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Deficiency Records for Billings Rehabilitation and Nursing LLC
A list of the most recent deficiencies for Billings Rehabilitation and Nursing LLC. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Billings Rehabilitation and Nursing LLC. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-06-06 | 2024-06-25 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-06-06 | 2024-06-25 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-10-04 | 2023-10-31 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-10-04 | 2023-10-31 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-10-04 | 2023-10-31 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-10-04 | 2023-10-31 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-10-04 | 2023-10-31 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-10-04 | 2023-10-31 | N |
| Provide at least two remote exits on each floor or fire section of the building. | Fire Safety | 2023-10-04 | 2023-10-31 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-10-04 | 2023-10-31 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2023-10-04 | 2023-10-31 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-10-04 | 2023-10-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-04 | 2023-10-31 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-10-04 | 2023-10-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-04 | 2023-10-31 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-10-04 | 2023-10-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-04 | 2023-10-31 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-10-04 | 2023-10-31 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-09-14 | 2023-10-14 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-14 | 2023-10-14 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-09-14 | 2023-10-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-09-14 | 2023-10-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-14 | 2023-10-14 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-09-14 | 2023-10-14 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-09-14 | 2023-10-14 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-09-14 | 2023-10-14 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-09-14 | 2023-10-14 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-09-14 | 2023-10-14 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2023-09-14 | 2023-10-14 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2023-09-14 | 2023-10-14 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-09-14 | 2023-10-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-14 | 2023-10-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-14 | 2023-10-14 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-14 | 2023-10-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-02-16 | 2023-03-15 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-11-21 | 2022-12-20 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-11-21 | 2022-12-20 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-11-21 | 2022-12-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-11-21 | 2022-12-20 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-11-21 | 2022-12-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-11-21 | 2022-12-20 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2022-11-21 | 2022-12-20 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2022-11-21 | 2022-12-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-21 | 2022-12-20 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-11-21 | 2022-12-20 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-11-21 | 2022-12-20 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-11-21 | 2022-12-20 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-11-21 | 2022-12-20 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2022-11-21 | 2022-12-20 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-11-21 | 2022-12-20 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-11-21 | 2022-12-20 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-21 | 2022-12-20 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-11-21 | 2022-12-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-21 | 2022-12-20 | Y |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2022-11-21 | 2022-12-20 | Y |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2022-11-21 | 2022-12-20 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-11-29 | 2022-12-19 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-11-29 | 2022-12-19 | N |
| Provide at least two remote exits on each floor or fire section of the building. | Fire Safety | 2022-11-29 | 2022-12-19 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-11-29 | 2022-12-19 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2022-11-29 | 2022-12-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-11-29 | 2022-12-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-29 | 2022-12-19 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-11-29 | 2022-12-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-11-29 | 2022-12-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-11-29 | 2022-12-19 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-11-29 | 2022-12-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-11-29 | 2022-12-19 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-12-01 | 2021-12-28 | N |
| Provide at least two remote exits on each floor or fire section of the building. | Fire Safety | 2021-12-01 | 2021-12-28 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-12-01 | 2021-12-28 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2021-12-01 | 2021-12-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-12-01 | 2021-12-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-12-01 | 2021-12-28 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-12-01 | 2021-12-28 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-12-01 | 2021-12-28 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-12-01 | 2021-12-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-24 | 2021-12-23 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-11-24 | 2021-12-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-24 | 2021-12-23 | Y |
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