BEARTOOTH MANOR

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Beartooth Manor. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

High Rehabilitation

Medium Rehabilitation

Clinically Complex

Behavioral Symptoms and Cognitive Performance

Reduced Physical Function

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Montana are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

Long-Term Stay Preventive Actions

Long-Term Stay Deficiencies

Short-Term Stay Preventive Actions

Short-Term Stay Deficiencies

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 09/16/2010.

Administration

Post Nurse Staffing Information. Inspection Date: 09/04/2008 Correction Date: 09/30/2008
Keep Accurate and Appropriate Medical Records. Inspection Date: 09/04/2008 Correction Date: 10/10/2008
Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident. Inspection Date: 09/03/2009 Correction Date: 09/29/2009
Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident. Inspection Date: 09/16/2010 Correction Date: 10/29/2010
Keep Accurate and Appropriate Medical Records. Inspection Date: 09/16/2010 Correction Date: 10/29/2010
Keep Clinical Information Safe, So That It Will Not Be Lost, Destroyed or Used by the Wrong Person. Inspection Date: 09/16/2010 Correction Date: 10/29/2010

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 09/04/2008 Correction Date: 10/10/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 09/04/2008 Correction Date: 10/10/2008
Have Enough Backup Water Supply for Important Areas of the Nursing Home. Inspection Date: 09/04/2008 Correction Date: 10/31/2008
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 09/16/2010 Correction Date: 10/29/2010

Mistreatment

1) Hire Only People Who Have 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. Inspection Date: 09/04/2008 Correction Date: 09/30/2008
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 09/16/2010 Correction Date: 10/29/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 09/04/2008 Correction Date: 10/10/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 09/03/2009 Correction Date: 09/29/2009
Make Sure That the Attending Doctor Orders Special Diets. Inspection Date: 09/16/2010 Correction Date: 10/29/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 09/16/2010 Correction Date: 10/29/2010

Pharmacy Service

At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 09/04/2008 Correction Date: 10/17/2008
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects. Inspection Date: 09/16/2010 Correction Date: 10/29/2010

Quality Care

Use a Registered Nurse at Least 8 Hours a Day, 7 Days a Week. Inspection Date: 09/03/2009 Correction Date: 09/29/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 09/16/2010 Correction Date: 10/29/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 09/16/2010 Correction Date: 10/29/2010
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 09/16/2010 Correction Date: 10/29/2010

Resident Assessment

Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health. Inspection Date: 09/04/2008 Correction Date: 10/10/2008
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them. Inspection Date: 09/04/2008 Correction Date: 10/10/2008
Provide a Final Summary of the Resident's Health Status and a Summary of the Resident's Stay, when the Resident is Ready to Leave the Nursing Home. Inspection Date: 09/03/2009 Correction Date: 09/29/2009
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 09/16/2010 Correction Date: 10/29/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 09/16/2010 Correction Date: 10/29/2010

Resident Rights

Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 09/16/2010 Correction Date: 10/29/2010

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Beartooth Manor had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 09/14/2010.

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 09/03/2008 Correction Date: 10/14/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 09/03/2008 Correction Date: 10/14/2008
Portable Fire Extinguishers. Inspection Date: 09/03/2008 Correction Date: 10/14/2008
Back-Up Procedures in Place for a Faulty Automatic Sprinkler System. Inspection Date: 09/03/2008 Correction Date: 10/14/2008
An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 09/01/2009 Correction Date: 10/16/2009
Portable Fire Extinguishers. Inspection Date: 09/01/2009 Correction Date: 10/16/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 09/14/2010 Correction Date: 10/15/2010
Portable Fire Extinguishers. Inspection Date: 09/14/2010 Correction Date: 10/15/2010

Building Construction

Approved Construction Type or Materials. Inspection Date: 09/03/2008 Correction Date: 10/14/2008
Approved Construction Type or Materials. Inspection Date: 09/01/2009 Correction Date: 10/16/2009
Approved Construction Type or Materials. Inspection Date: 09/14/2010 Correction Date: 10/15/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 09/03/2008 Correction Date: 10/14/2008
Corridor and Hallway Doors That Block Smoke. Inspection Date: 09/01/2009 Correction Date: 10/16/2009
Corridor and Hallway Doors That Block Smoke. Inspection Date: 09/14/2010 Correction Date: 10/15/2010

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 09/03/2008 Correction Date: 10/14/2008
Properly Installed Electrical Wiring and Equipment. Inspection Date: 09/01/2009 Correction Date: 11/10/2009
Properly Installed Electrical Wiring and Equipment. Inspection Date: 09/14/2010 Correction Date: 10/15/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 09/03/2008 Correction Date: 10/14/2008

Exits and Egress

Corridors or Aisles That Are Unobstructed and Are at Least 8 Feet in Width. Inspection Date: 09/01/2009 Correction Date: 10/16/2009
Exits That Are Accessible at All Times. Inspection Date: 09/14/2010 Correction Date: 10/15/2010

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 09/03/2008 Correction Date: 10/14/2008
An Approved Back-Up Procedure for a Faulty Fire Alarm System. Inspection Date: 09/03/2008 Correction Date: 10/14/2008
Properly Maintained Smoke Detectors. Inspection Date: 09/14/2010 Correction Date: 10/15/2010

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 09/03/2008 Correction Date: 10/14/2008
Restrictions on the Use of Flammable Curtains. Inspection Date: 09/03/2008 Correction Date: 10/14/2008
Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 09/01/2009 Correction Date: 10/16/2009
Restrictions on the Use of Flammable Curtains. Inspection Date: 09/01/2009 Correction Date: 11/10/2009
Restrictions on the Use of Flammable Curtains. Inspection Date: 09/14/2010 Correction Date: 10/15/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 09/03/2008 Correction Date: 10/14/2008
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 09/14/2010 Correction Date: 10/15/2010

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 09/03/2008 Correction Date: 10/14/2008
Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 09/01/2009 Correction Date: 10/16/2009
Properly Located and Lighted "Exit" Signs. Inspection Date: 09/14/2010 Correction Date: 10/15/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 09/03/2008 Correction Date: 10/14/2008
Proper Medical Gas Storage and Administration Areas. Inspection Date: 09/01/2009 Correction Date: 10/16/2009
Proper Medical Gas Storage and Administration Areas. Inspection Date: 09/14/2010 Correction Date: 10/12/2010

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 09/03/2008 Correction Date: 10/14/2008
Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 09/01/2009 Correction Date: 10/16/2009

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 09/03/2008 Correction Date: 10/14/2008
Proper Construction of Ducts Through Walls Designed to Prevent Smoke Passage. Inspection Date: 09/01/2009 Correction Date: 10/23/2009
Proper Construction of Ducts Through Walls Designed to Prevent Smoke Passage. Inspection Date: 09/14/2010 Correction Date: 11/05/2010