15 Reports
Inspection Report — Nov 26, 2025
Complaint Investigation
Date: Nov 26, 2025
Visit Reason
The complaint inspection was conducted to investigate concerns regarding resident safety and facility compliance.
Complaint Details
The cited finding involved the bathroom call system failing to alert staff and the call cord being inaccessible, raising concerns about resident safety.
Findings
The bathroom call system in a resident's bathroom was not signaling staff when activated, and the call cord was too short to be accessible to an individual who collapsed on the floor.
Deficiencies (1)
37.106.2838-7 Resident toilets and bathing: the bathroom call system did not signal staff when activated, and the call cord was too short to be accessible to a resident who collapsed on the floor.
Inspection Report — Sep 16, 2025
Renewal
Date: Sep 16, 2025
Visit Reason
The facility underwent a routine renewal inspection to assess compliance with licensing regulations.
Findings
Deficiencies were found in housekeeping staffing and sanitation, medication storage and disposal, medication administration documentation, and physical plant safety hazards including carpet conditions. Some issues were repeat deficiencies from prior inspections.
Deficiencies (4)
37.106.2816-6 Assisted living facility staffing: the housekeeping staff was insufficient to clean all resident rooms and common areas, resulting in unsanitary conditions including dirty mop heads and soiled resident bathrooms.
37.106.2846-5 Medications, storage and disposal: expired medications were found and the facility was not following its policy for lawful disposal, as the pharmacy no longer disposes of medications and staff had not arranged alternative disposal.
37.106.2849-2 Medications, records and documentation: medication administration records showed missed doses without documentation or practitioner notification for multiple residents.
37.106.2865-6 Physical plant: carpets on multiple floors were ripped, stained, or taped, creating tripping hazards; this was a repeat deficiency from a prior renewal inspection.
Report Facts
resident_rooms: 86
expired_medications: 3
floors_with_carpet_issues: 4
Inspection Report — Feb 25, 2020
Complaint Investigation
Date: Feb 25, 2020
Visit Reason
Complaint investigation regarding alleged assaults and abuse incidents involving residents and staff.
Complaint Details
The complaint involved alleged assaults on residents and failure of the facility to properly report and respond to these incidents.
Findings
Two deficiencies were found related to resident safety and administrator actions. Incident reports lacked evidence of proper notifications and follow-up, and the administrator failed to protect residents and report allegations of sexual abuse appropriately.
Deficiencies (2)
37.106.2829-2 Resident file: incident reports for alleged assaults on two residents did not show evidence of practitioner notification, safeguarding steps, or family notification, and no facility incident report was filed for one incident.
37.106.2814-6 Administrator: the administrator failed to protect residents' safety by not documenting assessments or notifications, allowing a staff member accused of sexual abuse to continue working, and not reporting allegations to the Department or law enforcement.
Report Facts
date: Oct 19, 2019
date: 2019-12
date: Oct 27, 2019
date: Dec 5, 2019
date: Dec 6, 2019
Inspection Report — Feb 25, 2020
Complaint Investigation
Date: Feb 25, 2020
Visit Reason
Facility inspection, review of facility records, resident and staff interviews regarding staffing and cleanliness concerns.
Complaint Details
The complaint inspection cited deficiencies related to insufficient staffing and poor facility cleanliness, including kitchen and laundry room conditions.
Findings
The facility lacked sufficient on-duty staff in all departments and had significant cleanliness issues, including a dirty kitchen and flooded laundry room with water damage.
Deficiencies (3)
37.106.2816-6 Assisted living facility staffing: the facility did not have enough on duty staff in all departments, including housekeeping and activities, resulting in inadequate cleaning and resident care.
37.106.321-1 Minimum standards for all health care facilities: the kitchen was observed to be unclean with debris, sticky syrup, dirt, grease, cigarette butts, and trash present in multiple areas.
37.106.320-3 Minimum standards for all health care facilities: physical plant and equipment maintenance: the laundry room was flooded with evidence of previous water damage, including holes in the wall and pulled-away baseboards.
Report Facts
: 52
Inspection Report — Sep 11, 2019
Renewal
Date: Sep 11, 2019
Visit Reason
The facility underwent a renewal inspection as part of the regular licensing process.
Findings
The inspection found strong urine odors and heavily stained carpet in a resident room, and multiple emergency call systems in resident rooms and bathrooms failed to activate when tested.
Deficiencies (3)
37.106.320-6 Minimum standards for all health care facilities: physical plant and equipment maintenance: a strong smell of urine was detected and the carpet in resident room 300 was heavily stained with urine.
37.106.2836-1 Furnishings: emergency call systems in several resident rooms did not activate when the call cord was pulled, and a resident's pendant did not work.
37.106.2838-7 Resident toilets and bathing: emergency call systems in several resident bathrooms did not activate when the call cord was pulled.
Inspection Report — Apr 9, 2019
Renewal
Date: Apr 9, 2019
Visit Reason
The survey was a renewal inspection of Rainbow Senior Living of Great Falls.
Findings
The facility had multiple deficiencies including inadequate resident activities, insufficient bathing documentation, poor kitchen cleanliness, limited food service options, inadequate food supply, delayed laundry services, housekeeping issues, and physical plant hazards. Several deficiencies were repeat findings from prior surveys.
Deficiencies (12)
37.106.2816-6 Assisted living facility staffing: activities were limited and not based on individual resident needs, with low participation observed during the survey.
37.106.2831-1 Resident activities: at the time of survey, 55 residents resided at the facility, and lack of participation indicated activities were not meeting individual needs.
37.106.2839-1 Environmental control: review of facility files and interviews indicated concerns, but specific details were not provided in the text.
37.106.2843-1 Personal care services: only 16 of 55 residents had documented shower schedules, and many residents had not received baths as scheduled due to insufficient staffing.
37.106.2860-1 Food service: the kitchen showed severe lack of cleanliness with spills, garbage, dirty equipment, and odors indicating poor sanitation.
37.106.2860-2 Food service: budget constraints led to no therapeutic diets being provided and removal of alternative menu options, causing resident dissatisfaction.
37.106.2860-3 Food service: frequent menu changes due to food availability and lack of documentation of served food due to staffing shortages.
37.106.2860-7 Food service: the facility had less than seven days’ worth of non-perishable food for the number of residents.
37.106.2861-1 Laundry: bedding was not laundered weekly as required, and residents complained of delays in laundry return due to staff being busy with other duties.
37.106.2862-1 Housekeeping: all laundry and kitchen garbage containers lacked lids; this was a repeat deficiency from prior surveys.
37.106.2865-7 Physical plant: carpets in resident hallways were old, torn, and bubbled, creating trip hazards; this was a repeat deficiency.
37.106.2866-5 Construction, building and fire codes: furniture placement restricted wheelchair and walker accessibility in hallways, and resident wheelchairs were stored in hallways; this was a repeat deficiency.
Report Facts
: 55
: 16
: 7
Inspection Report — Mar 2, 2018
Follow-Up
Date: Mar 2, 2018
Visit Reason
The facility was inspected as part of a follow-up inspection to verify compliance with previous requirements.
Findings
Five deficiencies were found related to building safety, physical plant hazards, oxygen use, resident call light accessibility, and maintenance issues including a hole in the ceiling and non-operable fixtures.
Deficiencies (5)
37.106.2866-5 Construction, building and fire codes: both exits to room 425 were blocked with debris which could result in inability to evacuate in case of an emergency.
37.106.2865-7 Physical plant: loose carpet by room 225 was wrinkled resulting in a potential trip hazard.
37.106.2853-4 Oxygen use: five small oxygen tanks in room 411 were observed to be unsecured.
37.106.2838-7 Resident toilets and bathing: twenty rooms had call light strings tied up making them inaccessible to a person collapsed on the floor, and room 317 had no pull cords attached to call lights.
37.106.2865-6 Physical plant: room 569 had a hole in the bedroom ceiling, room 511 bathroom sink could not be turned off by the resident, room 321 had a non-operable toilet, and room 411 front door was missing a center hinge preventing it from closing properly.
Inspection Report — Jan 30, 2018
Complaint Investigation
Date: Jan 30, 2018
Visit Reason
Facility inspection following a complaint regarding cleanliness and resident care.
Complaint Details
The complaint inspection cited deficiencies related to facility cleanliness, resident service plan updates, and medication administration errors.
Findings
The facility was found to be dirty in multiple areas, and staffing was insufficient for cleaning needs. Resident service plans were not updated after significant changes in care needs. Medication orders were not properly followed, resulting in delayed and incorrect medication administration.
Deficiencies (3)
37.106.2816-6 Assisted living facility staffing: the facility was noticeably dirty in hallways, a resident's room, stairways, and elevator, with only one housekeeper assigned to clean one floor per day.
37.106.2822-3 Resident service plan: category A: a resident's service plan and needs assessment were not updated or revised after the resident returned from a nursing home following surgery and rehabilitation.
37.106.2847-1 Medications, practitioner orders: medication orders for blood glucose monitoring were not carried out until months later, and a resident received pain medication more frequently than ordered, causing the medication to run out prematurely.
Report Facts
dates: Array
medication_administration_errors: Array
Inspection Report — Dec 29, 2017
Complaint Investigation
Date: Dec 29, 2017
Visit Reason
The survey was conducted following a complaint inspection.
Complaint Details
The complaint inspection identified deficiencies related to resident needs assessments, licensing compliance, furnishings and call system response, environmental conditions including odors and cleanliness, prohibited use of space heaters, food service quality, and fire safety equipment.
Findings
Deficiencies were found in resident needs assessments, licensing compliance regarding resident categories, furnishings including call system response, environmental control issues such as odors and cleanliness, use of prohibited space heaters in resident rooms, and food service quality and variety.
Deficiencies (7)
37.106.2821-4 Resident application and needs assessment: the pre move-in resident needs assessment did not address catheter presence or catheter care needs.
50-5-227-2 Licensing assisted living facilities: the facility retained a Category B resident without having the required Category B endorsement, which is not permitted regardless of payment.
37.106.2836-1 Furnishings: the call system in a resident room was activated and no staff responded for over 30 minutes.
37.106.2839-1 Environmental control: residents complained of cold rooms, dirt and dust were observed in ceiling vents, and a strong foul odor was noted in a hallway near public bathrooms despite the bathrooms being clean.
37.106.302-2 Minimum standards of construction: portable space heaters were observed in multiple resident rooms, which is prohibited in health care occupancies.
37.106.2860-4 Food service: meals lacked nutritional variety and residents complained about lack of fresh fruits and vegetables and receiving sack dinners on holidays.
37.106.2866-12 Construction, building and fire codes: a resident room was found to have no smoke detector.
Report Facts
fine_amount: 6720
timeframe_hours_per_day: 16
Inspection Report — Apr 5, 2017
Renewal
Date: Apr 5, 2017
Visit Reason
The survey was conducted as a renewal inspection of Rainbow Senior Living of Great Falls.
Findings
Multiple physical plant issues were observed including inoperative faucets, wall damage, mold, and unsafe water temperature. Additional deficiencies included lack of protective laundry coverings, incomplete employee files, missing medication orders, and housekeeping concerns.
Deficiencies (7)
37.106.2865-6 Physical plant: multiple maintenance issues were found including inoperative faucets, wall indentations, missing light covers, dirty unused rooms, loose carpeting, exposed fascia holes, and extensive black mold on exterior soffits and fascia.
37.106.2865-2 Physical plant: the outside sidewalk area near the building was dirt-ridden and needed cleanup.
37.106.2865-12 Physical plant: the water temperature in room 358 measured 131 degrees Fahrenheit, exceeding safe limits.
37.106.331-1 Minimum standard for all health care facilities: laundry and bedding: there were no protective coverings in laundry rooms on floors four and five to prevent cross contamination of staff clothing when handling soiled laundry.
37.106.2817-2 Employee files: one out of nine employee files reviewed did not have a signed or initialed job description.
37.106.2849-4 Medications, records and documentation: two out of six resident files did not have current orders for residents to self-administer medication, which must be updated annually by the provider.
37.106.2862-1 Housekeeping: three uncovered trashcans were observed in the kitchen during lunch preparation.
Report Facts
temperature: 131
count: 3
count: 9
count: 6
count: 2
count: 1
Inspection Report — Feb 8, 2017
Complaint Investigation
Date: Feb 8, 2017
Visit Reason
The inspection was conducted following a complaint regarding medication administration.
Complaint Details
The complaint involved failure to follow practitioner orders for medication administration, leading to a fentanyl overdose.
Findings
The facility failed to follow practitioner orders for medication administration, resulting in a fentanyl overdose of a resident.
Deficiencies (1)
37.106.2847-1 Medications, practitioner orders: a medication technician did not follow practitioner orders by failing to remove old fentanyl patches, causing a fentanyl overdose of a resident.
Inspection Report — Mar 23, 2016
Renewal
Date: Mar 23, 2016
Visit Reason
Facility inspection conducted to evaluate compliance with licensing standards and safety codes.
Findings
Three deficiencies were identified related to construction standards, resident file documentation, and housekeeping practices.
Deficiencies (3)
37.106.302-2 Minimum standards of construction: general requirements: door knobs to the community bathrooms on the 2nd through 5th floors were not single motion, violating egress safety requirements.
37.106.2829-2 Resident file: closed resident files did not contain documentation of disposition of property and medications.
37.106.2862-1 Housekeeping: garbage cans in laundry rooms on multiple floors were uncovered and lacked lids in the vicinity.
Inspection Report — Mar 13, 2015
Renewal
Date: Mar 13, 2015
Visit Reason
The survey was conducted as a renewal inspection of the facility.
Findings
Three deficiencies were identified related to unsecured toilet risers and handrails, incomplete resident activity service plans, and physical plant damages including scratches, paint damage, and water stains. One deficiency was noted as a repeat.
Deficiencies (3)
37.106.2814-6 Administrator: unsecured toilet risers and handrails were observed on multiple residents' toilets, posing safety risks.
37.106.2831-2 Resident activities: several residents' service plans did not include their identified activity needs and interests.
37.106.2865-6 Physical plant: damage was found on pillars and ceilings, including scratches, paint damage, and water stains in resident areas. This is a repeat deficiency.
Inspection Report — Oct 2, 2014
Renewal
Date: Oct 2, 2014
Visit Reason
The survey was conducted as a renewal inspection of the assisted living facility.
Findings
Deficiencies were found in food service preparation, physical plant maintenance including water damage and tile replacement, and lack of fire drill documentation.
Deficiencies (4)
37.106.2860-1 Food service: the meal served was insufficiently prepared with undercooked meat, hardened potatoes, and undercooked green beans, which residents reported they could not eat.
37.106.2865-6 Physical plant: multiple floor tiles were missing or deteriorated, numerous ceiling tiles were stained or water damaged, and roof damage caused ongoing water issues that had not been repaired as promised.
37.106.2865-8 Physical plant: there was no documentation of fire drills from March 20, 2013, through June 10, 2014.
37.106.2866-9 Construction, building and fire codes: fire drill documentation was missing for the period from March 20, 2013, through June 10, 2014.
Report Facts
date_range:
date_range:
Inspection Report — Sep 4, 2013
Renewal
Date: Sep 4, 2013
Visit Reason
The facility underwent a renewal inspection as part of its regular licensing process.
Findings
Six deficiencies were cited related to assisted living facility staffing, resident application and needs assessment, resident agreement, and environmental control. Specific details of each deficiency were not provided in the report.
Deficiencies (6)
37.106.2816-1 Assisted living facility staffing: no specific finding text provided.
37.106.2816-2 Assisted living facility staffing: no specific finding text provided.
37.106.2816-3 Assisted living facility staffing: no specific finding text provided.
37.106.2821-2 Resident application and needs assessment: no specific finding text provided.
37.106.2823-1 Resident agreement: no specific finding text provided.
37.106.2839-1 Environmental control: no specific finding text provided.
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