GLENDIVE MEDICAL CENTER NURSING HOME
The information listed below provides an in-depth look into the type and quality of care offered at Glendive Medical Center Nursing Home. 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
GLENDIVE MEDICAL CENTER NURSING HOME
202 PROSPECT DR
GLENDIVE, MT 59330
(406) 345-3320
202 PROSPECT DR
GLENDIVE, MT 59330
(406) 345-3320
Nursing Home Ratings
| Health Inspections | |
| Quality Measures | |
| Nursing Staff | |
| R.N. Staff Only | |
| Overall Rating | |
Percent of Beds Occupied
63%Number of Residents and Certified Beds
- Residents: 47
- Certified Beds: 75
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
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 "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 Glendive Medical Center Nursing Home. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.
| Resident Services | Resident Conditions | Percent of Service Days |
High Rehabilitation
Rehabilitation 325 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
| ADL Index Range: 11-16 | 15.4% |
| ADL Index Range: 6-10 | 10.9% |
| Total Percent: | 26.4% |
Medium Rehabilitation
Rehabilitation 150 Minutes Per Week Minimum
- Five days any combination of three rehabilitation disciplines
| ADL Index Range: 11-16 | 7.0% |
| ADL Index Range: 6-10 | 16.4% |
| ADL Index Range: 0-5 | 6.0% |
| Total Percent: | 29.4% |
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: 6-10 - No Signs of depression | 13.9% |
| ADL Index Range: 2-5 - Signs of depression | 7.0% |
| Total Percent: | 20.9% |
Clinically Complex
- Pneumonia, hemiplegia with ADL score >=5
- Surgical wounds or open lesions with treatment
- Burns
- Chemotherapy while a resident
- Oxygen therapy while a resident
- IV medications or transfusions while a resident
- Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
| ADL Index Range: 11-14 - Signs of depression | 7.0% |
| ADL Index Range: 6-10 - No Signs of depression | 7.0% |
| ADL Index Range: 2-5 - No Signs of depression | 7.0% |
| Total Percent: | 20.9% |
Behavioral Symptoms and Cognitive Performance
- Cognitive impairment BIMS score less than or equal to 9
- CPS great than or equal to 3
- Hallucinations or delusions
- Physical or verbal behavioral symptoms toward others
- Other behavioral symptoms
- Rejection of care or wandering
- Activities of Daily Living (ADL) score of 5 or less
| ADL Index Range: 2-5 - Less restorative nursing | 2.5% |
| Total Percent: | 2.5% |
Rating Details For Glendive Medical Center Nursing Home
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 Day | Reported | Expected |
| Registered Nurse (RN) Hours | 1 Hour and 17 Minutes | 47 Minutes |
| Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 10 Minutes | 34 Minutes |
| Certified Nursing Assistant (CNA) Hours | 3 Hours and 25 Minutes | 2 Hours and 28 Minutes |
| Total Licensed Nurse Hours | 1 Hour and 27 Minutes | 1 Hour and 21 Minutes |
| Total Nurse Hours | 4 Hours and 52 Minutes | 3 Hours and 48 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 Facility | Montana Average |
Long-Term Stay Preventive Actions
| Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 92% |
| Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 89% |
Long-Term Stay Deficiencies
| Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 13% | 16% |
| Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 7% | 13% |
| Percent of Long-Stay Residents Who Lose Too Much Weight | 16% | 8% |
| Percent of Long-Stay Residents Who Were Physically Restrained | - | 4% |
| Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 7% | 7% |
| Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | 1% | 4% |
| Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores | 6% | 3% |
| Percent of Long-Stay Residents Who Are More Depressed or Anxious | 26% | 18% |
| Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 6% | 8% |
| Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 8% | 9% |
| Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 4% | 5% |
| Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 70% | 50% |
Short-Term Stay Preventive Actions
| Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 82% |
| Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 86% |
Short-Term Stay Deficiencies
| Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 45% | 32% |
| Percent of Short-Stay Residents Who Have Pressure Sores | 18% | 12% |
| 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 11/10/2010.
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 Inspectors | Degree of Harm | Residents Affected |
Administration
Keep Accurate and Appropriate Medical Records.
|  |  |
Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident.
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Keep Accurate and Appropriate Medical Records.
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Environmental
Have a Program to Keep Infection from Spreading.
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Mistreatment
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
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Nutrition and Dietary
Store, Cook, and Give out Food in a Safe and Clean Way.
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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.
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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.
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At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
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Quality Care
Give Professional Services That Meet a Professional Standard of Quality.
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Resident Assessment
Make Sure That Doctors Visit Residents Regularly, As Required.
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Resident Rights
Keep Each Resident's Personal and Medical Records Private and Confidential.
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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 Glendive Medical Center 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 11/09/2010.
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 Inspectors | Degree of Harm | Residents Affected |
Automatic Sprinkler Systems
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
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Automatic Sprinkler Systems That Have Been Maintained in Working Order.
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Building Construction
A Two-Hour-Resistant Firewall in Common Walls.
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Approved Construction Type or Materials.
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A Two-Hour-Resistant Firewall in Common Walls.
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A Two-Hour-Resistant Firewall in Common Walls.
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Approved Construction Type or Materials.
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Corridor Walls and Doors
Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke.
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Signs That State That Exit Doors Are to Be Kept Closed.
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Electrical
Properly Installed Electrical Wiring and Equipment.
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Properly Installed Electrical Wiring and Equipment.
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Properly Installed Electrical Wiring and Equipment.
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Emergency Plans and Fire Drills
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
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Exits and Egress
Two Separate Exits in Rooms of More Than 1000 Square Feet.
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Fire Alarm Systems
A Fire Alarm System That Can Be Heard Throughout the Facility.
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Properly Maintained Smoke Detectors.
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A Fire Alarm System That Can Be Heard Throughout the Facility.
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Hazardous Area
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
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Properly Installed Hallway Dispensers for Alcohol-Based Hand Rub.
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Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
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Illumination and Emergency Power
Emergency Lighting That Can Last at Least 1 1/2 Hours.
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Medical Gases and Anesthetizing Areas
Proper Medical Gas Storage and Administration Areas.
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Smoke Compartmentation and Control
Proper Construction of Ducts Through Walls Designed to Prevent Smoke Passage.
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Source: Medicare Nursing Home Compare; Department of Health and Human Services of Montana - Quality Assurance, Certification Bureau - Retrieved 2011
