PIONEER MEDICAL CENTER LONG TERM CARE

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 03/17/2011.

Administration

Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 04/02/2009 Correction Date: 06/04/2009

Environmental

Get Rid of Garbage Properly. Inspection Date: 04/02/2009 Correction Date: 06/04/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 04/02/2009 Correction Date: 06/04/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 04/02/2009 Correction Date: 06/04/2009
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests. Inspection Date: 04/02/2009 Correction Date: 06/04/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 03/17/2011 Correction Date: 05/18/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 04/02/2009 Correction Date: 06/04/2009
Make Sure That Residents Are Well Nourished. Inspection Date: 03/17/2011 Correction Date: 05/18/2011

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: 04/02/2009 Correction Date: 06/04/2009
Properly Mark Drugs and Other Similar Products. Inspection Date: 04/02/2009 Correction Date: 06/04/2009
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: 03/17/2011 Correction Date: 05/18/2011
Make Sure That Residents Are Safe from Serious Medication Errors. Inspection Date: 03/17/2011 Correction Date: 05/18/2011
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 03/17/2011 Correction Date: 05/18/2011

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 04/02/2009 Correction Date: 06/04/2009
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 04/02/2009 Correction Date: 06/04/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 01/21/2010 Correction Date: 04/14/2010

Resident Assessment

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: 04/02/2009 Correction Date: 06/04/2009
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: 03/17/2011 Correction Date: 05/18/2011

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 04/02/2009 Correction Date: 06/04/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 04/02/2009 Correction Date: 06/04/2009
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 04/02/2009 Correction Date: 06/04/2009
Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged. Inspection Date: 03/17/2011 Correction Date: 05/18/2011
Provide Proof That All Residents' Personal Money Which is Deposited with the Nursing Home, is Secure. Inspection Date: 03/17/2011 Correction Date: 05/18/2011

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 Pioneer Medical Center Long Term Care 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 03/29/2011.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 03/31/2009 Correction Date: 05/25/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 01/21/2010 Correction Date: 03/25/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 03/29/2011 Correction Date: 05/13/2011
Portable Fire Extinguishers. Inspection Date: 03/29/2011 Correction Date: 05/13/2011

Building Construction

Approved Construction Type or Materials. Inspection Date: 03/31/2009 Correction Date: 05/25/2009
A Two-Hour-Resistant Firewall in Common Walls. Inspection Date: 03/29/2011 Correction Date: 05/13/2011
Approved Construction Type or Materials. Inspection Date: 03/29/2011 Correction Date: 05/13/2011

Corridor Walls and Doors

Signs That State That Exit Doors Are to Be Kept Closed. Inspection Date: 03/31/2009 Correction Date: 05/25/2009
Corridor and Hallway Doors That Block Smoke. Inspection Date: 03/29/2011 Correction Date: 05/13/2011

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 03/31/2009 Correction Date: 05/25/2009
Properly Installed Electrical Wiring and Equipment. Inspection Date: 01/21/2010 Correction Date: 03/25/2010
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 03/29/2011 Correction Date: 04/02/2011
Properly Installed Electrical Wiring and Equipment. Inspection Date: 03/29/2011 Correction Date: 05/13/2011

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 03/31/2009 Correction Date: 05/25/2009
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 01/21/2010 Correction Date: 03/25/2010
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 03/29/2011 Correction Date: 05/13/2011

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 03/29/2011 Correction Date: 05/13/2011

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 03/31/2009 Correction Date: 05/25/2009
Properly Maintained Smoke Detectors. Inspection Date: 03/29/2011 Correction Date: 05/13/2011

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 03/31/2009 Correction Date: 05/25/2009
Restrictions on the Use of Flammable Curtains. Inspection Date: 01/21/2010 Correction Date: 03/25/2010
Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 03/29/2011 Correction Date: 05/13/2011

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 03/31/2009 Correction Date: 05/25/2009
Properly Installed Hallway Dispensers for Alcohol-Based Hand Rub. Inspection Date: 03/31/2009 Correction Date: 05/25/2009

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 03/31/2009 Correction Date: 05/25/2009
Properly Located and Lighted "Exit" Signs. Inspection Date: 03/31/2009 Correction Date: 05/25/2009
Properly Located and Lighted "Exit" Signs. Inspection Date: 01/21/2010 Correction Date: 03/25/2010

Interior Finish

Fire-Resistant Interior Walls. Inspection Date: 03/29/2011 Correction Date: 05/27/2011

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 03/31/2009 Correction Date: 05/25/2009

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 03/31/2009 Correction Date: 05/25/2009
Proper Construction of Ducts Through Walls Designed to Prevent Smoke Passage. Inspection Date: 03/31/2009 Correction Date: 05/25/2009
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 01/21/2010 Correction Date: 03/25/2010

Vertical Openings

Proper Stairway Enclosures and Vertical Shafts. Inspection Date: 03/31/2009 Correction Date: 05/25/2009
Exit Doors That Are Held Open by Devices That Will Automatically Close on the Activation of a Fire Alarm or Smoke Detectors. Inspection Date: 03/31/2009 Correction Date: 05/25/2009
Protected Exits That Allow the Resident to Escape the Building. Inspection Date: 03/31/2009 Correction Date: 05/25/2009
Exit Doors That Are Held Open by Devices That Will Automatically Close on the Activation of a Fire Alarm or Smoke Detectors. Inspection Date: 03/29/2011 Correction Date: 05/13/2011