BIG SANDY MEDICAL CENTER LONG TERM CARE

The information listed below provides an in-depth look into the type and quality of care offered at Big Sandy Medical Center Long Term Care. 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

BIG SANDY MEDICAL CENTER LONG TERM CARE
166 MONTANA AVE E
BIG SANDY, MT 59520
(406) 378-2188

Nursing Home Ratings

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

Percent of Beds Occupied

82%

Number of Residents and Certified Beds

  • Residents: 18
  • Certified Beds: 22

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:

Havre | Fort Benton | Great Falls

Rating Details For Big Sandy Medical Center Long Term Care

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 42 Minutes1 Hour and 2 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours9 Minutes40 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 43 Minutes2 Hours and 21 Minutes
Total Licensed Nurse Hours1 Hour and 51 Minutes1 Hour and 42 Minutes
Total Nurse Hours4 Hours and 34 Minutes4 Hours and 3 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 Given Influenza Vaccination During the Flu Season90-100%92%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%89%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse15%13%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain-5%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair-4%
Percent of Long-Stay Residents Who Are More Depressed or Anxious2%18%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection12%8%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased15%16%
Percent of Long-Stay Residents Who Lose Too Much Weight-8%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder88%50%
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 Bladder11%7%

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 10/28/2010.

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 InspectorsDegree of HarmResidents Affected

Administration

Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 11/25/2008
  • Correction Date: 01/24/2009
Post Nurse Staffing Information.
  • Inspection Date: 10/28/2010
  • Correction Date: 11/19/2010

Environmental

Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 11/25/2008
  • Correction Date: 01/24/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 11/25/2008
  • Correction Date: 01/24/2009

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 11/25/2008
  • Correction Date: 01/24/2009

Quality Care

Develop/Implement Required Procedures for the Administration of Immunizations.
  • Inspection Date: 11/25/2008
  • Correction Date: 01/24/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 10/07/2009
  • Correction Date: 12/05/2009

Resident Assessment

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: 11/25/2008
  • Correction Date: 01/24/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 11/25/2008
  • Correction Date: 01/24/2009

Resident Rights

Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
  • Inspection Date: 11/25/2008
  • Correction Date: 01/24/2009
Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 10/07/2009
  • Correction Date: 12/05/2009

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 Big Sandy Medical Center Long Term Care 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 10/27/2010.

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 InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 12/10/2008
  • Correction Date: 02/23/2009
Back-Up Procedures in Place for a Faulty Automatic Sprinkler System.
  • Inspection Date: 12/10/2008
  • Correction Date: 02/23/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 10/27/2010
  • Correction Date: 12/24/2010
Portable Fire Extinguishers.
  • Inspection Date: 10/27/2010
  • Correction Date: 12/24/2010

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 10/06/2009
  • Correction Date: 12/16/2009
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 10/27/2010
  • Correction Date: 12/24/2010

Fire Alarm Systems

An Approved Back-Up Procedure for a Faulty Fire Alarm System.
  • Inspection Date: 12/10/2008
  • Correction Date: 02/23/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 10/27/2010
  • Correction Date: 12/24/2010

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 10/06/2009
  • Correction Date: 12/16/2009

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 10/27/2010
  • Correction Date: 12/24/2010
Proper Construction of Ducts Through Walls Designed to Prevent Smoke Passage.
  • Inspection Date: 10/27/2010
  • Correction Date: 12/24/2010

Vertical Openings

Exit Doors That Are Held Open by Devices That Will Automatically Close on the Activation of a Fire Alarm or Smoke Detectors.
  • Inspection Date: 10/06/2009
  • Correction Date: 12/16/2009
Source: Medicare Nursing Home Compare; Department of Health and Human Services of Montana - Quality Assurance, Certification Bureau - Retrieved 2011