Inspection Report
Renewal
Deficiencies: 3
Sep 26, 2023
Visit Reason
The inspection was conducted as a renewal inspection of the Edgewood Missoula Senior Living LLC facility to assess compliance with applicable standards.
Findings
The inspection identified deficiencies related to the emergency call system, including the lack of a distinct signal initiated by resident calls and the ability to silence the tone signal at the master station. Additionally, a double occupancy room was found to have only one call system.
Deficiencies (3)
| Description |
|---|
| The emergency call system in all resident bedrooms does not initiate a distinct signal when activated and the tone signal can be silenced at the master station located in each pod. |
| Resident room labeled as ‘C5’ is a double occupancy room and has only one call system. |
| The audible signal can be silenced at the master station located in each pod by pressing the green ‘Tone Off’ button. |
Inspection Report
Renewal
Deficiencies: 1
Nov 5, 2020
Visit Reason
The inspection was conducted as a renewal inspection of the Edgewood Missoula Senior Living LLC facility.
Findings
During a virtual tour of resident #1's room, it was found that the resident's call light was improperly positioned across the room and wrapped upward across the ceiling, and the call system did not activate when the call cord was pulled.
Deficiencies (1)
| Description |
|---|
| Resident #1's call light was across the room from the bed, wrapped upward and across the ceiling, and the call system did not activate when the call cord was pulled. |
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Noelle Markland | Survey Team Leader | Named as the survey team leader for the renewal inspection. |
Inspection Report
Renewal
Deficiencies: 6
Sep 17, 2019
Visit Reason
The inspection was conducted as a renewal inspection of the Edgewood Missoula Senior Living LLC facility to assess compliance with regulatory standards.
Findings
The inspection identified multiple deficiencies including lack of resident health care plans addressing treatment goals and effectiveness, failure to provide written copies of residents' rights, inaccessible call cords in resident rooms, improper storage of clean linens in the laundry room, unsecured laundry room with visible chemicals, and maintenance closet obstructed by paint cans and debris blocking access to electrical and maintenance panels.
Deficiencies (6)
| Description |
|---|
| Resident file review showed 4 out of 4 files did not have care plans addressing goals, time intervals evaluating response to treatment or effectiveness of treatment. |
| Resident file review showed 4 out of 4 files did not show evidence that written copies of residents rights were given to resident or family. |
| Call cords in multiple rooms were blocked or inaccessible to residents. |
| Laundry room had several pillows and bedspreads stacked on boxes and shelves without covers to prevent contamination. |
| Laundry room was unlocked on two occasions and contained housekeeping cart with chemicals visible on counter. |
| Maintenance closet had several cans of paint and debris blocking electrical and maintenance panels obstructing access. |
Inspection Report
Renewal
Deficiencies: 1
Sep 27, 2017
Visit Reason
The inspection was conducted as a renewal inspection of the facility's license.
Findings
The review of resident Health Care Plans and interviews revealed missing information on all 25 resident Health Care Plans as required by ARM 37.106.2895 (1) (a-g).
Severity Breakdown
CATEGORY C: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Missing information on all 25 resident Health Care Plans listed in ARM 37.106.2895 (1) (a-g). | CATEGORY C |
Report Facts
Resident Health Care Plans reviewed: 25
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Rachel Ridle | Survey Team Leader | Led the renewal inspection |
Inspection Report
Renewal
Deficiencies: 2
Oct 16, 2015
Visit Reason
The inspection was conducted as a renewal inspection of the Edgewood Missoula Senior Living LLC facility.
Findings
The inspection identified deficiencies including lack of evidence of reviews in the Policy and Procedure manual and missing documentation in resident files regarding circumstances of resident deaths, notice to responsible parties, and disposition of personal possessions.
Deficiencies (2)
| Description |
|---|
| Review of the Policy and Procedure manual did not show evidence of reviews. |
| Review of resident files number one and two showed missing documentation of resident’s death circumstances, notice to responsible parties, and disposition of personal possessions in closed charts. |
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Rachel Ridle | Survey Team Leader | Named as Survey Team Leader for the renewal inspection. |
Inspection Report
Renewal
Census: 20
Deficiencies: 7
Oct 15, 2014
Visit Reason
The inspection was conducted as a renewal inspection of Edgewood Missoula Senior Living LLC to assess compliance with health care facility regulations.
Findings
The inspection identified multiple deficiencies including improper handling of laundry without protective coverings, incomplete incident reporting and physician notification, lack of flame-resistant treatment on curtains, missing or inaccessible call system pull cords in resident rooms and common bathrooms, missing reasons for medication use on MARs, incomplete health care plans lacking treatment goals, and incorrect resident categorization related to medication administration.
Deficiencies (7)
| Description |
|---|
| Staff handle both soiled and clean laundry without protective coverings separating them. |
| Incident reports for three residents involved falls; physician notification was not documented despite falls. |
| Multiple resident rooms have cloth curtains without flame-resistant treatments. |
| Multiple call system pull cords are missing, tied up, or cut too short, making them inaccessible to residents. |
| Majority of scheduled medications on Medication Administration Records are missing reason for use. |
| Health Care Plans lack goals for all treatments and/or services listed. |
| Residents requiring nursing decisions for PRN medication administration are incorrectly categorized as Category A/C instead of Category B. |
Report Facts
Incident reports reviewed: 3
Residents in facility: 20
Residents able to verbally request PRN medication: 2
Residents assessed by PCA/CNA for PRN medication: 18
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tara Wooten | Survey Team Leader | Led the renewal inspection |
| Staff #1 | Administrator interviewed regarding incident reports, furnishings, and medication administration | |
| Staff #2 | Interviewed regarding incident reports and physician notification | |
| Staff #3 | Interviewed regarding Medication Administration Records and PRN medication administration |
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