short-term care grade, which isn't too bad of a score. In our short-term care rating, we try to create a valuable barometer for rehabilitation. In doing so, we look at the facility's levels of highly-skilled nursing services, including both registered nurses and physical therapy, as well as speech therapy. One of this nursing home's strengths is physical therapy hours. We found that it offers more hours with physical therapists to its residents than most facilities. Lastly, we looked at the percentage of patients who were able to return to the community from this nursing home. This place outperformed the majority of nursing homes in the country in this area with 50.8 percent of its patients returning home. This is a higher rate than most nursing homes.
Nurse Quality
We also wanted to draw your attention to this facility's poor nursing grade where it received an F. Our nursing grade looks at the nursing home's level of nurse staffing. We factor in both the levels of skill of the nurses and the number of hours spent with patients. This facility provided just 3.2 hours of nursing care per resident per day. This is a very low total compared to most nursing homes. To go along with its below average totals in the area of nursing hours per patient, this place had bad scores in many of the quality-based measures we looked at in computing our nursing ratings. For starters, we looked at the percentage of residents having falls which led to major injury. This nursing home was at more than 1.5 times the national average in this statistic.
Long-term Care Quality
The final area we looked at is long-term care. Sadly, it received a lowly F for this category, which is a bottom of the barrel grade. Facilities that do not score well in long-term care often don't provide as much nursing care and also may be struggling in a few of the areas of routine healthcare services we assessed. One of the factors we considered after nurse's aid hours was vaccines. We were a bit concerned this facility administered the pneumonia vaccination to only 60.383385 percent of its residents. Surprisingly, this facility was actually able to limit hospitalizations. With only 0.76 hospitalizations per 1,000 long-term resident days, this nursing home had fewer hospitalizations than many nursing homes. This is its best score in this category.
Overall Rating Over Time
Compared to national and state averages across all facilities.
David M Dorsett Healthcare Community Quality Metrics
Minimizes Pressure Ulcers
This indicates the percent of residents that have had a pressure ulcer. Pressure ulcers are skin damage due to remaining in the same position for too long.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This statistic is an indication of the percent of long-term care patients that sustained falls which resulted in severe injury. Falls can happen for a variety of reasons, but high rates of major falls may be an indication of poor nursing care.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This figure tells you the percentage of long-term residents who sustained a urinary tract infection. UTI's could be a sign of lower quality nursing care. However, this metric may be skewed for certain facilities due to different reporting standards for infections.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This metric indicates the percent of long-term stay residents taking antipsychotic drugs. While antipsychotic medications play an important role in caring for many residents, it is important to ensure these medications are being used only where medically required. In some cases, excessive reliance on these medications may indicate that a facility is using these drugs to subdue residents.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This indicates the percentage of patients given antianxiety medications. These drugs are generally prescribed to residents experiencing depression and anxiety.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This datapoint measures the percentage of long-term residents demonstrating symptoms of depression.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This datapoint is a measure of the percent of long-term patients that were vaccinated against pneumonia and flu.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This is the percentage of patients that needed more assistance with activities of daily living over time. High levels of dependence on staff for assistance with ADL's may indicate the decline of a patient's well-being.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
Measures the percent of long-term patients that remained mobile levels. Many in the industry argue that mobility is vital to patients well-being.
Percentage of Residents
Higher is Better
Hospitalizations
This is the number of hospitalizations per 1,000 days of care.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This is the number of times residents are rehospitalized per 1,000 days of short-term care. There is usually a correlation between having fewer hospitalizations and a nursing homes short-term rehabilitation performance.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
This tells you the number of times residents are sent to the emergency room per 1,000 days of short-term patient care.
Percentage of Patients
Lower is Better
Short-term Care: Facilitates Functional Improvement
This indicates the percent of short-term stay patients who experienced functional improvements, such as enhanced ability to perform activities of daily living.
Percentage of Resident
Higher is Better