DEER LODGE CARE & REHABILITATION CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Deer Lodge Care & Rehabilitation Center. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

DEER LODGE CARE & REHABILITATION CENTER
1100 TEXAS AVE
DEER LODGE, MT 59722
(406) 846-1655

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

95%

Number of Residents and Certified Beds

  • Residents: 57
  • Certified Beds: 60

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Anaconda | Butte | Clancy

Resident Services

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 "Very 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 Deer Lodge Care & Rehabilitation Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-169.0%
ADL Index Range: 6-104.6%
ADL Index Range: 0-58.8%
Total Percent:22.5%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-164.4%
ADL Index Range: 6-104.8%
ADL Index Range: 0-518.8%
Total Percent:28.1%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-162.7%
ADL Index Range: 0-51.3%
Total Percent:4.0%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-161.0%
ADL Index Range: 6-107.1%
ADL Index Range: 0-510.4%
Total Percent:18.5%
 

Special Care High

  • Comatose
  • Septicemia
  • Diabetes with daily injections and a change of order two or more days
  • Quadriplegia with ADL score greater or equal to 5
  • Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
  • Fever with pneumonia, or vomiting, or weight loss, or feeding tube
  • Parenteral/IV feedings
  • Respiratory therapy for 7 days
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-14
- No Signs of depression
1.0%
Total Percent:1.0%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 15-16
- No Signs of depression
4.8%
ADL Index Range: 11-14
- No Signs of depression
0.6%
ADL Index Range: 0-1
- No Signs of depression
7.3%
Total Percent:12.7%
 

Behavioral Symptoms and Cognitive Performance

  • Cognitive impairment BIMS score less than or equal to 9
  • CPS great than or equal to 3
  • Hallucinations or delusions
  • Physical or verbal behavioral symptoms toward others
  • Other behavioral symptoms
  • Rejection of care or wandering
  • Activities of Daily Living (ADL) score of 5 or less
ADL Index Range: 0-1
- Less restorative nursing
12.5%
Total Percent:12.5%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 0-1
- Less restorative nursing
0.8%
Total Percent:0.8%
 

Rating Details For Deer Lodge Care & Rehabilitation Center

Nursing Staff -

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.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours37 Minutes56 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours23 Minutes36 Minutes
Certified Nursing Assistant (CNA) Hours1 Hour and 30 Minutes2 Hours and 2 Minutes
Total Licensed Nurse Hours59 Minutes1 Hour and 32 Minutes
Total Nurse Hours2 Hours and 29 Minutes3 Hours and 34 Minutes

Quality of Care -

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.

This FacilityMontana Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%92%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%89%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Are More Depressed or Anxious6%18%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain4%5%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse6%13%
Percent of Long-Stay Residents Who Were Physically Restrained-4%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores3%3%
Percent of Long-Stay Residents Who Lose Too Much Weight4%8%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores11%9%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased13%16%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder27%50%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair-4%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection9%8%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder4%7%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination84%82%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season85%86%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores9%12%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain13%32%
Percent of Short-Stay Residents Who Have Delirium1%3%

Health Inspection Details -

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 01/20/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 03/05/2009
  • Correction Date: 04/29/2009
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 12/10/2009
  • Correction Date: 01/08/2010

Environmental

Have a Program to Keep Infection from Spreading.
  • Inspection Date: 12/10/2009
  • Correction Date: 01/08/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 03/05/2009
  • Correction Date: 04/29/2009

Pharmacy Service

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: 03/05/2009
  • Correction Date: 04/29/2009
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Inspection Date: 03/05/2009
  • Correction Date: 04/29/2009

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 03/05/2009
  • Correction Date: 04/29/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 03/05/2009
  • Correction Date: 04/29/2009
Develop/Implement Required Procedures for the Administration of Immunizations.
  • Inspection Date: 03/05/2009
  • Correction Date: 04/29/2009
Use a Registered Nurse at Least 8 Hours a Day, 7 Days a Week.
  • Inspection Date: 03/05/2009
  • Correction Date: 04/29/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 12/10/2009
  • Correction Date: 01/08/2010

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 03/05/2009
  • Correction Date: 04/29/2009
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 12/10/2009
  • Correction Date: 01/08/2010
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.
  • Inspection Date: 12/10/2009
  • Correction Date: 01/08/2010

Fire Safety

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 Deer Lodge Care & Rehabilitation 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 01/19/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 03/05/2009
  • Correction Date: 05/04/2009
An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 12/15/2009
  • Correction Date: 02/01/2010
Portable Fire Extinguishers.
  • Inspection Date: 12/15/2009
  • Correction Date: 01/10/2010
Back-Up Procedures in Place for a Faulty Automatic Sprinkler System.
  • Inspection Date: 12/15/2009
  • Correction Date: 01/10/2010
Portable Fire Extinguishers.
  • Inspection Date: 01/19/2011
  • Correction Date: 02/08/2011

Building Construction

Approved Construction Type or Materials.
  • Inspection Date: 01/19/2011
  • Correction Date: 02/09/2011

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 01/19/2011
  • Correction Date: 02/08/2011

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 03/05/2009
  • Correction Date: 05/04/2009
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 12/15/2009
  • Correction Date: 01/10/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 01/19/2011
  • Correction Date: 02/08/2011

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 01/19/2011
  • Correction Date: 02/19/2011

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 03/05/2009
  • Correction Date: 05/04/2009
An Approved Back-Up Procedure for a Faulty Fire Alarm System.
  • Inspection Date: 12/15/2009
  • Correction Date: 01/10/2010

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times.
  • Inspection Date: 01/19/2011
  • Correction Date: 02/09/2011
Restrictions on the Use of Flammable Curtains.
  • Inspection Date: 01/19/2011
  • Correction Date: 02/09/2011

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 03/05/2009
  • Correction Date: 05/04/2009

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 03/05/2009
  • Correction Date: 05/04/2009
Properly Located and Lighted "Exit" Signs.
  • Inspection Date: 03/05/2009
  • Correction Date: 05/04/2009
Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 01/19/2011
  • Correction Date: 02/09/2011

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 03/05/2009
  • Correction Date: 05/04/2009
Source: Medicare Nursing Home Compare; Department of Health and Human Services of Montana - Quality Assurance, Certification Bureau - Retrieved 2011