Deficiencies per Year
16
12
8
4
0
Unclassified
Census Over Time
Inspection Report
Complaint Investigation
Deficiencies: 1
Nov 26, 2025
Visit Reason
The inspection was conducted as a complaint investigation to assess compliance with regulations related to resident toilets and bathing facilities.
Findings
The bathroom call system for Resident #1 was found not to signal staff when activated, and the call cord was too short to be accessible to an individual who collapsed on the floor.
Complaint Details
Complaint inspection conducted; no substantiation status explicitly stated.
Deficiencies (1)
| Description |
|---|
| Resident #1’s bathroom call system is not signaling to staff when activated and the call cord is short and inaccessible to an individual who collapsed on the floor. |
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Noelle Markland | Survey Team Leader | Named as survey team leader for the complaint inspection. |
| Dawn Mounts | Administrator | Facility administrator mentioned in the report header. |
Inspection Report
Renewal
Capacity: 86
Deficiencies: 4
Sep 16, 2025
Visit Reason
The inspection was conducted as a renewal inspection of the assisted living facility to assess compliance with staffing, medication management, physical plant conditions, and other regulatory requirements.
Findings
The inspection found multiple deficiencies including improper sanitation and staffing shortages in housekeeping, expired medications not properly disposed of, undocumented medication administration errors, and hazardous physical plant conditions such as ripped and stained carpets creating tripping hazards.
Deficiencies (4)
| Description |
|---|
| Housekeeping area had 5 dirty mop heads reused without proper sanitation; resident rooms and bathrooms were dirty; only one housekeeper scheduled for 5 days a week to clean 86 rooms with no weekend coverage. |
| Expired medications found in medication room; facility staff not following policy for lawful disposal of unused medications. |
| Medication Administration Records showed missed doses for residents without documentation or notification to practitioner. |
| Carpets on 2nd through 5th floor hallways were ripped, stained, or taped, creating tripping hazards; repeat deficiency from prior inspection. |
Report Facts
Total resident rooms: 86
Expired medication dates: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Noelle Markland | Survey Team Leader | Named as survey team leader for the renewal inspection |
Inspection Report
Complaint Investigation
Deficiencies: 2
Feb 25, 2020
Visit Reason
The inspection was conducted as a complaint investigation following allegations of assault and sexual abuse involving residents and staff at the facility.
Findings
The investigation found failures in documentation and notification regarding alleged assaults on residents, lack of protective actions by the administrator, and delayed suspension of the implicated staff member. There was no evidence that the facility notified Adult Protective Services, the Department, or law enforcement in a timely manner.
Complaint Details
Complaint investigation related to allegations of assault and sexual abuse by staff on residents. Adult Protective Services notified the administrator on 12/5/2019. The administrator failed to report allegations to the Department or law enforcement and delayed suspension of the staff member.
Deficiencies (2)
| Description |
|---|
| Incident report for resident #1 for alleged assault on 10/19/2019 did not show evidence of practitioner notification, steps taken to safeguard the resident, or notification of attempt to notify family. No facility incident report filed for incident involving resident #2 for alleged assault 12/2019. |
| Administrator failed to protect the physical, mental, and emotional safety of 2 residents. No documentation of assessment, practitioner and legal representative notification, or notification to Adult Protective Services, the Department, or law enforcement. Staff #1 was allowed to continue working despite allegations until suspension on 12/6/2019. |
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dena Schoolcraft | Administrator | Named in findings related to failure to protect residents and failure to report allegations. |
| Linda Egebjerg | Survey Team Leader | Led the complaint inspection. |
Inspection Report
Complaint Investigation
Census: 52
Deficiencies: 3
Feb 25, 2020
Visit Reason
The inspection was conducted as a complaint investigation to assess staffing levels, cleanliness, and facility conditions at Rainbow Senior Living of Great Falls.
Findings
The facility was found to have insufficient staffing in multiple departments, inadequate housekeeping, and poor cleanliness throughout common areas and the kitchen. Additionally, physical plant issues such as flooding and water damage in the laundry room were observed.
Complaint Details
The inspection was triggered by complaints regarding insufficient staffing, poor cleanliness, and facility maintenance issues. Resident and staff interviews confirmed concerns about inadequate staffing and delayed care.
Deficiencies (3)
| Description |
|---|
| Facility does not have enough on duty staff in all departments to meet rules; insufficient housekeeping and activities staff; cleaning of kitchen and dining room inadequate. |
| Lack of cleanliness in kitchen including debris in walk-in refrigerator, sticky syrup and dirt on flour bin, dirt, grease, cigarette butts behind stove, and trash under shelving. |
| Laundry room flooded with evidence of previous water damage including holes in the wall and pulled away baseboard. |
Report Facts
Residents present: 52
Housekeepers scheduled: 1
Activities staff scheduled: 1
Cook scheduled: 1
Dietary aides scheduled: 2
Medication techs scheduled: 2
Caregivers scheduled: 2
Inspection Report
Renewal
Deficiencies: 3
Sep 10, 2019
Visit Reason
The inspection was conducted as a renewal inspection of Rainbow Senior Living of Great Falls to assess compliance with health care facility standards.
Findings
The inspection found a strong smell of urine and heavily stained carpet in resident room 300, and multiple emergency call systems in resident rooms and bathrooms were observed to not activate when tested.
Deficiencies (3)
| Description |
|---|
| Strong smell of urine and heavily stained carpet in resident room 300. |
| Emergency call systems in resident rooms 250, 252, 315, 402, 419, 510, and 550 did not activate when the call cord was pulled; resident in room 252’s pendant did not work. |
| Emergency call systems in resident bathrooms in rooms 250, 252, 315, 419, 510, and 550 did not activate when the call cord was pulled. |
Report Facts
Occupied bedrooms inspected: 8
Occupied resident room bathrooms inspected: 8
Inspection Report
Renewal
Census: 55
Deficiencies: 10
Apr 9, 2019
Visit Reason
The inspection was a renewal inspection of Rainbow Senior Living of Great Falls to assess compliance with assisted living facility regulations and licensing requirements.
Findings
The inspection found multiple deficiencies including inadequate resident activities participation, incomplete bathing documentation and care, severe kitchen cleanliness issues, insufficient food supply and dietary accommodations, laundry delays, housekeeping problems, and physical plant hazards such as damaged carpets and obstructed hallways. Several deficiencies were noted as repeats from prior surveys.
Deficiencies (10)
| Description |
|---|
| Activities not based on individual resident needs with low participation. |
| Only 16 of 55 residents had documented shower schedules; bathing care inconsistent and insufficient staffing reported. |
| Severe lack of cleanliness in kitchen including spills, garbage, dirty equipment, and odors indicating rotting food. |
| Therapeutic diets not accommodated due to budget; residents complain about insufficient food and lack of menu choices. |
| Menu changes frequent due to food availability; staff unable to keep food service documentation due to short staffing. |
| Less than 7 days’ worth of non-perishable food supply for residents. |
| Laundry not done timely; residents complain about delays and having to search for their laundry. |
| Laundry and kitchen garbage containers without lids; repeat deficiency from prior surveys. |
| Carpet in resident hallways old, torn, bubbling creating trip hazards; repeat deficiency. |
| Furniture placed in hallways restricting wheelchair and walker accessibility; multiple electric wheelchairs stored in hallways; repeat deficiency. |
Report Facts
Residents present: 55
Residents with shower schedule documented: 16
Bath counts in March 2019: 1
Bath counts in March 2019: 2
Bath counts in March 2019: 3
Bath counts in March 2019: 5
Bath counts in March 2019: 6
Bath counts in April 2019: 1
Bath counts in April 2019: 2
Bath counts in April 2019: 3
Days of non-perishable food supply: 7
Inspection Report
Follow-Up
Deficiencies: 5
Mar 2, 2018
Visit Reason
The visit was a follow-up inspection to verify correction of previously identified deficiencies at Rainbow Senior Living of Great Falls.
Findings
Multiple deficiencies were found including blocked emergency exits, trip hazards from loose carpet, unsecured oxygen tanks, inaccessible call light strings in multiple rooms, and physical plant issues such as holes in ceilings, non-operable toilets, and door hinge problems.
Deficiencies (5)
| Description |
|---|
| Both exits to room #425 were blocked with debris which could result in inability to evacuate in case of an emergency. |
| Loose carpet by room #225 is wrinkled resulting in a potential trip hazard. |
| 5 small oxygen tanks in room 411 were observed to be unsecured. |
| Twenty rooms had call light strings tied up resulting in them being inaccessible to a person collapsed on the floor; room 317 had no pull cords attached to call lights. |
| Room #569 has a hole in the bedroom ceiling measuring approximately 3 inches X 3 inches; room #511 bathroom sink is unable to be turned off by resident; room #321 has non-operable toilet; room #411 front door is missing center hinge preventing it from closing properly. |
Inspection Report
Complaint Investigation
Deficiencies: 3
Jan 30, 2018
Visit Reason
The inspection was conducted as a complaint investigation to assess the facility's compliance with assisted living regulations following concerns about staffing, resident service plans, and medication administration.
Findings
The inspection found the facility to be noticeably dirty in multiple areas, deficiencies in updating resident service plans after readmission, and medication administration errors including delayed implementation of blood glucose monitoring orders and over-administration of Hydrocodone leading to medication shortages.
Complaint Details
Complaint inspection triggered by concerns related to facility cleanliness, resident service plan updates, and medication administration practices.
Deficiencies (3)
| Description |
|---|
| Facility was dirty with dirt and debris in hallways, Resident #1 room, stairways, and elevator; only one housekeeper cleans one floor per day. |
| Resident #1's service plan and Resident Needs Assessment were not updated after readmission despite changes in care needs. |
| Medication administration errors for Resident #1 including delayed blood glucose monitoring and over-administration of Hydrocodone resulting in medication shortage. |
Report Facts
Medication administration errors: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dena Schoolcraft | Administrator | Indicated there is one housekeeper who cleans one floor per day. |
| Tara Wooten | Survey Team Leader | Led the complaint inspection. |
Inspection Report
Complaint Investigation
Deficiencies: 7
Dec 29, 2017
Visit Reason
The inspection was conducted as a complaint investigation to review resident records, facility conditions, and compliance with licensing and safety regulations.
Findings
The inspection found multiple deficiencies including incomplete resident needs assessments, lack of appropriate endorsements for resident care levels, unresponsive call system, environmental issues such as cold rooms and foul odors, use of prohibited portable space heaters in resident rooms, inadequate nutritional value in meals served, and missing smoke detectors in resident rooms.
Complaint Details
The inspection was triggered by complaints regarding resident care, environmental conditions, and food service quality. Multiple residents voiced concerns about cold rooms, lack of nutritional food, and sack dinners on holidays. The complaint investigation found substantiated issues.
Deficiencies (7)
| Description |
|---|
| Resident #40's pre move-in resident needs assessment did not address catheter care needs. |
| Resident #2's needs assessment showed total dependence but facility lacks required Category B Endorsement to retain such residents. |
| Call system in resident room #228 was activated but no staff response for over 30 minutes. |
| Residents reported cold rooms; dirt and dust accumulation in ceiling vents; foul odor near public bathrooms. |
| Use of prohibited portable space-heating devices observed in multiple resident rooms. |
| Meals lacked nutritional variety; residents complained about lack of fresh fruits and vegetables; sack dinners given on holidays. |
| Resident room #511 has no smoke detector. |
Report Facts
Facility License Number: 31461
Fine amount: 6720
Resident room numbers with space heaters: 7
Residents interviewed with complaints about food: 14
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dena Schoolcraft | Administrator | Named in relation to issuing a 30-day written notice regarding resident care assessment |
| Don Kenny | Survey Team Leader | Led the complaint inspection |
Inspection Report
Renewal
Deficiencies: 16
Apr 5, 2017
Visit Reason
The inspection was conducted as a renewal inspection of Rainbow Senior Living of Great Falls to assess compliance with regulatory standards.
Findings
Multiple physical plant deficiencies were observed including inoperative faucets, wall indentations, missing light covers, stained and loose carpeting, exposed fascia damage, and black mold on exterior soffits. Additional issues included dirt-ridden sidewalks, excessively high water temperature in one room, lack of protective coverings in laundry rooms, incomplete employee files, missing medication orders for self-administration, and uncovered trashcans in the kitchen.
Deficiencies (16)
| Description |
|---|
| 3rd floor laundry room faucet is inoperative |
| Faucet in room 200 spraying excessive water onto sink |
| Wall indentations outside room 200 near handrail |
| Missing light cover from ceiling light fixture on 3rd floor |
| Scrape on right side of door entrance of room 208 from wheelchair |
| Room 216 dirty with stained rug, disengaged intercom wiring, and inoperative toilet |
| Rug stain with stretched, loose carpeting between rooms 225 and 223 |
| Stretched, loose carpeting in multiple other locations separated from floor |
| Exposed hole in fascia cement on 3rd Street side of facility |
| Black mold on outside soffits and fascia in 8 sections on 1st Ave. side |
| Outside sidewalk area near building dirt-ridden and in need of cleanup |
| Water temperature in room 358 measured 131 F |
| No protective coverings in laundry rooms on floors four and five |
| One employee file missing signed or initialed job description |
| Two resident files missing current orders for self-administered medication |
| Three uncovered trashcans observed in kitchen during lunch preparation |
Report Facts
Water temperature: 131
Employee files reviewed: 9
Resident files reviewed: 6
Trashcans uncovered: 3
Mold affected sections: 8
Inspection Report
Complaint Investigation
Deficiencies: 1
Feb 8, 2017
Visit Reason
The inspection was conducted in response to a complaint alleging improper medication administration at the facility.
Findings
The inspection found substantial evidence that Med Tech Ashley Barrett did not follow practitioner’s orders when placing Fentanyl patches by failing to remove old patches, resulting in a Fentanyl overdose of resident John Young.
Complaint Details
The complaint was substantiated based on review of resident’s file, incident report, MAR, and hospital records.
Deficiencies (1)
| Description |
|---|
| Med Tech Ashley Barrett did not follow practitioner’s orders as prescribed when placing Fentanyl patches by not removing the old ones, causing Fentanyl overdose of resident John Young. |
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ashley Barrett | Med Tech | Named in medication error finding related to Fentanyl patch administration. |
Inspection Report
Renewal
Deficiencies: 3
Mar 23, 2016
Visit Reason
The visit was conducted as a renewal inspection of Rainbow Senior Living of Great Falls to assess compliance with regulatory standards.
Findings
The inspection identified deficiencies including non-compliant door knobs on community bathroom doors that are not single motion, missing documentation of disposition of property and medications in two closed resident files, and uncovered garbage cans without lids in laundry rooms on multiple floors.
Deficiencies (3)
| Description |
|---|
| Door knobs to the community bathrooms on the 2nd, 3rd, 4th, and 5th floors are not single motion, violating Life Safety Code requirements. |
| Files for Residents #15 and #16, closed files, do not contain documentation of disposition of property and medications. |
| Garbage cans in the laundry rooms on the 2nd, 3rd, 4th, and 5th floors were uncovered and no lids were found nearby. |
Report Facts
Facility License Number: 31461
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dena Schoolcraft | Administrator | Named as facility administrator during the inspection |
| Tara Wooten | Survey Team Leader | Led the renewal inspection team |
Inspection Report
Renewal
Census: 63
Deficiencies: 4
Mar 13, 2015
Visit Reason
The visit was a renewal inspection of Rainbow Senior Living of Great Falls to assess compliance with licensing requirements.
Findings
The inspection identified unsecured toilet risers and handrails for multiple residents, incomplete resident service plans lacking activity needs and interests, and physical plant issues including scratched pillars and water damage in certain rooms. The report notes these are repeat deficiencies.
Deficiencies (4)
| Description |
|---|
| Residents #42 and #67 have unsecured toilet risers on their toilets. |
| Residents #8, #10, #18, #19, #27, #37, #56, #59, and #61 have unsecured handrails on respective toilets. |
| Residents’ service plans for #3, #11, #33, #34, #38, #44, #47, and #63 did not contain identified activity needs and interests. |
| Physical plant issues including scratched pillar outside room #351, damaged painted pillar outside room #556, and water-stained ceiling and closet damage in room #561. |
Report Facts
Residents with unsecured toilet risers: 2
Residents with unsecured handrails: 9
Residents with incomplete activity needs in service plans: 8
Inspection Report
Renewal
Deficiencies: 4
Oct 2, 2014
Visit Reason
The inspection was conducted as a renewal inspection of the assisted living facility to assess compliance with licensing and regulatory requirements.
Findings
The inspection identified multiple deficiencies including insufficient food preparation that did not meet resident needs, extensive physical plant issues such as missing and deteriorating floor and ceiling tiles, water damage in multiple rooms, and lack of documentation for fire drills over a 15-month period.
Deficiencies (4)
| Description |
|---|
| Food service meal preparation was insufficient; beef was undercooked and hard, potatoes contained hardened balls, and green beans were undercooked, reported by at least 5 residents. |
| Physical plant issues including missing and deteriorating floor tiles, stained and water-damaged ceiling tiles in multiple rooms, and roof damage causing water infiltration. |
| No documentation of fire drills from 3/20/13 through 6/10/14. |
| No documentation of fire drills from 3/20/13 through 6/10/14 (noted under construction, building and fire codes). |
Report Facts
Residents reporting food issues: 5
Missing main floor tiles: 2
Floor tiles deteriorating: 4
Stained ceiling tiles above walk-in cooler: 4
Ceiling tiles saturated with brown grease: 20
Ceiling tiles stained in room #562: 5
Length of ceiling water damage in room #559 (feet): 6
Additional stained ceiling tiles on 5th floor hallway: 25
Fire drill documentation missing period (months): 15
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Harry E. Dziak | Survey Team Leader | Conducted the inspection and on-site inspection of water damage. |
| Joe Merrill | Construction Consultant | Conducted on-site inspection of water damage with surveyor. |
Inspection Report
Renewal
Deficiencies: 6
Sep 4, 2013
Visit Reason
The inspection was conducted as a renewal inspection of the assisted living facility to assess compliance with licensing requirements.
Findings
The report lists six core issues related to assisted living facility staffing, resident application and needs assessment, resident agreement, and environmental control, indicating areas requiring attention or correction.
Deficiencies (6)
| Description |
|---|
| Assisted living facility staffing (Rule 37.106.2816-1) |
| Assisted living facility staffing (Rule 37.106.2816-2) |
| Assisted living facility staffing (Rule 37.106.2816-3) |
| Resident application and needs assessment (Rule 37.106.2821-2) |
| Resident agreement (Rule 37.106.2823-1) |
| Environmental control (Rule 37.106.2839-1) |
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