Inspection Reports for
Canyon Creek Memory Care Community
1785 Majestic Ln, Billings, MT 59102, United States, MT, 59102
Back to Facility Profile4 Reports
Inspection Report — Mar 19, 2025
Renewal
Date: Mar 19, 2025
Visit Reason
The facility underwent a renewal inspection to assess compliance with licensing requirements.
Findings
Two deficiencies were identified: broken or missing toilet paper holders in resident and shower rooms, and lack of documentation for the annual fire inspection in 2024.
Deficiencies (2)
37.106.2855-1 Infection control: toilet paper holders in resident and shower rooms were broken or missing, and toilet paper was improperly placed with visible residue.
37.106.2866-7 Construction, building and fire codes: the facility lacked documentation of an annual fire inspection conducted in 2024.
Inspection Report — Jun 28, 2017
Complaint Investigation
Date: Jun 28, 2017
Visit Reason
The inspection was conducted due to a complaint regarding the facility's handling of resident falls and notification procedures.
Complaint Details
The complaint involved failure of staff to follow facility policy on reporting resident falls and timely notification of the practitioner.
Findings
Two deficiencies were found related to failure to notify practitioners timely after resident falls. Staff did not follow the facility's policy on reporting falls and delayed notifying the practitioner.
Deficiencies (2)
37.106.2815-1 Written policies and procedures: staff did not follow the facility's policy on reporting falls to the practitioner, notifying by fax instead of phone, causing the practitioner to learn about the fall the following day.
37.106.2843-3 Personal care services: staff did not notify the practitioner in a timely manner after a resident fall, with notification delayed by 1 hour and 30 minutes after the resident was taken to the hospital.
Inspection Report — Apr 5, 2017
Renewal
Date: Apr 5, 2017
Visit Reason
The survey was conducted as a renewal inspection of the facility.
Findings
Four deficiencies were identified related to furnishings, resident toilets and bathing, food service, and placement in assisted living facilities. Issues included lack of documentation for window treatments, inaccessible emergency call systems in bathrooms, missing freezer thermometer, and missing practitioner orders for Category C residents.
Deficiencies (4)
37.106.2836-1 Furnishings: no documentation was found regarding clean, flame-resistant or non-combustible window treatments or equivalent for every bedroom window.
37.106.2838-7 Resident toilets and bathing: seven of eight resident bathrooms lacked an emergency call system accessible to a collapsed individual, with call light cords improperly positioned or tied around grab rails.
37.106.2860-9 Food service: the freezer in the Rose dining room lacked a thermometer, and the freezer log showed temperatures between 7 and 8 degrees Fahrenheit.
50-5-226-7 Placement in assisted living facilities: resident files for six Category C residents did not show a practitioner's written order for admission as Category C residents.
Inspection Report — Sep 29, 2016
Complaint Investigation
Date: Sep 29, 2016
Visit Reason
The complaint inspection was conducted to investigate concerns related to the care and treatment of a resident with hearing impairment.
Complaint Details
The complaint inspection cited deficiencies related to inadequate provision and documentation of hearing aids and medication records for a resident with hearing impairment.
Findings
The facility failed to ensure that a resident with hearing aids received adequate assistance to use them, compromising the resident's dignity and ability to participate in activities. Medication records lacked reasons for use and documentation regarding the resident's hearing aids was incomplete and outdated.
Deficiencies (3)
37.106.2843-1 Personal care services: the facility did not consistently provide hearing aids to a resident, limiting the resident's ability to hear and participate fully in activities.
37.106.2843-2 Personal care services: hearing aids were kept in a specimen cup in a cupboard requiring staff assistance, which compromised the resident's dignity and ability to make choices.
37.106.2849-2 Medications, records and documentation: the resident's medication administration record lacked documented reasons for scheduled medications and had outdated notes about hearing aids.
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