BEARTOOTH HEALTHCARE COMMUNITY

Nursing Home Inspector

350 W PIKE AVE
COLUMBUS, MT 59019
Stillwater County
Phone: 406-322-5342
Provider Number: 275090
Last Inspection: 10/20/2016

About the Nursing Home

Number of Beds: 82
Number of Residents: 43
Beds Available: 39
Percent Occupancy: 52%
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

 

46

Facility
46

County
27

MT
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

46

2016
65

2015
28

2014

Medicare Ratings

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

 

Details by Inspection Date

10/20/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide housekeeping and maintenance services. Widespread : Potential 4 12/2/2016
 
Failed To: Completely assess the resident at least every twelve months. Isolated : Minimal 3 12/2/2016
 
Failed To: Assure that each resident’s assessment is updated at least once every 3 months. Isolated : Minimal 3 12/2/2016
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Pattern : Minimal 4 12/2/2016
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 12/2/2016
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Actual 4 12/2/2016
 
Failed To: Ensure residents maintain acceptable nutritional status. Isolated : Actual 4 12/2/2016
 
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Isolated : Minimal 3 12/2/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 12/2/2016
 
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Pattern : Minimal 4 1/12/2017
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Widespread : Minimal 5 1/12/2017
 
Failed To: Keep all essential equipment working safely. Widespread : Minimal 5 12/2/2016
 

11/19/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Isolated : Minimal 3 12/25/2015
 
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated : Minimal 3 12/25/2015
 
Failed To: Provide housekeeping and maintenance services. Widespread : Potential 4 12/25/2015
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Minimal 3 12/25/2015
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Pattern : Minimal 4 12/25/2015
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 12/25/2015
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern : Minimal 4 12/25/2015
 
Failed To: Make sure that each residents' abilities in activities of daily living do not decline, unless unavoidable. Pattern : Minimal 4 12/25/2015
 
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Minimal 3 12/25/2015
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 12/25/2015
 
Failed To: Provide food in a way that meets a resident's needs. Isolated : Minimal 3 12/25/2015
 
Failed To: Make sure that special or therapeutic diets are ordered by the attending doctor. Isolated : Minimal 3 12/25/2015
 
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. Pattern : Minimal 4 12/25/2015
 
Failed To: Provide special eating equipment and utensils for each resident who needs them. Isolated : Minimal 3 12/25/2015
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 12/25/2015
 
Failed To: Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . Widespread : Potential 4 12/29/2015
 
Failed To: 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. Isolated : Minimal 3 12/25/2015
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 12/25/2015
 
Failed To: Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Widespread : Potential 4 12/25/2015
 

12/4/2014 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. Isolated : Minimal 3 1/14/2015
 
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 1/14/2015
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Pattern : Minimal 4 1/14/2015
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Pattern : Minimal 4 1/14/2015
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Pattern : Minimal 4 1/14/2015
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 1/14/2015
 
Failed To: Ensure residents maintain acceptable nutritional status. Isolated : Minimal 3 1/14/2015
 
Failed To: Provide food in a way that meets a resident's needs. Isolated : Minimal 3 1/14/2015
 

Complaint Investigation Deficiencies

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

7/27/2016 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Protect each resident from mistreatment, neglect and misappropriation of personal property. Isolated : Immediate 5 9/9/2016
 
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. Isolated : Immediate 5 9/9/2016
 
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Actual 4 9/9/2016
 
Failed To: Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . Isolated : Actual 4 9/9/2016
 
Failed To: Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Isolated : Actual 4 9/9/2016
 

3/16/2016 Investigation

 
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. Isolated : Minimal 3 4/15/2016
 
Failed To: Have enough nurses to care for every resident in a way that maximizes the resident's well being. Widespread : Minimal 5 4/15/2016
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg MT State Avg
Number of Residents 43 43.00 56.12
Registered Nurses 0.59 0.59 0.98
Licensed Practical / Vocational Nurses 0.72 0.72 0.49
Certified Nursing Assistants 2.20 2.20 2.51
Total Staff Hours 3.51 3.51 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 7 7 4
of long-stay residents assessed and appropriately given the pneumococcal vaccine 83 83 91
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 89 89 95
of long-stay residents experiencing one or more falls with major injury 2 2 4
of long-stay residents who have depressive symptoms 2 2 5
of long-stay residents who lose too much weight 7 7 7
of long-stay residents who received an antianxiety or hypnotic medication 16 16 18
of long-stay residents who received an antipsychotic medication 20 20 14
of long-stay residents who self-report moderate to severe pain 12 12 10
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 34 34 17
of long-stay residents whose need for help with daily activities has increased 26 26 15
of long-stay residents with a catheter inserted and left in their bladder 1 1 2
of long-stay residents with a urinary tract infection 4 4 4
of low risk long-stay residents who lose control of their bowels or bladder 43 43 44
of short-stay residents assessed and appropriately given the pneumococcal vaccine 41 41 74
of short-stay residents who made improvements in function 68 Not Available   11
of short-stay residents who newly received an antipsychotic medication 1 68 70
of short-stay residents who self-report moderate to severe pain 27 1 1
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 58 27 21
of short-stay residents with pressure ulcers that are new or worsened 0 58 75