CarePathways Home Page

Daniels Memorial Nursing Home

105 5th Ave E
Scobey, MT 59263
Daniels County

Phone: 406-487-2296
Provider Number: 275071
Last Inspection: 11/05/2015


About the Nursing Home


Number of Beds
30

Number of Residents
19

Type of Ownership
Government - Hospital district

Types of Councils
Resident

Insurance Accepted
Medicare & Medicaid

Located in a Hospital?
Yes

Component of CCRC?
No

Special Focus Facility?
No

State Inspection Deficiencies

Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home. We suggest you use our Nursing Home Checklist to help evaluate the nursing homes you plan to visit.

Deficiency Ratings By Region

  • Facility
  • County
  • MT
  • USA
  • 50
  • 50
  • 28
  • 20
Lower Numbers are Better

Deficiency Ratings By Year

  • 2015
  • 2014
  • 2013
  • 50
  • 4
  • 29
Lower Numbers are Better

Details by Inspection Date

11/5/2015 Inspection

Deficiency Description
Corrected
Deficiency Description
Failed To: Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed.

Scope: Widespread +
Harm: Minimal

Severity:

5

Date of Correction
12/20/2015  

Deficiency Description
Failed To: Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident .

Scope: Widespread +
Harm: Minimal

Severity:

5

Date of Correction
12/20/2015  

Deficiency Description
Failed To: Have a program that investigates, controls and keeps infection from spreading.

Scope: Widespread +
Harm: Minimal

Severity:

5

Date of Correction
12/20/2015  

Deficiency Description
Failed To: Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing.

Scope: Isolated +
Harm: Minimal

Severity:

3

Date of Correction
12/20/2015  

Deficiency Description
Failed To: Post nurse staffing information/data on a daily basis.

Scope: Widespread +
Harm: Minimal

Severity:

5

Date of Correction
12/20/2015  

Deficiency Description
Failed To: Employ staff that are licensed, certified, or registered in accordance with state laws.

Scope: Widespread +
Harm: Minimal

Severity:

5

Date of Correction
12/20/2015  

Deficiency Description
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional.

Scope: Isolated +
Harm: Minimal

Severity:

3

Date of Correction
12/20/2015  

Deficiency Description
Failed To: Use a registered nurse at least 8 hours a day, 7 days a week.

Scope: Widespread +
Harm: Minimal

Severity:

5

Date of Correction
12/20/2015  

Deficiency Description
Failed To: Ensure services provided by the nursing facility meet professional standards of quality.

Scope: Isolated +
Harm: Minimal

Severity:

3

Date of Correction
12/20/2015  

Deficiency Description
Failed To: Review or revise the resident's care plan after any major change in physical or mental health.

Scope: Isolated +
Harm: Minimal

Severity:

3

Date of Correction
12/20/2015  

Deficiency Description
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

Scope: Isolated +
Harm: Immediate

Severity:

5

Date of Correction
12/20/2015  

Deficiency Description
Failed To: Make sure that special or therapeutic diets are ordered by the attending doctor.

Scope: Isolated +
Harm: Minimal

Severity:

3

Date of Correction
12/20/2015  

10/8/2014 Inspection

Deficiency Description
Corrected
Deficiency Description
Failed To: Allow residents to easily view the results of the nursing home's most recent inspection.

Scope: Widespread +
Harm: Potential

Severity:

4

Date of Correction
11/20/2014  

9/12/2013 Inspection

Deficiency Description
Corrected
Deficiency Description
Failed To: Conduct initial and periodic assessments of each resident's functional capacity.

Scope: Isolated +
Harm: Minimal

Severity:

3

Date of Correction
10/16/2013  

Deficiency Description
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Scope: Isolated +
Harm: Minimal

Severity:

3

Date of Correction
10/23/2013  

Deficiency Description
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident .

Scope: Isolated +
Harm: Minimal

Severity:

3

Date of Correction
10/23/2013  

Deficiency Description
Failed To: Provide activities to meet the interests and needs of each resident.

Scope: Isolated +
Harm: Minimal

Severity:

3

Date of Correction
11/1/2013  

Deficiency Description
Failed To: Ensure services provided by the nursing facility meet professional standards of quality.

Scope: Isolated +
Harm: Minimal

Severity:

3

Date of Correction
10/23/2013  

Deficiency Description
Failed To: Store, cook, and serve food in a safe and clean way.

Scope: Widespread +
Harm: Minimal

Severity:

5

Date of Correction
11/4/2013  

Deficiency Description
Failed To: 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

Scope: Isolated +
Harm: Minimal

Severity:

3

Date of Correction
10/23/2013  

Deficiency Description
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards.

Scope: Isolated +
Harm: Minimal

Severity:

3

Date of Correction
10/24/2013  

Deficiency Description
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

Scope: Isolated +
Harm: Minimal

Severity:

3

Date of Correction
10/15/2013  

About The Staff

(Higher Numbers Are Better)

Hours Per Day Per Resident
This Facility
County Avg
State Avg
Number of Residents
19
19
55
Registered Nurses
2.64 hrs
2.64 hrs
1.00 hrs
Licensed Practical / Vocational Nurses
0.70 hrs
0.70 hrs
0.45 hrs
Certified Nursing Assistants
4.27 hrs
4.27 hrs
2.52 hrs
Total Staff Hours
7.61 hrs
7.61 hrs
3.97 hrs

About the Residents

(Lower Numbers Are Better)

Percent of Residents
This Facility
County Avg
State Avg
High Risk Long Stay Residents With Pressure Ulcers
3%
3%
5%
Long Stay Residents Experiencing One or More Falls with Major Injury
5%
5%
4%
Long Stay Residents Who Have Depressive Symptoms
2%
2%
5%
Long Stay Residents Who Lose Too Much Weight
8%
8%
7%
Long Stay Residents Who Received an Antipsychotic Medication
6%
6%
15%
Long Stay Residents Who Self Report Moderate to Severe Pain
2%
2%
13%
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine
0%
0%
9%
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine
0%
0%
3%
Long Stay Residents Who Were Physically Restrained
0%
0%
1%
Long Stay Residents Whose Need for Help with ADLs has Increased
31%
31%
15%
Long Stay Residents with a Catheter Inserted and Left in Their Bladder
0%
0%
4%
Long Stay Residents With a Urinary Tract Infection
3%
3%
5%

Deficiency Ratings

Our nursing home inspector tools compares the severity of deficiences rather than the number of deficiences. We calculate the severity of each deficiency using the formula:

Severity = Scope + Level of Harm.

Then, we add up all of the severity ratings to get our final Deficiency Rating.

deficiency ratings

About State Inspection Deficiencies

Nursing Homes that are Medicare and/or Medicaid certified are licensed by the state in which they operate and are required to comply with rigid standards enforced by regular facility inspections and extensive evaluations.

The state inspection deficiencies provided here are accounts reported by state inspectors of every discrepancy found where the home failed to meet the minimum standards set forth by state and federal regulations. If a home does not show any deficiencies, it has met the minimum standards required.

Be sure to examine the full descriptions provided under the Detailed Report. Some deficiencies may be more critical than others based upon the type. For example, administrative deficiencies may be less important to you than mistreatment or quality of care deficiencies.

State inspection details provide useful information that can help you compare nursing homes in your area and decide what types of questions you may want to ask when you visit the nursing home.

Note: Every attempt is made to assure that the most recent survey results are available on this website. Surveys are generally conducted every 9-15 months, however, all homes are not inspected each year.

About The Staff

This area shows the average number of staff hours worked each day by RNs, LPNs/LVNs and CNAs divided by the number of residents.

This is a good measure of the trained medical staff available, on average, for comparison purposes. The number of hours worked per patient is a relative statistic for comparison between different homes as well as County and State averages.

Although more hours per patient should mean better care, there are no measures for the individual care received by any given patient and the quality of care provided may be more a factor of training and dedication than the number of hours worked.

Each nursing home reports the staffing hours for a two-week period prior to the time of the state inspection.

Hours per resident per day is the average amount of hours worked divided by the total number of residents. It does not necessarily show the number of nursing staff present at any given time, or reflect the amount of care given to any one resident.

The Centers for Medicare and Medicaid Services requires nursing homes to have enough staff to give adequate care to all residents. There is no current federal standard for optimal nursing staff levels, although federal law requires all nursing homes to provide enough staff to adequately care for residents. The nursing home must have at least one RN for at least 8 straight hours a day, 7 days a week and either an RN or LPN/LVN on duty 24 hours per day. Certain states may have additional staffing requirements.

These numbers are for reference only. Some nursing homes might require more nursing staff due to the conditions of their residents and other factors such as whether the nursing home has special care units.

Reference: The Official U.S. Government Site for People with Medicare

Level of Harm Definitions

Potential for Minimal Harm (1 Point)
This deficiency has the potential for causing no more than a minor negative impact on the resident.

Example: The nursing home's statement of deficiencies was not posted, nor was there any sign indicating where it was. The nursing home keeps the statement of deficiencies in the business office and shows it to residents upon request.

Minimal Harm or Potential for Actual Harm (2 Points)
This deficiency results in minimal discomfort to the resident or has the potential (not yet realized) to negatively affect the resident's ability to achieve his/her highest functional status.

Example: Staff were observed not washing hands properly between resident treatments. There is no evidence of the transmission of infection between residents by staff.

Actual Harm (3 Points)
This deficiency results in a negative outcome that has negatively affected the resident's ability to achieve his/her highest functional status.

Example: A resident was "active and vocal" on admission to the nursing home. The nursing home restrained the resident 6 months ago, despite the lack of medical symptoms for doing so. The resident is now withdrawn, does not attend activities, and is "down in the dumps."

Immediate Jeopardy (4 Points)
This deficiency places the resident in immediate jeopardy as it has caused (or is likely to cause) serious injury, harm, impairment, or death to a resident receiving care in the nursing home. Immediate corrective action is necessary when this deficiency is identified.

Example: A resident with dementia was found outside during an inspection, heading toward a nearby highway. The nursing home had no working system in place to monitor residents with dementia.

Reference: The Official U.S. Government Site for People with Medicare

Scope Definitions

Isolated (1 Point)
This deficiency potentially or actually affects a few residents.

Example: 60 of 70 residents in the nursing home are incontinent. The nursing home failed to provide adequate care of services to restore or improve bladder function in 2 of these residents.

Pattern (2 Points)
This deficiency potentially or actually affects some residents.

Example: 60 of 70 residents in the nursing home are incontinent. The nursing home failed to provide adequate care of services to restore or improve bladder function in 10 of these residents.

Widespread (3 Points)
This deficiency potentially or actually affects many residents.

Example: 60 of 70 residents in the nursing home are incontinent. The nursing home failed to provide adequate care of services to restore or improve bladder function in half of these residents.

Reference: The Official U.S. Government Site for People with Medicare

About the Residents

This information will allow comparisons to be made among nursing homes about the proportion of residents with a particular condition. In addition, it can be used to help you decide what type of questions you may want to ask when you visit the nursing home.

This data alone should not be used to make a decision. It is important to use these numbers only as a starting point. High or low percentages may be the result of factors other than quality. Percentages for a particular measure may vary widely among nursing homes.

You should plan to visit the nursing home before making a decision. In addition, you should use this information in conjunction with the state inspection results found in the "About State Inspection Deficiencies" section of this report.

It is important to note that these characteristics are reported by the nursing home and are not audited.

Reference: The Official U.S. Government Site for People with Medicare

About The Home

This information is collected through the inspection process and is reviewed by nursing home inspectors.

Accepts Medicare
Medicare pays for some nursing home care in specific situations and for no more than 100 days for each benefit period. A benefit period begins the day you go to a skilled nursing facility. The benefit period ends when you have not received skilled nursing care for 60 days in a row.

Accepts Medicaid
Medicaid pays for long term care for people with low incomes and resources. Check out with your State Medicaid Agency for the income levels in your State. If a nursing home does not participate in the Medicaid program and does not accept Medicaid patients, and the resident runs out of other funds/coverage, the resident will have to move to another nursing home if he/she wants to be on Medicaid.

Type of Ownership
Nursing homes can be run by private for-profit corporations, non-profit corporations, religious affiliated organizations or government entities. Quality can vary in nursing homes within each of the different types of ownership. Each nursing home needs to be judged on its own merits.

Located within a Hospital
The nursing home is affiliated with a hospital. Often if a home is located within a hospital setting, it usually provides short-term rehab only.

Resident and Family Councils
Resident and family councils can facilitate communications with staff. The law requires nursing homes to allow councils to be set up by residents and families. If a nursing home does not have a resident and family council, ask the Administrator why. Ask to talk with council presidents to get a sense of how the nursing home has acted on their concerns.

Beds
This measure represents the total number of Medicare/Medicaid Certified Beds in the nursing home. Some nursing homes can have a combination of Medicare, Medicaid, and/or private pay beds. Please check with the nursing home to find out what types of beds are available.

Residents
This number tells you how many residents in Medicare/Medicaid Certified Beds were living in the nursing home at the time of the inspection.

Reference: The Official U.S. Government Site for People with Medicare

Find Home Care Near You

Terms of Use
Privacy
About Us
Newsletter
Help
Site Map

Copyright © 1999-2017 CarePathways.com