CLARK FORK VALLEY 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 09/16/2010.

Administration

Post Nurse Staffing Information. Inspection Date: 08/20/2009 Correction Date: 09/23/2009
Post Nurse Staffing Information. Inspection Date: 09/16/2010 Correction Date: 11/09/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 08/20/2008 Correction Date: 10/30/2008
Provide Needed Housekeeping and Maintenance. Inspection Date: 08/20/2009 Correction Date: 08/20/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 08/20/2009 Correction Date: 08/20/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 09/16/2010 Correction Date: 11/09/2010

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 08/20/2008 Correction Date: 10/30/2008
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: 08/20/2009 Correction Date: 10/13/2009

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 08/20/2008 Correction Date: 10/30/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 08/20/2009 Correction Date: 10/13/2009

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: 08/20/2008 Correction Date: 10/30/2008
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 08/20/2008 Correction Date: 10/30/2008

Quality Care

Use a Registered Nurse at Least 8 Hours a Day, 7 Days a Week. Inspection Date: 08/20/2009 Correction Date: 08/20/2009

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: 08/20/2008 Correction Date: 10/30/2008
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 09/16/2010 Correction Date: 11/09/2010
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: 09/16/2010 Correction Date: 11/09/2010

Resident Rights

Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey. Inspection Date: 08/20/2009 Correction Date: 08/20/2009
Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 09/16/2010 Correction Date: 11/09/2010
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey. Inspection Date: 09/16/2010 Correction Date: 11/09/2010

The table below lists incident reports by the nursing staff or administration for Clark Fork Valley Nursing Home, as well as complaints by residents or their family in the previous three years.

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 01/13/2010 Correction Date: 05/10/2010

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Complaint Filed: 01/13/2010 Correction Date: 05/10/2010

Quality Care

Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Complaint Filed: 01/13/2010 Correction Date: 05/10/2010

Resident Assessment

Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health. Complaint Filed: 01/13/2010 Correction Date: 05/10/2010
Check and Update (If Needed) Each Resident's Assessment Every 3 Months. Complaint Filed: 01/13/2010 Correction Date: 05/10/2010
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. Complaint Filed: 01/13/2010 Correction Date: 05/10/2010

Resident Rights

Try to Resolve Each Resident's Complaints Quickly. Complaint Filed: 01/13/2010 Correction Date: 03/23/2010

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 Clark Fork Valley 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 09/15/2010.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 08/19/2008 Correction Date: 10/28/2008
Back-Up Procedures in Place for a Faulty Automatic Sprinkler System. Inspection Date: 08/19/2008 Correction Date: 10/28/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 08/18/2009 Correction Date: 10/28/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 09/15/2010 Correction Date: 10/06/2010

Building Construction

A Two-Hour-Resistant Firewall in Common Walls. Inspection Date: 08/19/2008 Correction Date: 10/28/2008
Approved Construction Type or Materials. Inspection Date: 08/19/2008 Correction Date: 10/28/2008
Approved Construction Type or Materials. Inspection Date: 09/15/2010 Correction Date: 09/16/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 08/19/2008 Correction Date: 10/28/2008
Corridor and Hallway Doors That Block Smoke. Inspection Date: 08/18/2009 Correction Date: 10/28/2009
Corridor and Hallway Doors That Block Smoke. Inspection Date: 09/15/2010 Correction Date: 09/16/2010

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 08/19/2008 Correction Date: 10/28/2008
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 09/15/2010 Correction Date: 09/16/2010
Properly Installed Electrical Wiring and Equipment. Inspection Date: 09/15/2010 Correction Date: 09/16/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 08/19/2008 Correction Date: 10/28/2008

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 08/18/2009 Correction Date: 10/28/2009

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 08/19/2008 Correction Date: 10/28/2008
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 08/19/2008 Correction Date: 10/28/2008
An Approved Back-Up Procedure for a Faulty Fire Alarm System. Inspection Date: 08/19/2008 Correction Date: 10/28/2008
A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 09/15/2010 Correction Date: 10/06/2010

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 08/19/2008 Correction Date: 10/28/2008
Restrictions on the Use of Flammable Curtains. Inspection Date: 09/15/2010 Correction Date: 09/16/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 09/15/2010 Correction Date: 09/16/2010
Properly Installed Hallway Dispensers for Alcohol-Based Hand Rub. Inspection Date: 09/15/2010 Correction Date: 09/17/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 09/15/2010 Correction Date: 09/16/2010

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 08/19/2008 Correction Date: 10/28/2008
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 08/19/2008 Correction Date: 10/28/2008
Proper Construction of Ducts Through Walls Designed to Prevent Smoke Passage. Inspection Date: 09/15/2010 Correction Date: 09/17/2010

Vertical Openings

Proper Stairway Enclosures and Vertical Shafts. Inspection Date: 08/19/2008 Correction Date: 10/28/2008
Exit Doors That Are Held Open by Devices That Will Automatically Close on the Activation of a Fire Alarm or Smoke Detectors. Inspection Date: 08/18/2009 Correction Date: 10/28/2009
Protected Exits That Allow the Resident to Escape the Building. Inspection Date: 09/15/2010 Correction Date: 09/16/2010