Inspection Reports for Heritage Living Center
5982 Tongue River Rd PO BOX 598, Ashland, MT, 59003
Back to Facility ProfileDeficiencies (last 7 years)
Deficiencies (over 7 years)
3.9 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
33% better than Montana average
Montana average: 5.8 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Renewal
Deficiencies: 5
Date: Jan 4, 2024
Visit Reason
The inspection was conducted as a renewal inspection of Heritage Living Center to assess compliance with regulatory standards and licensing requirements.
Findings
The inspection identified multiple deficiencies including lack of annual review or drill of the disaster plan, insufficient administrator continuing education hours, failure to provide residents or their legal representatives with copies of service plans, absence of electronic call systems in resident rooms or bathrooms, and inadequate staff training related to skin integrity and pressure sore prevention.
Deficiencies (5)
No record of an annual review or drill of facilities disaster plan procedures; disaster plan file incomplete.
No record of at least 16 contact hours of continued education for 2023 in administrator file.
No record of residents #1 - #5 or their legal representative being given a copy of their service plan.
No electronic call system observed in any resident room or bathroom.
No record of staff members #1 - #3 receiving training related to maintenance of skin integrity and prevention of pressure sores.
Report Facts
Resident files reviewed: 5
Staff files reviewed: 3
Administrator continuing education hours required: 16
Inspection Report
Renewal
Deficiencies: 2
Date: Jul 13, 2022
Visit Reason
The inspection was conducted as a renewal inspection of the Heritage Living Center facility.
Findings
The inspection identified deficiencies including lack of documentation for an annual disaster plan review with facility staff and absence of a written agreement for an off-site evacuation point. Additionally, the last fire inspection was noted to have been completed on January 27, 2020.
Deficiencies (2)
No documentation of an annual review of the disaster plan with facility staff and no written agreement for an off-site evacuation point.
The last fire inspection was completed on January 27, 2020.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jerry Thex Jr | Administrator | Named as the facility administrator. |
| Brett Christian | Survey Team Leader | Named as the survey team leader for the renewal inspection. |
Inspection Report
Renewal
Deficiencies: 6
Date: Jul 9, 2021
Visit Reason
The inspection was a renewal inspection of Heritage Living Center conducted to assess compliance with regulatory standards and facility licensing requirements.
Findings
The inspection identified multiple deficiencies including lack of clothing covers in laundry rooms, medication administration by unlicensed staff, an emergency call system that does not meet design standards, missing documentation for fire drills, an outdated disaster plan not reviewed since 2014, and a missing service plan for a readmitted resident.
Deficiencies (6)
Laundry rooms on 2 floors did not have clothing covers for staff to cover their clothes while working with soiled and clean laundry.
Medication Technician prefills all residents' cassettes for the week without orders, which is outside their scope and requires a licensed healthcare professional.
Emergency call system is a pendant system that signals at the front desk and can be turned off there, not at the resident's location as required.
No documentation of names of employees participating in fire drills or identification of residents needing evacuation assistance.
Disaster Plan had not been reviewed or updated since 2014; no documentation of annual staff review; no written agreement for off-site evacuation point; repeat deficiency from 2019.
Resident #1 readmitted on 6/22/21 had a pre-move in assessment but no Service Plan was completed.
Report Facts
Facility License Number: 13400
Survey Date: Jul 9, 2021
Response Due Date: Jul 19, 2021
Resident Readmission Date: Jun 22, 2021
Inspection Report
Renewal
Deficiencies: 2
Date: Aug 12, 2020
Visit Reason
The inspection was a renewal inspection conducted to review the facility's compliance with regulatory requirements, including review of incident reports and resident medication documentation.
Findings
The inspection found that 14 out of 16 incident reports related to resident significant events lacked proper notification to both resident providers and legal representatives. Additionally, 4 out of 5 resident files reviewed lacked a practitioner's order renewed annually for residents self-administering medication without a Medication Administration Record (MAR).
Deficiencies (2)
14 of 16 incident reports did not include both resident provider and legal representative notification.
Practitioner's order, renewed annually, was not found for 4 residents self-administering medication without a MAR.
Report Facts
Incident reports related to resident significant events: 16
Incident reports lacking proper notification: 14
Resident files reviewed: 5
Resident files lacking practitioner's order: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jerry Thex Jr | Administrator | Named as Administrator in relation to medication self-administration responsibility |
| Tara Wooten | Survey Team Leader | Led the renewal inspection |
Inspection Report
Renewal
Deficiencies: 4
Date: Jul 18, 2019
Visit Reason
The inspection was conducted as a renewal inspection of the Heritage Living Center facility to assess compliance with regulatory standards.
Findings
The inspection identified deficiencies including lack of documentation for ongoing Heimlich maneuver, first aid and CPR training for some employees, absence of emergency call systems in six resident rooms, no documentation of required biannual fire drills, and no annual review of the disaster plan with all facility staff.
Deficiencies (4)
Three of six employee files lacked documentation of ongoing Heimlich maneuver training, basic first aid, and CPR.
Six resident rooms did not have an emergency call system accessible to an individual collapsed on the floor.
No documentation of employee and resident fire drills conducted at least twice annually; last documented drill was 2/15/18.
No documentation found pertaining to an annual review of the disaster plan with all facility staff.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jerry Thex Jr | Administrator | Named as facility administrator during the renewal inspection. |
| Brinda Pluhar | Survey Team Leader | Led the renewal inspection team. |
Inspection Report
Renewal
Deficiencies: 4
Date: Jul 5, 2018
Visit Reason
The inspection was conducted as a renewal inspection of Heritage Living Center to assess compliance with regulatory requirements.
Findings
The inspection identified multiple deficiencies including lack of lids on kitchen garbage containers, missing current job description for the administrator, no documentation of disposition of a resident's personal possessions including medications, and absence of practitioner’s annual orders for residents self-administering medications.
Deficiencies (4)
No lids were placed on the kitchen garbage containers nor was a lid available.
No current, initialed job description for the administrator; job description found was for a Maintenance Supervisor.
No documentation of the disposition of Resident #1 personal possessions, including medications.
No documentation of a practitioner’s annual order for residents to self-administer and store medications in their rooms.
Report Facts
Resident files reviewed: 7
Inspection Report
Renewal
Deficiencies: 4
Date: Feb 3, 2016
Visit Reason
The inspection was conducted as a renewal inspection of the Heritage Living Center facility to assess compliance with regulatory standards.
Findings
The inspection identified deficiencies including outdated policy and procedure manual, missing records of disposition of personal possessions and medications for a closed resident chart, and lack of monitoring logs for the freezer in the food storage room.
Deficiencies (4)
Policy and Procedure manual was last updated/reviewed January 2013.
No record of disposition of personal possessions in closed chart for resident #5.
No record of disposition of medication in closed chart for resident #5.
No monitoring log was found for freezer in food storage room.
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