PIONEER CARE AND REHABILITATION

Nursing Home Inspector

200 N OREGON ST
DILLON, MT 59725
Beaverhead County
Phone: 406-683-5105
Provider Number: 275124
Last Inspection: 05/18/2017

About the Nursing Home

Number of Beds: 87
Number of Residents: 41
Beds Available: 46
Percent Occupancy: 47%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: For profit - Limited Liability company
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

 

20

Facility
20

County
27

MT
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

20

2017
19

2016
20

2015

Medicare Ratings

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

 

Details by Inspection Date

5/18/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Protect each resident from all abuse, physical punishment, and involuntary separation from others. Isolated : Minimal 3 6/14/2017
 
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 6/14/2017
 
Failed To: Review or revise the resident's care plan after any major change in physical or mental health. Isolated : Minimal 3 6/14/2017
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 6/14/2017
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Actual 4 6/14/2017
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 6/14/2017
 

4/28/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Maintain comfortable sound levels. Pattern : Minimal 4 6/1/2016
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 6/1/2016
 
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 6/1/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 6/1/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 6/1/2016
 

2/25/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Keep each resident free from physical restraints, unless needed for medical treatment. Isolated : Minimal 3 4/16/2015
 
Failed To: Reasonably accommodate the needs and preferences of each resident. Isolated : Minimal 3 4/16/2015
 
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 4/16/2015
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 4/16/2015
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 4/16/2015
 
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 4/16/2015
 

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 41 41.00 56.12
Registered Nurses 1.09 1.09 0.98
Licensed Practical / Vocational Nurses 0.14 0.14 0.49
Certified Nursing Assistants 1.95 1.95 2.51
Total Staff Hours 3.17 3.17 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 6 6 4
of long-stay residents assessed and appropriately given the pneumococcal vaccine 100 100 91
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 99 99 95
of long-stay residents experiencing one or more falls with major injury 10 10 4
of long-stay residents who have depressive symptoms 3 3 5
of long-stay residents who lose too much weight 8 8 7
of long-stay residents who received an antianxiety or hypnotic medication 11 11 18
of long-stay residents who received an antipsychotic medication 22 22 14
of long-stay residents who self-report moderate to severe pain 0 0 10
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 9 9 17
of long-stay residents whose need for help with daily activities has increased 14 14 15
of long-stay residents with a catheter inserted and left in their bladder 4 4 2
of long-stay residents with a urinary tract infection 2 2 4
of low risk long-stay residents who lose control of their bowels or bladder 55 55 44
of short-stay residents assessed and appropriately given the pneumococcal vaccine 85 85 74
of short-stay residents who had an outpatient emergency department visit 7 7 11
of short-stay residents who made improvements in function 76 76 70
of short-stay residents who newly received an antipsychotic medication 2 2 1
of short-stay residents who self-report moderate to severe pain 3 3 21
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 86 86 75
of short-stay residents who were rehospitalized after a nursing home admission 10 10 14
of short-stay residents with pressure ulcers that are new or worsened 6 Not Available   62