6 Reports
Inspection Report — Apr 6, 2022
Renewal
Date: Apr 6, 2022
Visit Reason
The survey was conducted as a renewal inspection of the facility.
Findings
The facility had several deficiencies including lack of flame-resistant treatment for curtains, fire doors that locked requiring a key to exit, and a non-functioning laundry room vent with no fresh air supply. The facility currently has 6 category B residents as confirmed by licensed healthcare professional certification.
Deficiencies (4)
37.106.2836-1 Furnishings: several resident units had curtains without documentation of flame-resistant or non-combustible treatment, and privacy curtains or screens were unavailable for four double occupancy rooms.
37.106.302-2 Minimum standards of construction for a: four hallway fire doors in the main dining hall locked and would not unlock without a key, limiting safe egress.
37.106.331-1 Minimum standards for all health care facilities: the laundry room vent was not working and lacked fresh air supply, with a chemical smell noted near the area.
50-5-227-3 Licensing assisted living facilities: the facility currently has 6 category B residents as confirmed by licensed healthcare professional certification.
Report Facts
: 6
: 4
: 4
Inspection Report — Feb 23, 2018
Renewal
Date: Feb 23, 2018
Visit Reason
The facility underwent a renewal inspection as part of its regular licensing process.
Findings
Four deficiencies were identified related to resident file documentation, emergency call systems accessibility, laundry room ventilation, and physical plant safety features.
Deficiencies (4)
37.106.2829-2 Resident file: there was no documentation of the date and circumstances of the resident's final transfer, discharge, or death, including notice to responsible parties and disposition of personal possessions.
37.106.2838-7 Resident toilets and bathing: one bathroom had no emergency call system and 11 bathrooms had call systems with pull cords inaccessible to an individual collapsed on the floor.
37.106.2861-2 Laundry: the laundry room lacked adequate ventilation in the sorting, holding, and processing area, causing heat and odor build-up with a strong urine smell.
37.106.2865-8 Physical plant: grab bars in the tub rooms in Wings A and B were loose and not sufficiently anchored to sustain a concentrated 250-pound load.
Inspection Report — Mar 4, 2016
Renewal
Date: Mar 4, 2016
Visit Reason
The survey was a renewal inspection of the assisted living facility.
Findings
Seven deficiencies were cited involving placement documentation, employee training, resident file documentation, furnishings, medication records, and health care plan reviews.
Deficiencies (7)
50-5-226-3 Placement in assisted living facilities: residents' files lacked practitioners' written orders for admission to Category B and/or C classification.
37.106.2816-3 Assisted living facility staffing: employee files did not contain documentation of orientation to the Montana Elder and Persons with Developmental Disabilities Abuse Prevention Act.
37.106.2817-2 Employee files: two of four employee files lacked documentation of training in first aid and Heimlich maneuver.
37.106.2829-2 Resident file: resident charts lacked documentation of disposition of medications or personal possessions for discharged or deceased residents.
37.106.2836-1 Furnishings: window treatments in common areas and resident rooms were not documented as flame resistant or non-combustible.
37.106.2849-2 Medications, records and documentation: medication administration records for residents were missing reasons for use on scheduled medications except for PRN medications.
37.106.2895-1 Health care plan: category C: most resident health care plans did not have current quarterly reviews.
Inspection Report — Sep 24, 2014
Complaint Investigation
Date: Sep 24, 2014
Visit Reason
The inspection was conducted following a complaint regarding the care and safety of a resident with self-harm ideations.
Complaint Details
The complaint involved concerns about the care and safety of a resident with documented self-harm ideations and the facility's response to incidents on 7-7-2014.
Findings
Four deficiencies were cited related to resident care and facility procedures. Issues included inadequate medication documentation, failure to assess and intervene during resident self-harm actions, and improper completion of incident reports by staff.
Deficiencies (4)
50-5-226-4 Placement in assisted living facilities: resident had self-harm thoughts documented up to admission, and was on 15-minute checks until discharged to the facility.
37.106.2849-1 Medications, records and documentation: facility medication administration records lacked documented reasons for medications reviewed by the surveyor.
37.106.2814-4 Administrator: no management or nursing staff physically assessed the resident or interventions taken during self-harm actions on the evening of 7-7-2014.
37.106.2814-12 Administrator: incident report form was completed by the administrator upon arrival rather than by the staff member with first-hand knowledge of the incident.
Inspection Report — Nov 25, 2013
Complaint Investigation
Date: Nov 25, 2013
Visit Reason
The complaint inspection was conducted due to concerns about the care provided to a resident during their stay at the facility.
Complaint Details
The cited findings relate to inadequate care and documentation for resident #1, including missing assessments, care plans, physician orders, and medication records during the resident's stay.
Findings
The administrator failed to ensure proper resident care documentation and physician involvement. There was no resident needs assessment, care plan, or assisted living agreement completed, and medication and discharge records were incomplete or missing.
Deficiencies (1)
37.106.2814-6 Administrator: multiple aspects of resident care were not conducted properly, including lack of resident needs assessment, care plan, assisted living agreement, physician involvement, and proper medication and discharge documentation.
Inspection Report — Sep 11, 2013
Renewal
Date: Sep 11, 2013
Visit Reason
The facility underwent a renewal inspection as part of its regular licensing process.
Findings
Two deficiencies were cited related to placement in assisted living facilities and resident application and needs assessment.
Deficiencies (2)
50-5-226-3 Placement in assisted living facilities: the facility did not fully comply with placement requirements as specified by the rule.
37.106.2821-3 Resident application and needs assessment: the facility failed to complete or properly document resident needs assessments as required.
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