Inspection Reports for
Heritage Living Center
5982 Tongue River Rd PO BOX 598, Ashland, MT, 59003
Back to Facility Profile7 Reports
Inspection Report — Jan 4, 2024
Renewal
Date: Jan 4, 2024
Visit Reason
Routine renewal inspection of Heritage Living Center to assess compliance with licensing standards.
Findings
Five deficiencies were found including lack of disaster plan review, insufficient administrator education hours, missing resident service plan copies, absence of electronic call systems, and inadequate staff training on skin integrity.
Deficiencies (5)
37.106.322-2 Minimum standards for all health care facilities: there was no record of an annual review or drill of the facility's disaster plan procedures and the disaster plan file was incomplete.
37.106.2814-3 Administrator: the administrator's file lacked documentation of at least 16 contact hours of continued education for 2023.
37.106.2822-4 Resident service plan: category A: five resident files did not show that residents or their legal representatives were given a copy of their service plan.
37.106.2836-1 Furnishings: no electronic call system was observed in any resident room or bathroom during the facility tour.
37.106.2843-7 Personal care services: staff files lacked documentation of training related to maintenance of skin integrity and prevention of pressure sores.
Inspection Report — Jul 13, 2022
Renewal
Date: Jul 13, 2022
Visit Reason
The survey was conducted as a routine renewal inspection of the facility.
Findings
Two deficiencies were identified: the facility lacked documentation of an annual disaster plan review and a written off-site evacuation agreement, and the last fire inspection was outdated, completed in January 2020.
Deficiencies (2)
37.106.322-3 Minimum standard for all health care facilities: disaster plan: there was no documentation of an annual review with facility staff and no written agreement for an off-site evacuation point.
37.106.2866-7 Construction, building and fire codes: the last fire inspection was completed on January 27, 2020, which is outdated.
Inspection Report — Jul 9, 2021
Renewal
Date: Jul 9, 2021
Visit Reason
The survey was conducted as a renewal inspection to assess compliance with licensing standards.
Findings
The facility had deficiencies in laundry room standards, medication administration practices, emergency call system design, fire drill documentation, disaster plan review, and resident service planning.
Deficiencies (6)
37.106.331-1 Minimum standard for all health care facilities: laundry and bedding: laundry rooms on two floors lacked clothing covers for staff to protect their clothes while handling soiled and clean laundry.
37.106.2848-3 Medications: administration and preparation: medication technicians prefilled residents' medication cassettes without orders, which is outside their scope and requires a licensed healthcare professional.
37.106.302-2 Minimum standards of construction: general requirements: the emergency call system was a pendant system signaling only at the front desk and could be turned off there, not at the resident’s location as required.
37.106.2866-9 Construction, building and fire codes: fire drill records lacked documentation of employee participation and identification of residents needing evacuation assistance.
37.106.322-3 Minimum standard for all health care facilities: disaster plan: the disaster plan had not been reviewed or updated since 2014, lacked annual staff review documentation, and did not maintain a written agreement for an off-site evacuation point; this was a repeat deficiency from 2019.
37.106.2822-1 Resident service plan: category A: a resident discharged and readmitted had a completed needs assessment but no service plan on readmission.
Report Facts
year: 2014
year: 2019
date: Jun 22, 2021
Inspection Report — Aug 12, 2020
Renewal
Date: Aug 12, 2020
Visit Reason
The survey was a renewal inspection of Heritage Living Center.
Findings
Two deficiencies were cited related to resident file notifications and medication documentation. Incident reports showed multiple failures to notify practitioners or representatives after resident falls or significant events, and medication orders were missing for residents self-administering medications.
Deficiencies (2)
37.106.2829-2 Resident file: multiple incident reports lacked practitioner or representative notification following resident falls and significant events.
37.106.2849-4 Medications: records and documentation: four residents self-administering medication did not have a current practitioner’s order documented.
Report Facts
incident_reports_related_to_resident_events: 16
incident_reports_missing_notifications: 14
resident_files_reviewed: 5
residents_missing_practitioner_orders: 4
Inspection Report — Jul 18, 2019
Renewal
Date: Jul 18, 2019
Visit Reason
The facility underwent a renewal inspection to assess compliance with licensing requirements.
Findings
Deficiencies were found in employee training documentation, emergency call systems in resident rooms, fire drill documentation, and disaster plan review records.
Deficiencies (4)
37.106.2817-2 Employee files: three of six employee files lacked documentation of ongoing Heimlich maneuver training, basic first aid, and CPR.
37.106.2838-7 Resident toilets and bathing: six of nine resident rooms inspected did not have an emergency call system accessible to an individual collapsed on the floor.
37.106.2866-8 Construction, building and fire codes: there was no documentation of employee and resident fire drills conducted at least twice annually; the last documented drill was on 2/15/18.
37.106.322-3 Minimum standard for all health care facilities: disaster plan review with all facility staff was not documented annually.
Inspection Report — Jul 5, 2018
Renewal
Date: Jul 5, 2018
Visit Reason
The facility underwent a renewal inspection to assess compliance with licensing requirements.
Findings
Four deficiencies were identified related to housekeeping, employee files, resident files, and medication documentation. Issues included uncovered garbage in the kitchen, incorrect job description for the administrator, lack of documentation for resident possessions, and missing practitioner orders for medication self-administration.
Deficiencies (4)
37.106.2862-1 Housekeeping: multiple kitchen walkthroughs found no lids on garbage containers nor lids available to cover them.
37.106.2817-2 Employee files: the administrator's current job description was missing and the one found was for a maintenance supervisor.
37.106.2829-2 Resident file: there was no documentation of the disposition of a resident's personal possessions, including medications.
37.106.2849-4 Medications, records and documentation: seven resident files lacked documentation of a practitioner's annual order for medication self-administration and storage in rooms.
Inspection Report — Feb 3, 2016
Renewal
Date: Feb 3, 2016
Visit Reason
The survey was a renewal inspection of Heritage Living Center.
Findings
Four deficiencies were cited involving outdated policy and procedure manual, lack of documentation for disposition of personal possessions and medication in a closed resident chart, and missing monitoring logs for freezer in the food storage room.
Deficiencies (4)
37.106.330-1 Minimum standards for all health care facilities: written policy and procedures: the policy and procedure manual was last updated in January 2013 and was not current.
37.106.2829-2 Resident file: the closed chart lacked documentation of the disposition of personal possessions.
37.106.2846-5 Medications: storage and disposal: the closed chart lacked documentation of the disposition of medication.
37.106.2860-9 Food service: no monitoring log was found for the freezer in the food storage room.
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