Inspection Reports for Canyon Creek Memory Care Community
1785 Majestic Ln, Billings, MT 59102, United States, MT, 59102
Back to Facility ProfileDeficiencies per Year
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Unclassified
Inspection Report
Renewal
Deficiencies: 2
Mar 19, 2025
Visit Reason
The inspection was conducted as a renewal inspection of the Canyon Creek Memory Care Community facility.
Findings
The inspection identified deficiencies in infection control related to broken or unattached toilet paper holders in resident and shower rooms, and a lack of documentation for the annual fire inspection in 2024.
Deficiencies (2)
| Description |
|---|
| Residents #1 through #3 had broken or unattached toilet paper holders, with toilet paper rolls placed improperly and visible residue on one roll. |
| Facility lacked documentation that an annual fire inspection was conducted in 2024. |
Inspection Report
Complaint Investigation
Deficiencies: 2
Jun 28, 2017
Visit Reason
The inspection was conducted in response to a complaint alleging that staff did not follow facility policies regarding timely notification of resident falls to the practitioner.
Findings
The investigation found substantial evidence that staff failed to notify the practitioner in a timely manner after a resident fall, including notifying by fax instead of phone and delayed notification to the doctor after the resident was taken to the hospital.
Complaint Details
There is substantial evidence to substantiate the complaint that staff did not follow policy on timely notification of resident falls to the practitioner.
Deficiencies (2)
| Description |
|---|
| Staff did not follow facility’s policy on reporting falls to practitioner; practitioner was notified via fax instead of phone, delaying awareness of the fall. |
| Staff did not notify practitioner in a timely manner; doctor was notified 1 hour and 30 minutes after resident was taken to hospital. |
Report Facts
Time delay: 90
Time of fall: 1400
Time husband notified: 1415
Time doctor notified: 1730
Inspection Report
Renewal
Deficiencies: 4
Apr 5, 2017
Visit Reason
The inspection was conducted as a renewal inspection of Canyon Creek Memory Care Community to assess compliance with regulatory requirements.
Findings
The inspection identified deficiencies including lack of documentation for flame-resistant window treatments, inadequate emergency call systems in resident bathrooms, absence of a thermometer in a freezer, and missing practitioner orders for Category C resident admissions.
Deficiencies (4)
| Description |
|---|
| No documentation was found regarding clean, flame-resistant or non-combustible window treatments or equivalent, for every bedroom window. |
| Seven of eight resident bathrooms inspected did not have an emergency call system accessible to an individual collapsed on the floor, with call light cords improperly positioned or tied. |
| No thermometer was found in the freezer in the Rose dining room; freezer log indicated temperature between 7 and 8 degrees Fahrenheit, thermometer read 7 degrees Fahrenheit. |
| Resident files for six Category C residents did not show indication of a practitioner's written order for admission as a Category C resident. |
Report Facts
Residents inspected: 8
Category C residents reviewed: 6
Freezer temperature: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brinda Pluhar | Survey Team Leader | Named as survey team leader for the renewal inspection |
Inspection Report
Complaint Investigation
Deficiencies: 3
Sep 29, 2016
Visit Reason
The inspection was conducted as a complaint investigation regarding the care and treatment of Resident #1, specifically focusing on the use and management of hearing aids and medication documentation.
Findings
The survey found that Resident #1, who is hard of hearing and uses bilateral hearing aids, was often not provided her hearing aids during activities, compromising her dignity and ability to participate fully. Additionally, the Medication Administration Record lacked reasons for scheduled medications, and hearing aids were improperly stored and managed.
Complaint Details
The visit was triggered by a complaint concerning the care of Resident #1, specifically related to hearing aid management and medication documentation. The complaint was investigated during this inspection.
Deficiencies (3)
| Description |
|---|
| Resident #1 was not provided hearing aids consistently, affecting emotional stability, dignity, and ability to make choices. |
| Hearing aids were kept in a specimen cup in a cupboard at the nurse’s station, requiring staff assistance for application. |
| Resident #1’s Medication Administration Record did not list reasons for scheduled medications and showed inconsistent documentation regarding hearing aid use. |
Report Facts
Facility License Number: 13432
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tara Wooten | Survey Team Leader | Led the complaint inspection |
| Billings | Administrator | Named as facility administrator |
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