Regional Health Care Center
1065 Montgomery St, Custer SD 57730 · (605) 673-2237 · 73.94% estimated occupancy 1Updated: Aug 1, 2020 · By Nick Lata
With an address in Custer, South Dakota, Regional Health Care Center is the sole nursing home located in the area. This is a fine facility. We gave it an overall grade of B, which is a very solid grade. At the end of the day, this facility looks like a good fit for most people. As you can find below, this place also performed well in our category ratings. It is hard to poke holes in this facility's profile.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 76 Beds
CCRC :
Non profit - Corporation
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Facility Inspections
In addition to performing well overall, this facility received a very good inspection report this year as well. For this reason, it received one of our better scores in that area with a B+. Inspection ratings weigh several factors included in a facility's inspection report. One key criteria we rely on is the quantity and severity of deficiencies. Nursing homes with higher scores in this category tend to have few severe deficiencies. This particular nursing home received 5 deficiencies on its inspection report. Finally, this facility had no substantiated complaints this year from residents, which is an excellent sign.
Long-term Care Quality
In addition, this nursing home also received favorable long-term care grades in our assessment. In fact, we awarded them one of our higher grades in that category, with a grade of B+. Long-term care scores of this caliber generally require both around the clock care from nurses and aids, as well as quality routine medical care. This facility's vaccination statistics weren't as favorable as its nursing hours data. This nursing home administered the pneumonia vaccine to just 73.1579 percent of its patients. We would like to see some improvement herein this statistic in the future. This place also keeps its residents out of the hospital. It had only 1.49 hospitalizations per one thousand long-term resident days.
Nurse Quality
This facility is also strong in the area of nursing, where it received a grade of B+. It outperformed most nursing homes in this category. Our nursing grade focuses on the facility's nurse staffing levels. We weigh both the levels of licensure of the nurses as well as the amount of time spent with patients. This place provides an incredible 4.1 hours of nursing care per patient per day. Out of this total, many of the hours were provided by registered nurses, which is one of the most highly trained levels of nurses. On top of looking at levels of nursing care, we also looked at a few quality measures in determining our nursing grades. These include minimizing residents' pressure ulcers and major falls. We view these statistics as good indicators of the quality of nursing care being provided, since better care tends to reduce these problems.
Short-term Care Quality
The final area we looked at is short-term care. In that area, we gave this facility an impressive grade of B. Our short-term care scores are critical for patients seeking rehabilitation. Rehabilitation typically mandates additional skilled nursing services. Skilled nursing means a vast range of services, spanning from registered nurses to physical and speech therapists, as well as other types of therapy. This nursing home elevated its grade in this category by offering more care from registered nurses to its patients than a typical facility. The final metric we considered in this category is the number of residents who were able to leave the facility and return to the community. We discovered that 25.8 percent of this facility's patients were able to return home.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Regional Health Care Center Quality Metrics
Minimizes Pressure Ulcers
This statistic gauges the percentage of long-term care patients who suffer from pressure ulcers . We bake this statistic into our nursing grades.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This metric gauges the percent of long-term stay residents that have sustained a fall which caused major injury. We use this statistic in calculating our nursing grades.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This metric is a measure of the percentage of long-term care residents who suffered from UTI's. Although a higher rate infections may reflect poorly on a nursing home's nursing care, it is problematic to compare different nursing homes due to differing reporting standards.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This is the percentage of patients who were given antipsychotic drugs. Antipsychotic drugs are administered to residents for a variety of medical conditions, such as dementia. Tragically, in some cases, increased usage of these drugs may mean that a facility is using these medications to control patient behavior.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This indicates the percent of residents prescribed antianxiety medications. Antianxiety drugs are prescribed to patients suffering from depression and anxiety.
Percent of Patients
Lower is Better
Managing Depression Among Residents
Measures the percentage of long-term stay residents who are exhibiting signs of depression.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This is a measure of the percentage of long-term care residents that received the flu and pneumonia vaccines.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This indicates the percent of patients that required more assistance with activities of daily living over time. Higher levels of needing for assistance with ADL's may indicate erosion of a resident's medical condition.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This datapoint measures the percent of long-term stay patients that maintained mobility. Many in the industry argue that mobility is critical to residents' well-being.
Percentage of Residents
Higher is Better
Hospitalizations
This is the number of times residents are hospitalized per 1,000 days of care. There is generally a correlation between reduced hospitalizations and the overall quality of nursing home care.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This tells you the number of rehospitalizations per thousand days of short-term patient care. There is a correlation between keeping patients out of the hospital and a nursing homes short-term rehabilitation performance.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
This is the number of emergency room visits 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 residents who saw functional improvements, such as enhanced ability to perform activities of daily living. Higher levels of autonomy with activities of daily living typically correlates with successful rehabilitation services.
Percentage of Resident
Higher is Better