6 Reports
Inspection Report — Sep 26, 2023
Renewal
Date: Sep 26, 2023
Visit Reason
The survey was a renewal inspection of Edgewood Missoula Senior Living LLC.
Findings
Three deficiencies were found related to the emergency call system and resident room furnishings. The emergency call system did not initiate a distinct signal and could be silenced at the master station. Additionally, a double occupancy room had only one call system.
Deficiencies (3)
37.106.302-2 Minimum standards of construction for a: the emergency call system in all resident bedrooms did not initiate a distinct signal when activated and the tone signal could be silenced at the master station by pressing the green 'Tone Off' button.
37.106.2836-1 Furnishings: a double occupancy resident room labeled 'C5' had only one call system.
37.106.2838-7 Resident toilets and bathing: the audible signal could be silenced at the master station by pressing the green 'Tone Off' button.
Inspection Report — Nov 5, 2020
Renewal
Date: Nov 5, 2020
Visit Reason
The facility underwent a renewal inspection as part of its regular licensing process.
Findings
One deficiency was found regarding the furnishings: the resident call light was improperly installed and did not activate when pulled.
Deficiencies (1)
37.106.2836-1 Furnishings: the resident call light was positioned across the room and wrapped along the ceiling, and it did not activate when pulled.
Inspection Report — Sep 17, 2019
Renewal
Date: Sep 17, 2019
Visit Reason
The survey was conducted as a renewal inspection of the facility.
Findings
The survey identified multiple deficiencies including lack of resident care plans addressing treatment goals, failure to provide residents with written rights, inaccessible call cords in resident rooms, improper storage of laundry items, unsecured laundry room with chemicals accessible, and maintenance closet obstructed by paint cans and debris.
Deficiencies (6)
37.106.2875-3 Resident health care plan: category B: four resident files lacked care plans addressing goals and evaluation of treatment effectiveness.
37.106.2828-3 Resident rights: four resident files did not show evidence that written copies of residents' rights were provided to residents or families.
37.106.2836-1 Furnishings: call cords were blocked or inaccessible in multiple resident rooms, including a double room where one bed lacked a call light.
37.106.331-1 Minimum standard for all health care facilities: laundry and bedding: laundry room had pillows and bedspreads stacked without covers, risking contamination.
37.106.2865-13 Physical plant: laundry room was unlocked on two occasions and contained chemicals visible on a housekeeping cart.
37.106.320-3 Minimum standards for all health care facilities: physical plant and equipment maintenance: maintenance closet was obstructed by paint cans and debris blocking electrical and maintenance panels.
Inspection Report — Sep 27, 2017
Renewal
Date: Sep 27, 2017
Visit Reason
The survey was conducted as a renewal inspection of the facility.
Findings
One deficiency was found regarding missing information on all 25 resident Health Care Plans as required by ARM 37.106.2895-1.
Deficiencies (1)
37.106.2895-1 Health care plan: category C: all 25 resident Health Care Plans were missing required information listed in ARM 37.106.2895 (1) (a-g).
Inspection Report — Oct 16, 2015
Renewal
Date: Oct 16, 2015
Visit Reason
The survey was conducted as a renewal inspection of the facility.
Findings
Two deficiencies were found related to policies and resident files. The policy and procedure manual lacked evidence of reviews, and resident files did not document circumstances of death or notice to responsible parties.
Deficiencies (2)
37.106.2815-1 Written policies and procedures: the policy and procedure manual did not show evidence of reviews.
37.106.2829-2 Resident file: resident files did not document the circumstance of death, notice to responsible parties, or disposition of personal possessions.
Inspection Report — Oct 15, 2014
Renewal
Date: Oct 15, 2014
Visit Reason
Facility inspection and interview with administrator were conducted.
Findings
The facility had multiple deficiencies including improper handling of laundry, incomplete resident files related to incident reports, lack of flame-resistant treatments on curtains, missing or inaccessible call system pull cords, incomplete medication records, and incorrect resident categorization for medication administration.
Deficiencies (7)
37.106.331-1 Minimum standards for all health care facilities: staff handled both soiled and clean laundry without protective coverings separating them.
37.106.2829-2 Resident file: incident reports for three residents with falls lacked documentation that the primary health care physician was notified, and chronic pain complaints were not considered related to the falls.
37.106.2836-1 Furnishings: multiple resident rooms had cloth curtains without flame-resistant treatments.
37.106.2836-1 Furnishings: several bathroom and bedroom call system pull cords were missing, tied up, or cut too short, making them inaccessible to residents on the floor.
37.106.2849-2 Medications, records and documentation: the majority of scheduled medications on the Medication Administration Records were missing the reason for use.
37.106.2875-3 Resident health care plan: category B: health care plans lacked goals for all treatments and services despite all residents being category C.
37.106.2885-3 Administration of medications: category B: residents requiring nursing decisions for PRN medication administration were incorrectly categorized as category A/C instead of category B.
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