PARKVIEW ACRES CARE & REHAB CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Parkview Acres Care & Rehab Center. 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

PARKVIEW ACRES CARE & REHAB CENTER
200 N OREGON ST
DILLON, MT 59725
(406) 683-5105

Nursing Home Ratings

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

Percent of Beds Occupied

55%

Number of Residents and Certified Beds

  • Residents: 48
  • Certified Beds: 87

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Part of a Chain or Franchise

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This FacilityFor-ProfitNon-ProfitGovt

Nearby Cities:

Sheridan | Ennis | Butte

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 "High 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 Parkview Acres Care & Rehab Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-162.1%
Total Percent:2.1%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-163.0%
ADL Index Range: 6-103.0%
ADL Index Range: 0-517.7%
Total Percent:23.8%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 6-105.7%
ADL Index Range: 0-522.3%
Total Percent:28.0%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 6-108.2%
ADL Index Range: 0-59.0%
Total Percent:17.1%
 

Special Care Low

  • Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
  • Respiratory failure and oxygen therapy while a resident
  • Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
  • Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
  • Ulcers: 2 or more venous or arterial ulcers
  • Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
  • Foot infection/diabetic foot ulcer/open lesions of foot with treatment
  • Radiation therapy while a resident
  • Dialysis while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 15-16
- Signs of depression
7.4%
ADL Index Range: 11-14
- Signs of depression
2.7%
Total Percent:10.1%
 

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
- No Signs of depression
0.2%
ADL Index Range: 6-10
- No Signs of depression
3.4%
ADL Index Range: 0-1
- No Signs of depression
2.9%
Total Percent:6.5%
 

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
3.4%
ADL Index Range: 0-1
- Less restorative nursing
4.0%
Total Percent:7.4%
 

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
1.3%
ADL Index Range: 0-1
- Less restorative nursing
3.6%
Total Percent:5.0%
 

Rating Details For Parkview Acres Care & Rehab Center

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 10 Minutes1 Hour
Licensed Practical/Vocational Nurse (LPN/LVN) Hours17 Minutes38 Minutes
Certified Nursing Assistant (CNA) Hours3 Hours2 Hours and 12 Minutes
Total Licensed Nurse Hours1 Hour and 27 Minutes1 Hour and 39 Minutes
Total Nurse Hours4 Hours and 28 Minutes3 Hours and 51 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 Who Spend Most of Their Time in Bed or in a Chair2%4%
Percent of Long-Stay Residents Who Lose Too Much Weight6%8%
Percent of Long-Stay Residents Who Were Physically Restrained-4%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased18%16%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse9%13%
Percent of Long-Stay Residents Who Are More Depressed or Anxious6%18%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain3%5%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection5%8%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores7%9%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder35%50%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores1%3%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder11%7%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%86%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%82%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium1%3%
Percent of Short-Stay Residents Who Have Pressure Sores13%12%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain13%32%

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 04/28/2011.

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 InspectorsDegree of HarmResidents Affected

Administration

Hire a Qualified Activities Director.
  • Inspection Date: 05/28/2009
  • Correction Date: 07/27/2009
Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident.
  • Inspection Date: 05/28/2009
  • Correction Date: 07/27/2009
Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident.
  • Inspection Date: 04/28/2011
  • Correction Date: 06/13/2011

Environmental

Have a Program to Keep Infection from Spreading.
  • Inspection Date: 04/28/2011
  • Correction Date: 06/13/2011

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Inspection Date: 05/28/2009
  • Correction Date: 07/27/2009
Make Sure That the Attending Doctor Orders Special Diets.
  • Inspection Date: 05/28/2009
  • Correction Date: 07/27/2009

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: 05/28/2009
  • Correction Date: 07/27/2009
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 04/28/2011
  • Correction Date: 06/13/2011

Quality Care

Provide Activities to Meet the Needs of Each Resident.
  • Inspection Date: 05/28/2009
  • Correction Date: 07/27/2009
Provide Activities to Meet the Needs of Each Resident.
  • Inspection Date: 04/28/2011
  • Correction Date: 06/13/2011
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 04/28/2011
  • Correction Date: 06/13/2011

Resident Assessment

Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health.
  • Inspection Date: 04/28/2011
  • Correction Date: 06/13/2011
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 04/28/2011
  • Correction Date: 06/13/2011
Make Sure That Doctors Visit Residents Regularly, As Required.
  • Inspection Date: 04/28/2011
  • Correction Date: 06/13/2011

Resident Rights

Let Residents Give Themselves Their Drugs if They Are Able.
  • Inspection Date: 04/28/2011
  • Correction Date: 06/13/2011

Deficiencies from Complaints and Incidents

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

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
Formal ComplaintsDegree of HarmResidents Affected

Administration

Hire Nurse Aides Who Have Shown That They Are Skilled and Care for Residents Safely On-The-Job.
  • Complaint Filed: 05/28/2009
  • Correction Date: 07/27/2009

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 04/28/2011
  • Correction Date: 06/13/2011

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan.
  • Complaint Filed: 05/28/2009
  • Correction Date: 07/27/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 05/28/2009
  • Correction Date: 07/27/2009

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 Parkview Acres Care & Rehab 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 04/28/2011.

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 InspectorsDegree of HarmResidents Affected

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 05/28/2009
  • Correction Date: 07/27/2009

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 05/28/2009
  • Correction Date: 07/27/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 05/28/2009
  • Correction Date: 07/27/2009

Illumination and Emergency Power

Properly Located and Lighted "Exit" Signs.
  • Inspection Date: 04/01/2010
  • Correction Date: 05/13/2010

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 05/28/2009
  • Correction Date: 07/27/2009
Source: Medicare Nursing Home Compare; Department of Health and Human Services of Montana - Quality Assurance, Certification Bureau - Retrieved 2011