MARIAS CARE CENTER

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 "Clinically Complex". 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 Marias Care Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Clinically Complex

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

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 05/12/2011.

Administration

Hire a Qualified Activities Director. Inspection Date: 05/14/2009 Correction Date: 07/13/2009
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 05/14/2009 Correction Date: 07/13/2009
Post Nurse Staffing Information. Inspection Date: 04/01/2010 Correction Date: 05/15/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 05/14/2009 Correction Date: 07/13/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 04/01/2010 Correction Date: 05/15/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 04/01/2010 Correction Date: 05/15/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 05/12/2011 Correction Date: 06/14/2011
Keep All Essential Equipment Working Safely. Inspection Date: 05/12/2011 Correction Date: 06/14/2011

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: 05/14/2009 Correction Date: 07/13/2009
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 04/01/2010 Correction Date: 05/15/2010
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: 04/01/2010 Correction Date: 05/15/2010

Nutrition and Dietary

Make Sure That the Attending Doctor Orders Special Diets. Inspection Date: 05/14/2009 Correction Date: 07/13/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 04/01/2010 Correction Date: 05/15/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 05/12/2011 Correction Date: 06/14/2011

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: 05/14/2009 Correction Date: 10/07/2009
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 05/14/2009 Correction Date: 10/07/2009
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 04/01/2010 Correction Date: 05/15/2010

Quality Care

Provide Activities to Meet the Needs of Each Resident. Inspection Date: 05/14/2009 Correction Date: 07/13/2009

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: 05/14/2009 Correction Date: 07/13/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 05/12/2011 Correction Date: 06/14/2011

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 04/01/2010 Correction Date: 05/15/2010

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

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

Pharmacy Service

Properly Mark Drugs and Other Similar Products. Complaint Filed: 08/25/2009 Correction Date: 09/25/2009

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 Marias 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 05/12/2011.

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 05/13/2009 Correction Date: 07/16/2009
Portable Fire Extinguishers. Inspection Date: 05/13/2009 Correction Date: 06/19/2009
Back-Up Procedures in Place for a Faulty Automatic Sprinkler System. Inspection Date: 05/13/2009 Correction Date: 06/01/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 03/30/2010 Correction Date: 04/22/2010
Portable Fire Extinguishers. Inspection Date: 03/30/2010 Correction Date: 05/15/2010
Portable Fire Extinguishers. Inspection Date: 05/12/2011 Correction Date: 06/05/2011

Building Construction

Approved Construction Type or Materials. Inspection Date: 05/13/2009 Correction Date: 05/20/2009
A Two-Hour-Resistant Firewall in Common Walls. Inspection Date: 03/30/2010 Correction Date: 04/19/2010
Approved Construction Type or Materials. Inspection Date: 03/30/2010 Correction Date: 05/13/2010
A Two-Hour-Resistant Firewall in Common Walls. Inspection Date: 05/12/2011 Correction Date: 05/13/2011
Approved Construction Type or Materials. Inspection Date: 05/12/2011 Correction Date: 05/14/2011

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 05/13/2009 Correction Date: 06/19/2009
Corridor and Hallway Doors That Block Smoke. Inspection Date: 03/30/2010 Correction Date: 04/20/2010

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 05/13/2009 Correction Date: 06/12/2009
Properly Installed Electrical Wiring and Equipment. Inspection Date: 03/30/2010 Correction Date: 04/27/2010
Properly Installed Electrical Wiring and Equipment. Inspection Date: 05/12/2011 Correction Date: 06/01/2011

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 05/13/2009 Correction Date: 07/03/2009

Fire Alarm Systems

An Approved Back-Up Procedure for a Faulty Fire Alarm System. Inspection Date: 05/13/2009 Correction Date: 06/01/2009
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 03/30/2010 Correction Date: 04/30/2010

Furnishings and Decorations

Restrictions on the Use of Flammable Curtains. Inspection Date: 03/30/2010 Correction Date: 04/19/2010

Illumination and Emergency Power

Proper Backup Exit Lighting. Inspection Date: 03/30/2010 Correction Date: 04/15/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 03/30/2010 Correction Date: 04/21/2010

Smoke Compartmentation and Control

Proper Construction of Ducts Through Walls Designed to Prevent Smoke Passage. Inspection Date: 05/13/2009 Correction Date: 06/02/2009
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 03/30/2010 Correction Date: 04/20/2010
Proper Construction of Ducts Through Walls Designed to Prevent Smoke Passage. Inspection Date: 03/30/2010 Correction Date: 04/21/2010

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 05/13/2009 Correction Date: 06/30/2009

Vertical Openings

Proper Stairway Enclosures and Vertical Shafts. Inspection Date: 03/30/2010 Correction Date: 04/22/2010
Exit Doors That Are Held Open by Devices That Will Automatically Close on the Activation of a Fire Alarm or Smoke Detectors. Inspection Date: 03/30/2010 Correction Date: 05/21/2010
Exit Doors That Are Held Open by Devices That Will Automatically Close on the Activation of a Fire Alarm or Smoke Detectors. Inspection Date: 05/12/2011 Correction Date: 05/23/2011