TETON NURSING HOME
Address
24 N MAIN
CHOTEAU, MT 59422
(406) 466-5338
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: 26
- Certified Beds: 41
This Facility Accepts
- Medicare
- Medicaid
Operational Details
- Operated By Government - County
- Offers Only Resident Counseling
- This Facility is Not Part of a Chain or Franchise
Resident Services
The information below lists services this facility has provided for residents from December through December 2010. During this period, the most common type of service provided was "Reduced Physical Function". 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 Teton 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 |
Reduced Physical Function
- Urinary and/or bowel training program
- Passive and/or active range of motion (ROM)
- Amputation/prosthesis training
- Dressing or grooming training
- Eating or swallowing training
- Transfer training
- Splint or brace assistance
- Bed mobility and/or walking training
- Communication training
| ADL Index Range: 6-10 - Less restorative nursing | 100.0% |
| Total Percent: | 100.0% |
Rating Details For Teton 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 | 51 Minutes | 50 Minutes |
| Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 20 Minutes | 36 Minutes |
| Certified Nursing Assistant (CNA) Hours | 2 Hours and 39 Minutes | 2 Hours and 27 Minutes |
| Total Licensed Nurse Hours | 1 Hour and 12 Minutes | 1 Hour and 27 Minutes |
| Total Nurse Hours | 3 Hours and 51 Minutes | 3 Hours and 53 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 Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 89% |
| Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 92% |
Long-Term Stay Deficiencies
| Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 55% | 50% |
| Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores | 3% | 3% |
| Percent of Long-Stay Residents Who Lose Too Much Weight | 8% | 8% |
| Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | 3% | 4% |
| Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 15% | 9% |
| Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 8% | 7% |
| Percent of Long-Stay Residents Who Are More Depressed or Anxious | 29% | 18% |
| Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 20% | 5% |
| Percent of Long-Stay Residents Who Were Physically Restrained | - | 4% |
| Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 26% | 16% |
| Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 9% | 8% |
| Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 22% | 13% |
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 05/12/2011.
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 |
Environmental
Have a Program to Keep Infection from Spreading.
|  |  |
Make Sure Each Resident Has 1) at Least One Window to the Outside in a Room; 2) a Room at or Above Ground Level; 3) an Adequate Bed; 4) Furniture That Meets the Resident's Needs; or 5) Enough Closet Space.
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Put Firmly Secured Handrails on Each Side of Hallways.
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Mistreatment
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.
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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.
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Nutrition and Dietary
Store, Cook, and Give out Food in a Safe and Clean Way.
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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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At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
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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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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.
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Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
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Resident Rights
Provide Services to Meet the Needs and Preferences of Each Resident.
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Provide Enough Notice Before Discharging or Transferring a Resident.
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Help and Prepare Each Resident for a Safe and Easy Discharge and Transfer from the Nursing Home.
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