CENTRAL MONTANA SKILLED NURSING

The information listed below provides an in-depth look into the type and quality of care offered at Central Montana Skilled Nursing. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

CENTRAL MONTANA SKILLED NURSING
408 WENDELL AVE
LEWISTOWN, MT 59457
(406) 535-6225

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

69%

Number of Residents and Certified Beds

  • Residents: 59
  • Certified Beds: 85

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By Non Profit - Corporation
  • Offers Only Resident Counseling
  • Located Inside of a Hospital Facility
  • This Facility is Not Part of a Chain or Franchise

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Nearby Cities:

Fort Benton | Big Sandy | Big Timber

Resident Services

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 "High 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 Central Montana Skilled Nursing. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1631.1%
ADL Index Range: 6-1016.1%
ADL Index Range: 0-56.2%
Total Percent:53.4%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-1610.6%
ADL Index Range: 6-1026.7%
ADL Index Range: 0-58.7%
Total Percent:46.0%
 

Special Care High

  • Comatose
  • Septicemia
  • Diabetes with daily injections and a change of order two or more days
  • Quadriplegia with ADL score greater or equal to 5
  • Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
  • Fever with pneumonia, or vomiting, or weight loss, or feeding tube
  • Parenteral/IV feedings
  • Respiratory therapy for 7 days
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-14
- No Signs of depression
0.6%
Total Percent:0.6%
 

Rating Details For Central Montana Skilled Nursing

Nursing Staff -

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.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours1 Hour and 17 Minutes60 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours9 Minutes38 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 54 Minutes2 Hours and 30 Minutes
Total Licensed Nurse Hours1 Hour and 26 Minutes1 Hour and 37 Minutes
Total Nurse Hours4 Hours and 21 Minutes4 Hours and 7 Minutes

Quality of Care -

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.

This FacilityMontana Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%89%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%92%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair2%4%
Percent of Long-Stay Residents Who Lose Too Much Weight9%8%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain2%5%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder17%7%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased12%16%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores3%3%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder62%50%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse17%13%
Percent of Long-Stay Residents Who Were Physically Restrained-4%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection5%8%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores8%9%
Percent of Long-Stay Residents Who Are More Depressed or Anxious23%18%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%82%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%86%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores14%12%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain27%32%
Percent of Short-Stay Residents Who Have Delirium-3%

Health Inspection Details -

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 04/14/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 03/04/2010
  • Correction Date: 05/05/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 03/04/2010
  • Correction Date: 05/05/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 04/14/2011
  • Correction Date: 05/18/2011
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 04/14/2011
  • Correction Date: 05/18/2011

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 04/16/2009
  • Correction Date: 06/23/2009

Nutrition and Dietary

Make Sure That Residents Are Well Nourished.
  • Inspection Date: 04/16/2009
  • Correction Date: 06/19/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 04/16/2009
  • Correction Date: 06/19/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 03/04/2010
  • Correction Date: 05/05/2010
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 04/14/2011
  • Correction Date: 05/18/2011

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: 03/04/2010
  • Correction Date: 05/05/2010

Resident Rights

Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 03/04/2010
  • Correction Date: 05/05/2010

Fire Safety

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 Central Montana Skilled Nursing 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 04/14/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 03/17/2010
  • Correction Date: 03/18/2010

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 03/17/2010
  • Correction Date: 03/23/2010

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times.
  • Inspection Date: 03/17/2010
  • Correction Date: 03/18/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 03/17/2010
  • Correction Date: 03/18/2010

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 04/13/2009
  • Correction Date: 05/04/2009
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 03/17/2010
  • Correction Date: 03/18/2010
Source: Medicare Nursing Home Compare; Department of Health and Human Services of Montana - Quality Assurance, Certification Bureau - Retrieved 2011