SHERIDAN MEMORIAL NURSING HOME

Nursing Home Inspector

440 W LAUREL AVE
PLENTYWOOD, MT 59254
Sheridan County
Phone: 406-765-3700
Provider Number: 275070
Last Inspection: 09/14/2016

About the Nursing Home

Number of Beds: 78
Number of Residents: 36
Beds Available: 42
Percent Occupancy: 46%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: Non profit - Corporation
Within Hospital?: YES

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

 

6

Facility
6

County
27

MT
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

6

2016
29

2015
29

2014

Medicare Ratings

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

 

Details by Inspection Date

9/14/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Store, cook, and serve food in a safe and clean way. Isolated : Minimal 3 11/1/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 11/1/2016
 

6/18/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Minimal 3 8/2/2015
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Actual 4 8/2/2015
 
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Minimal 3 8/2/2015
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 8/3/2015
 
Failed To: Ensure residents maintain acceptable nutritional status. Pattern : Actual 5 8/2/2015
 
Failed To: Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Isolated : Minimal 3 8/2/2015
 
Failed To: Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. Isolated : Minimal 3 8/2/2015
 
Failed To: Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Pattern : Minimal 4 8/2/2015
 

5/21/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Allow residents to easily view the results of the nursing home's most recent inspection. Widespread : Potential 4 7/18/2014
 
Failed To: Allow residents to self-administer drugs if determined safe. Isolated : Minimal 3 7/18/2014
 
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Pattern : Potential 3 7/18/2014
 
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated : Minimal 3 7/18/2014
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Pattern : Minimal 4 7/18/2014
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 7/18/2014
 
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Pattern : Minimal 4 7/18/2014
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Widespread : Minimal 5 7/18/2014
 

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 36.00 56.12
Registered Nurses 0.65 0.65 0.98
Licensed Practical / Vocational Nurses 0.56 0.56 0.49
Certified Nursing Assistants 2.73 2.73 2.51
Total Staff Hours 3.94 3.94 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 3 4
of long-stay residents assessed and appropriately given the pneumococcal vaccine 99 99 91
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98 98 95
of long-stay residents experiencing one or more falls with major injury 3 3 4
of long-stay residents who have depressive symptoms 0 0 5
of long-stay residents who lose too much weight 10 10 7
of long-stay residents who received an antianxiety or hypnotic medication 28 28 18
of long-stay residents who received an antipsychotic medication 13 13 14
of long-stay residents who self-report moderate to severe pain 4 4 10
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 12 12 17
of long-stay residents whose need for help with daily activities has increased 15 15 15
of long-stay residents with a catheter inserted and left in their bladder 2 2 2
of long-stay residents with a urinary tract infection 5 5 4
of low risk long-stay residents who lose control of their bowels or bladder 17 17 44
of short-stay residents assessed and appropriately given the pneumococcal vaccine 88 88 74
of short-stay residents who self-report moderate to severe pain 11 Not Available   11
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 95 Not Available   70
of short-stay residents with pressure ulcers that are new or worsened 0 Not Available   1