DAHL MEMORIAL NURSING HOME

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 11/10/2010.

Administration

Keep Accurate and Appropriate Medical Records. Inspection Date: 10/30/2008 Correction Date: 12/08/2008

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 10/30/2008 Correction Date: 12/31/2008

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 10/30/2008 Correction Date: 12/08/2008
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 10/30/2008 Correction Date: 12/08/2008
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 10/30/2008 Correction Date: 12/08/2008

Quality Care

Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 10/30/2008 Correction Date: 12/08/2008

Resident Assessment

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: 10/30/2008 Correction Date: 12/31/2008
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 11/10/2010 Correction Date: 01/27/2011

Resident Rights

Let Residents Give Themselves Their Drugs if They Are Able. Inspection Date: 10/30/2008 Correction Date: 12/31/2008

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 Dahl Memorial Nursing Home 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 11/10/2010.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 10/08/2008 Correction Date: 12/05/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 10/26/2009 Correction Date: 12/23/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 11/10/2010 Correction Date: 01/07/2011
Portable Fire Extinguishers. Inspection Date: 11/10/2010 Correction Date: 01/07/2011

Building Service Equipment

Properly Protected Cooking Facilities. Inspection Date: 11/10/2010 Correction Date: 01/07/2011

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 10/08/2008 Correction Date: 12/05/2008
Properly Installed Electrical Wiring and Equipment. Inspection Date: 10/26/2009 Correction Date: 12/23/2009
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 11/10/2010 Correction Date: 01/07/2011
Properly Installed Electrical Wiring and Equipment. Inspection Date: 11/10/2010 Correction Date: 01/07/2011

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 10/26/2009 Correction Date: 12/23/2009

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 11/10/2010 Correction Date: 01/07/2011

Medical Gases and Anesthetizing Areas

No-Smoking Signs Where Oxygen is Used. Inspection Date: 10/08/2008 Correction Date: 12/05/2008
Proper Medical Gas Storage and Administration Areas. Inspection Date: 11/10/2010 Correction Date: 01/07/2011
No-Smoking Signs Where Oxygen is Used. Inspection Date: 11/10/2010 Correction Date: 01/07/2011

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 10/08/2008 Correction Date: 12/05/2008
Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 10/26/2009 Correction Date: 12/23/2009

Vertical Openings

Exit Doors That Are Held Open by Devices That Will Automatically Close on the Activation of a Fire Alarm or Smoke Detectors. Inspection Date: 10/08/2008 Correction Date: 12/05/2008