HOLY ROSARY EXTENDED CARE UNIT

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 "Medium 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 Holy Rosary Extended Care Unit. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

Special Care Low

Clinically Complex

Reduced Physical Function

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

Short-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 04/13/2011.

Administration

Keep Accurate and Appropriate Medical Records. Inspection Date: 03/18/2009 Correction Date: 04/30/2009

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 03/18/2009 Correction Date: 05/04/2009
Put Firmly Secured Handrails on Each Side of Hallways. Inspection Date: 04/13/2011 Correction Date: 06/12/2011

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: 03/18/2009 Correction Date: 04/30/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 03/18/2009 Correction Date: 04/30/2009

Nutrition and Dietary

1) Provide 3 Meals Daily at Regular Times; or 2) Serve Breakfast Within 14 Hours After Dinner; or 3) Offer a Snack at Bedtime Each Day. Inspection Date: 03/18/2009 Correction Date: 04/30/2009

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: 03/18/2009 Correction Date: 05/04/2009
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: 02/18/2010 Correction Date: 04/27/2010

Quality Care

Provide Activities to Meet the Needs of Each Resident. Inspection Date: 03/18/2009 Correction Date: 05/04/2009
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 03/18/2009 Correction Date: 05/04/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 03/18/2009 Correction Date: 05/04/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 03/18/2009 Correction Date: 05/04/2009
Give the Right Treatment and Services to Residents Who Have Mental or Social Problems Adjusting. Inspection Date: 03/18/2009 Correction Date: 05/04/2009

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 03/18/2009 Correction Date: 05/04/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 03/18/2009 Correction Date: 04/30/2009

Resident Rights

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: 03/18/2009 Correction Date: 05/08/2009
Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 03/18/2009 Correction Date: 04/30/2009
Try to Resolve Each Resident's Complaints Quickly. Inspection Date: 03/18/2009 Correction Date: 05/04/2009
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey. Inspection Date: 03/18/2009 Correction Date: 05/04/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 03/18/2009 Correction Date: 05/08/2009
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 03/18/2009 Correction Date: 05/04/2009

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 Holy Rosary Extended Care Unit 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 04/12/2011.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 02/16/2010 Correction Date: 03/31/2010

Building Construction

Approved Construction Type or Materials. Inspection Date: 03/17/2009 Correction Date: 03/26/2009
A Two-Hour-Resistant Firewall in Common Walls. Inspection Date: 04/12/2011 Correction Date: 04/13/2011

Electrical

Weekly Inspections and Monthly Testing of Generators. Inspection Date: 03/17/2009 Correction Date: 03/20/2009
A Separate and Independent Backup Electrical Power Source. Inspection Date: 03/17/2009 Correction Date: 03/20/2009
Properly Installed Electrical Wiring and Equipment. Inspection Date: 03/17/2009 Correction Date: 03/31/2009
Properly Installed Electrical Wiring and Equipment. Inspection Date: 04/12/2011 Correction Date: 06/10/2011

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 03/17/2009 Correction Date: 03/26/2009

Furnishings and Decorations

Restrictions on the Use of Flammable Curtains. Inspection Date: 02/16/2010 Correction Date: 03/31/2010
Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 04/12/2011 Correction Date: 04/18/2011
Restrictions on the Use of Flammable Curtains. Inspection Date: 04/12/2011 Correction Date: 04/21/2011

Illumination and Emergency Power

Proper Backup Exit Lighting. Inspection Date: 04/12/2011 Correction Date: 04/18/2011

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 03/17/2009 Correction Date: 03/20/2009