ROSEBUD HEALTH 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 12/08/2010.

Administration

Hire a Qualified Activities Director. Inspection Date: 10/15/2009 Correction Date: 10/27/2009
Post Nurse Staffing Information. Inspection Date: 10/15/2009 Correction Date: 12/09/2009
Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident. Inspection Date: 12/08/2010 Correction Date: 12/31/2010
Keep Accurate and Appropriate Medical Records. Inspection Date: 12/08/2010 Correction Date: 12/31/2010

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 10/30/2008 Correction Date: 12/24/2008
Have a Program to Keep Infection from Spreading. Inspection Date: 10/30/2008 Correction Date: 12/24/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 10/15/2009 Correction Date: 12/13/2009
Provide Needed Housekeeping and Maintenance. Inspection Date: 12/08/2010 Correction Date: 12/31/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 12/08/2010 Correction Date: 01/15/2011

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 10/30/2008 Correction Date: 12/24/2008
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: 10/30/2008 Correction Date: 12/24/2008
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: 12/08/2010 Correction Date: 01/11/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 10/15/2009 Correction Date: 12/09/2009

Pharmacy Service

At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 10/30/2008 Correction Date: 12/24/2008
Properly Mark Drugs and Other Similar Products. Inspection Date: 10/30/2008 Correction Date: 12/24/2008
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: 10/15/2009 Correction Date: 12/09/2009
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 10/15/2009 Correction Date: 12/13/2009
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 12/08/2010 Correction Date: 12/31/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 10/15/2009 Correction Date: 12/09/2009
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 10/15/2009 Correction Date: 12/09/2009

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 10/30/2008 Correction Date: 12/24/2008
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: 10/15/2009 Correction Date: 11/30/2009
Make Sure That a Doctor Approves a Resident's Admission in Writing and That Each Resident Has a Doctor. Inspection Date: 10/15/2009 Correction Date: 12/09/2009
Make Sure That Doctors See a Resident's Plan of Care at Every Visit and Make Notes About Progress and Orders in Writing. Inspection Date: 10/15/2009 Correction Date: 12/09/2009
Make Sure That Doctors Visit Residents Regularly, As Required. Inspection Date: 10/15/2009 Correction Date: 12/09/2009
Make Sure That All Needed Doctor Visits Are Made Personally by a Doctor, As Required. Inspection Date: 10/15/2009 Correction Date: 12/09/2009
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 12/08/2010 Correction Date: 12/31/2010
Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health. Inspection Date: 12/08/2010 Correction Date: 12/31/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 12/08/2010 Correction Date: 12/31/2010

The table below lists incident reports by the nursing staff or administration for Rosebud Health Care Center, as well as complaints by residents or their family in the previous three years.

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Complaint Filed: 01/15/2009 Correction Date: 02/15/2009

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 Rosebud Health 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 12/08/2010.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 10/28/2008 Correction Date: 10/29/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 10/15/2009 Correction Date: 12/11/2009
Portable Fire Extinguishers. Inspection Date: 10/15/2009 Correction Date: 12/11/2009
An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 12/08/2010 Correction Date: 01/14/2011

Building Construction

Approved Construction Type or Materials. Inspection Date: 10/28/2008 Correction Date: 12/26/2008
A Two-Hour-Resistant Firewall in Common Walls. Inspection Date: 10/15/2009 Correction Date: 12/11/2009
A Two-Hour-Resistant Firewall in Common Walls. Inspection Date: 12/08/2010 Correction Date: 01/14/2011

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 10/28/2008 Correction Date: 10/29/2008

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 10/28/2008 Correction Date: 10/29/2008
Properly Installed Electrical Wiring and Equipment. Inspection Date: 10/15/2009 Correction Date: 12/11/2009

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 10/28/2008 Correction Date: 12/26/2008

Furnishings and Decorations

Restrictions on the Use of Flammable Curtains. Inspection Date: 10/15/2009 Correction Date: 12/11/2009
Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 12/08/2010 Correction Date: 01/14/2011

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 10/15/2009 Correction Date: 12/11/2009

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 10/28/2008 Correction Date: 10/29/2008