MISSOULA HEALTH & REHABILITATION CENTER

Nursing Home Inspector

3018 RATTLESNAKE DR
MISSOULA, MT 59802
Missoula County
Phone: 406-549-0988
Provider Number: 275035
Last Inspection: 03/23/2017

About the Nursing Home

Number of Beds: 53
Number of Residents: 36
Beds Available: 17
Percent Occupancy: 68%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: For profit - Corporation
Within Hospital?: NO

About State Inspection Deficiencies

Nursing Homes that are Medicare and/or Medicaid certified are licensed by the state 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.

Please note: 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.


Deficiency Ratings

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

Severity Rating = Scope + Level of Harm.

Deficiency Rating= Sum of ALL Severity Ratings

Severity Scope Level of Harm
2 1-Isolated 1-Potential for minimal harm
3 2-Pattern 1-Potential for minimal harm
3 1-Isolated 2-Minimal harm or potential for actual harm
4 3-Widespread 1-Potential for minimal harm
4 2-Pattern 2-Minimal harm or potential for actual harm
4 1-Isolated 3-Actual harm
5 3-Widespread 2-Minimal harm or potential for actual harm
5 2-Pattern 3-Actual harm
5 1-Isolated 4-Immediate jeopardy to resident health or safety
6 3-Widespread 3-Actual harm
6 2-Pattern 4-Immediate jeopardy to resident health or safety
7 3-Widespread 4-Immediate jeopardy to resident health or safety

Deficiency Ratings
By Region

Lower Numbers Are Better

 

34

Facility
22

County
27

MT
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

34

2017
36

2015
54

2014

Medicare Ratings

Overall Rating: Overall Rating
Health Rating: Health Rating
Staff Rating: Staff Rating
Quality Rating: Quality Rating

 

Details by Inspection Date

3/23/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Keep residents' personal and medical records private and confidential. Pattern : Minimal 4 4/20/2017
 
Failed To: Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. Pattern : Minimal 4 4/20/2017
 
Failed To: Assess in a timely manner the resident when the resident enters the nursing home. Isolated : Minimal 3 4/14/2017
 
Failed To: Completely assess the resident at least every twelve months. Isolated : Minimal 3 4/14/2017
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Pattern : Minimal 4 4/20/2017
 
Failed To: Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. Isolated : Minimal 3 4/20/2017
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 4/13/2017
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Actual 5 4/14/2017
 
Failed To: Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. Widespread : Minimal 5 4/20/2017
 

12/17/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
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. Pattern : Minimal 4 1/28/2016
 
Failed To: Review or revise the resident's care plan after any major change in physical or mental health. Isolated : Minimal 3 1/28/2016
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 1/28/2016
 
Failed To: Hire a qualified dietician. Widespread : Minimal 5 1/28/2016
 
Failed To: Hire sufficient dietary support personnel. Widespread : Minimal 5 1/28/2016
 
Failed To: Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Pattern : Minimal 4 1/28/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 1/28/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 1/28/2016
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Pattern : Minimal 4 1/28/2016
 

11/26/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that residents are fully informed and understand their health status, care and treatments. Pattern : Minimal 4 1/19/2015
 
Failed To: Keep each resident free from physical restraints, unless needed for medical treatment. Pattern : Minimal 4 1/19/2015
 
Failed To: Provide activities to meet the interests and needs of each resident. Pattern : Minimal 4 1/19/2015
 
Failed To: Provide medically-related social services to help each resident achieve the highest possible quality of life. Pattern : Minimal 4 1/19/2015
 
Failed To: Provide housekeeping and maintenance services. Isolated : Minimal 3 1/19/2015
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Pattern : Minimal 4 1/19/2015
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Pattern : Minimal 4 1/19/2015
 
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Isolated : Minimal 3 1/19/2015
 
Failed To: Ensure that residents are safe from serious medication errors. Pattern : Minimal 4 1/19/2015
 
Failed To: 1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. Widespread : Minimal 5 1/19/2015
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 1/19/2015
 
Failed To: Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . Widespread : Minimal 5 1/19/2015
 
Failed To: Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Widespread : Minimal 5 1/19/2015
 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

No Complaint Deficiencies Reported

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg MT State Avg
Number of Residents 36 83.00 56.12
Registered Nurses 1.01 0.93 0.98
Licensed Practical / Vocational Nurses 0.92 0.48 0.49
Certified Nursing Assistants 2.74 2.68 2.51
Total Staff Hours 4.67 4.10 3.98

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% MT State Avg%
of high risk long-stay residents with pressure ulcers 3 4 4
of long-stay residents assessed and appropriately given the pneumococcal vaccine 91 95 91
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100 97 95
of long-stay residents experiencing one or more falls with major injury 12 6 4
of long-stay residents who have depressive symptoms 3 5 5
of long-stay residents who lose too much weight 0 5 7
of long-stay residents who received an antianxiety or hypnotic medication 25 27 18
of long-stay residents who received an antipsychotic medication 45 22 14
of long-stay residents who self-report moderate to severe pain 0 8 10
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 11 16 17
of long-stay residents whose need for help with daily activities has increased 17 15 15
of long-stay residents with a catheter inserted and left in their bladder 7 2 2
of long-stay residents with a urinary tract infection 2 3 4
of low risk long-stay residents who lose control of their bowels or bladder 23 35 44
of short-stay residents assessed and appropriately given the pneumococcal vaccine 61 85 74
of short-stay residents who had an outpatient emergency department visit 7 9 11
of short-stay residents who newly received an antipsychotic medication 0 60 70
of short-stay residents who self-report moderate to severe pain 3 0 1
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 74 18 21
of short-stay residents who were rehospitalized after a nursing home admission 13 85 75
of short-stay residents with pressure ulcers that are new or worsened 2 13 14