MONTANA MENTAL HEALTH 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 01/06/2011.

Administration

Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident. Inspection Date: 10/16/2008 Correction Date: 12/05/2008
Post Nurse Staffing Information. Inspection Date: 12/22/2009 Correction Date: 02/12/2010
Hire Nurse Aides Who Have Shown That They Are Skilled and Care for Residents Safely On-The-Job. Inspection Date: 12/22/2009 Correction Date: 02/12/2010
Keep Accurate and Appropriate Medical Records. Inspection Date: 01/06/2011 Correction Date: 03/15/2011

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 10/16/2008 Correction Date: 12/05/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 12/22/2009 Correction Date: 02/12/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 01/06/2011 Correction Date: 03/15/2011
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 01/06/2011 Correction Date: 03/15/2011

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 12/22/2009 Correction Date: 02/12/2010
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: 01/06/2011 Correction Date: 03/15/2011

Nutrition and Dietary

Make Sure That Residents Are Well Nourished. Inspection Date: 01/06/2011 Correction Date: 03/15/2011
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 01/06/2011 Correction Date: 03/15/2011
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 01/06/2011 Correction Date: 03/15/2011

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: 10/16/2008 Correction Date: 12/05/2008
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: 01/06/2011 Correction Date: 03/15/2011
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 01/06/2011 Correction Date: 03/15/2011
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 01/06/2011 Correction Date: 03/15/2011
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 01/06/2011 Correction Date: 03/15/2011

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 10/16/2008 Correction Date: 12/05/2008
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 12/22/2009 Correction Date: 02/12/2010
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 12/22/2009 Correction Date: 02/12/2010
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Inspection Date: 12/22/2009 Correction Date: 02/12/2010
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 01/06/2011 Correction Date: 03/15/2011
Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable. Inspection Date: 01/06/2011 Correction Date: 03/15/2011

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: 01/06/2011 Correction Date: 03/15/2011
Make Sure That Doctors Visit Residents Regularly, As Required. Inspection Date: 01/06/2011 Correction Date: 03/15/2011

Resident Rights

Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey. Inspection Date: 12/22/2009 Correction Date: 02/12/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 12/22/2009 Correction Date: 02/12/2010