AWE KUALAWAACHE CARE CENTER

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 03/17/2011.

Administration

Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident. Inspection Date: 12/09/2009 Correction Date: 01/25/2010
Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident. Inspection Date: 03/17/2011 Correction Date: 05/30/2011
Choose a Doctor to Be the Medical Director. Inspection Date: 03/17/2011 Correction Date: 05/30/2011
Keep Accurate and Appropriate Medical Records. Inspection Date: 03/17/2011 Correction Date: 05/06/2011
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 03/17/2011 Correction Date: 05/30/2011

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 02/19/2009 Correction Date: 03/13/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 02/19/2009 Correction Date: 03/20/2009
Provide Needed Housekeeping and Maintenance. Inspection Date: 12/09/2009 Correction Date: 01/25/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 12/09/2009 Correction Date: 01/25/2010
Get Rid of Garbage Properly. Inspection Date: 03/17/2011 Correction Date: 05/19/2011
Have a Program to Keep Infection from Spreading. Inspection Date: 03/17/2011 Correction Date: 05/30/2011

Nutrition and Dietary

Make Sure That Residents Are Well Nourished. Inspection Date: 02/19/2009 Correction Date: 03/02/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 02/19/2009 Correction Date: 03/24/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 03/17/2011 Correction Date: 05/19/2011

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 02/19/2009 Correction Date: 03/13/2009
Properly Mark Drugs and Other Similar Products. Inspection Date: 02/19/2009 Correction Date: 03/13/2009
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: 12/09/2009 Correction Date: 01/25/2010
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 12/09/2009 Correction Date: 01/25/2010
Properly Mark Drugs and Other Similar Products. Inspection Date: 12/09/2009 Correction Date: 01/25/2010
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: 03/17/2011 Correction Date: 05/19/2011
Properly Mark Drugs and Other Similar Products. Inspection Date: 03/17/2011 Correction Date: 05/19/2011

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 02/19/2009 Correction Date: 03/13/2009
Make Sure That Doctors Visit Residents Regularly, As Required. Inspection Date: 02/19/2009 Correction Date: 03/13/2009
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 03/17/2011 Correction Date: 05/19/2011
Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health. Inspection Date: 03/17/2011 Correction Date: 05/19/2011
Make Sure That Doctors Visit Residents Regularly, As Required. Inspection Date: 03/17/2011 Correction Date: 05/19/2011

Resident Rights

Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey. Inspection Date: 02/19/2009 Correction Date: 07/08/2009
Send and Promptly Deliver Unopened Mail to Residents. Inspection Date: 02/19/2009 Correction Date: 03/21/2009

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.

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 Awe Kualawaache 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 03/17/2011.

Automatic Sprinkler Systems

Portable Fire Extinguishers. Inspection Date: 02/17/2009 Correction Date: 03/13/2009
Have an Adequate Water Supply for the Sprinkler System. Inspection Date: 12/07/2009 Correction Date: 01/08/2010
Portable Fire Extinguishers. Inspection Date: 12/07/2009 Correction Date: 01/04/2010
Have an Adequate Water Supply for the Sprinkler System. Inspection Date: 03/17/2011 Correction Date: 03/18/2011
Portable Fire Extinguishers. Inspection Date: 03/17/2011 Correction Date: 03/18/2011

Building Construction

Approved Construction Type or Materials. Inspection Date: 02/17/2009 Correction Date: 03/12/2009
Approved Construction Type or Materials. Inspection Date: 12/07/2009 Correction Date: 12/31/2009
Approved Construction Type or Materials. Inspection Date: 03/17/2011 Correction Date: 03/31/2011

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions. Inspection Date: 02/17/2009 Correction Date: 02/18/2009
Properly Protected Cooking Facilities. Inspection Date: 12/07/2009 Correction Date: 01/06/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 02/17/2009 Correction Date: 02/18/2009
Corridor and Hallway Doors That Block Smoke. Inspection Date: 12/07/2009 Correction Date: 12/28/2009
Corridor and Hallway Doors That Block Smoke. Inspection Date: 03/17/2011 Correction Date: 03/30/2011

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 02/17/2009 Correction Date: 02/20/2009
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 12/07/2009 Correction Date: 01/08/2010
A Separate and Independent Backup Electrical Power Source. Inspection Date: 12/07/2009 Correction Date: 01/10/2010
Properly Installed Electrical Wiring and Equipment. Inspection Date: 12/07/2009 Correction Date: 01/03/2010
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 03/17/2011 Correction Date: 03/23/2011
Properly Installed Electrical Wiring and Equipment. Inspection Date: 03/17/2011 Correction Date: 04/08/2011

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 12/07/2009 Correction Date: 12/14/2009
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 03/17/2011 Correction Date: 03/29/2011

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 12/07/2009 Correction Date: 01/15/2010
Corridors or Aisles That Are Unobstructed and Are at Least 8 Feet in Width. Inspection Date: 12/07/2009 Correction Date: 12/08/2009
Exits That Are Accessible at All Times. Inspection Date: 03/17/2011 Correction Date: 03/24/2011

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 02/17/2009 Correction Date: 03/06/2009
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 02/17/2009 Correction Date: 02/19/2009
Properly Maintained Smoke Detectors. Inspection Date: 02/17/2009 Correction Date: 04/13/2009

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 02/17/2009 Correction Date: 02/19/2009
Restrictions on the Use of Flammable Curtains. Inspection Date: 02/17/2009 Correction Date: 03/20/2009
Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 12/07/2009 Correction Date: 12/08/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 02/17/2009 Correction Date: 02/18/2009

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 02/17/2009 Correction Date: 02/20/2009
Properly Located and Lighted "Exit" Signs. Inspection Date: 03/17/2011 Correction Date: 03/18/2011

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 02/17/2009 Correction Date: 02/18/2009
Proper Medical Gas Storage and Administration Areas. Inspection Date: 03/17/2011 Correction Date: 03/31/2011

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 02/17/2009 Correction Date: 02/23/2009

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 02/17/2009 Correction Date: 03/10/2009
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 12/07/2009 Correction Date: 12/29/2009