BLACKFEET CARE CENTER

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

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 09/30/2010.

Administration

Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 08/06/2009 Correction Date: 09/18/2009
Post Nurse Staffing Information. Inspection Date: 09/30/2010 Correction Date: 11/30/2010
Choose a Doctor to Be the Medical Director. Inspection Date: 09/30/2010 Correction Date: 11/30/2010
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 09/30/2010 Correction Date: 11/09/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 05/29/2008 Correction Date: 07/09/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 08/06/2009 Correction Date: 09/18/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 09/30/2010 Correction Date: 11/30/2010

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: 05/29/2008 Correction Date: 07/09/2008
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: 08/06/2009 Correction Date: 09/18/2009

Nutrition and Dietary

Make Sure That Residents Are Well Nourished. Inspection Date: 09/30/2010 Correction Date: 11/30/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 09/30/2010 Correction Date: 11/30/2010

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 09/30/2010 Correction Date: 11/30/2010
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 09/30/2010 Correction Date: 11/30/2010
Properly Mark Drugs and Other Similar Products. Inspection Date: 09/30/2010 Correction Date: 11/30/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 09/30/2010 Correction Date: 11/30/2010

Resident Assessment

Make Sure That Doctors Visit Residents Regularly, As Required. Inspection Date: 08/06/2009 Correction Date: 09/18/2009
Make Sure That All Needed Doctor Visits Are Made Personally by a Doctor, As Required. Inspection Date: 08/06/2009 Correction Date: 09/18/2009
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 09/30/2010 Correction Date: 11/30/2010
Do an Assessment of the Resident Every Year. Inspection Date: 09/30/2010 Correction Date: 11/30/2010
Check and Update (If Needed) Each Resident's Assessment Every 3 Months. Inspection Date: 09/30/2010 Correction Date: 11/30/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 09/30/2010 Correction Date: 11/30/2010
Electronically Record and Report Resident Status Assessments in a Timely Manner As Required in Order to Monitor Resident Health and Progress. Inspection Date: 09/30/2010 Correction Date: 11/30/2010
Make Sure That Doctors See a Resident's Plan of Care at Every Visit and Make Notes About Progress and Orders in Writing. Inspection Date: 09/30/2010 Correction Date: 11/30/2010
Make Sure That Doctors Visit Residents Regularly, As Required. Inspection Date: 09/30/2010 Correction Date: 11/30/2010
Make Sure That All Needed Doctor Visits Are Made Personally by a Doctor, As Required. Inspection Date: 09/30/2010 Correction Date: 11/30/2010

Resident Rights

Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help. Inspection Date: 09/30/2010 Correction Date: 11/30/2010

The table below lists incident reports by the nursing staff or administration for Blackfeet Care Center, as well as complaints by residents or their family in the previous three years.

Administration

Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents. Complaint Filed: 04/08/2009 Correction Date: 06/03/2009

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 04/08/2009 Correction Date: 07/03/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 07/08/2010 Correction Date: 08/13/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Complaint Filed: 07/08/2010 Correction Date: 07/28/2010

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan. Complaint Filed: 04/08/2009 Correction Date: 06/03/2009
Give Proper Treatment to Residents with Feeding Tubes to Prevent Problems (Such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-Pharyngeal Ulcers) and Help Restore Eating Skills, if Possible. Complaint Filed: 09/09/2009 Correction Date: 09/25/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Complaint Filed: 07/08/2010 Correction Date: 08/13/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Complaint Filed: 07/08/2010 Correction Date: 08/13/2010

Resident Assessment

1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan. Complaint Filed: 04/08/2009 Correction Date: 06/03/2009
Electronically Record and Report Resident Status Assessments in a Timely Manner As Required in Order to Monitor Resident Health and Progress. Complaint Filed: 09/09/2009 Correction Date: 09/25/2009
Check and Update (If Needed) Each Resident's Assessment Every 3 Months. Complaint Filed: 09/09/2009 Correction Date: 09/25/2009
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them. Complaint Filed: 09/09/2009 Correction Date: 09/25/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Complaint Filed: 07/08/2010 Correction Date: 09/17/2010
Check and Update (If Needed) Each Resident's Assessment Every 3 Months. Complaint Filed: 07/08/2010 Correction Date: 09/17/2010
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Complaint Filed: 07/08/2010 Correction Date: 09/17/2010

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 Blackfeet Care Center 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 09/28/2010.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 05/27/2008 Correction Date: 07/15/2008
Portable Fire Extinguishers. Inspection Date: 05/27/2008 Correction Date: 07/15/2008
An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 08/05/2009 Correction Date: 10/05/2009
Portable Fire Extinguishers. Inspection Date: 08/05/2009 Correction Date: 10/05/2009
Portable Fire Extinguishers. Inspection Date: 09/28/2010 Correction Date: 11/25/2010

Building Construction

Approved Construction Type or Materials. Inspection Date: 05/27/2008 Correction Date: 07/15/2008
Approved Construction Type or Materials. Inspection Date: 09/28/2010 Correction Date: 11/25/2010

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 05/27/2008 Correction Date: 07/15/2008
Properly Installed Electrical Wiring and Equipment. Inspection Date: 08/05/2009 Correction Date: 10/05/2009
Properly Installed Electrical Wiring and Equipment. Inspection Date: 09/28/2010 Correction Date: 11/25/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 05/27/2008 Correction Date: 07/15/2008

Fire Alarm Systems

Properly Maintained Smoke Detectors. Inspection Date: 05/27/2008 Correction Date: 07/15/2008
Properly Maintained Smoke Detectors. Inspection Date: 09/28/2010 Correction Date: 11/25/2010

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 05/27/2008 Correction Date: 07/15/2008

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 05/27/2008 Correction Date: 07/15/2008

Illumination and Emergency Power

Proper Backup Exit Lighting. Inspection Date: 08/05/2009 Correction Date: 10/05/2009
Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 09/28/2010 Correction Date: 11/25/2010
Properly Located and Lighted "Exit" Signs. Inspection Date: 09/28/2010 Correction Date: 11/25/2010