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Deficiency Records for Montana Mental Health Nursing Home
A list of the most recent deficiencies for Montana Mental Health Nursing Home. 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 Montana Mental Health Nursing Home. 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? |
|---|---|---|---|---|
| Keep residents' personal and medical records private and confidential. | Health | 2024-04-09 | 2024-06-20 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-04-09 | 2024-06-20 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-04-09 | 2024-06-20 | 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 | 2023-11-08 | 2024-01-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-08 | 2024-01-05 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-11-08 | 2024-01-05 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-11-08 | 2024-01-05 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-11-08 | 2024-01-05 | N |
| Provide or obtain dental services for each resident. | Health | 2023-11-08 | 2024-01-05 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-14 | 2024-01-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-14 | 2024-01-05 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-11-14 | 2024-01-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-11-14 | 2024-01-05 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-11-14 | 2024-01-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-14 | 2024-01-05 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-11-14 | 2024-01-05 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-11-14 | 2024-01-05 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-16 | 2023-04-10 | Y |
| Implement a program that monitors antibiotic use. | Health | 2023-01-19 | 2023-03-14 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-01-19 | 2023-03-14 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-19 | 2023-03-14 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-01-19 | 2023-03-14 | 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 | 2023-01-19 | 2023-03-14 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-19 | 2023-03-14 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-01-19 | 2023-03-14 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-01-19 | 2023-03-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-01-19 | 2023-03-14 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-01-19 | 2023-03-14 | Y |
| Report COVID19 data to residents and families. | Health | 2023-01-19 | 2023-03-14 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2023-01-19 | 2023-03-14 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-08-16 | 2023-01-06 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-08-16 | 2023-01-06 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-08-23 | 2022-10-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-23 | 2022-10-20 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-08-23 | 2022-10-20 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2022-08-23 | 2022-10-20 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-08-23 | 2022-10-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-18 | 2022-09-30 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-08-18 | 2022-09-22 | 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 | 2022-08-18 | 2022-09-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-18 | 2022-09-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-18 | 2022-09-22 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-08-18 | 2022-09-22 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-08-18 | 2022-09-22 | 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 | 2022-08-18 | 2022-09-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-18 | 2022-09-22 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-08-18 | 2022-09-22 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-08-04 | 2021-09-17 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2021-08-04 | 2021-09-17 | N |
| Respond appropriately to all alleged violations. | Health | 2021-08-04 | 2021-09-17 | N |
| Assess the resident when there is a significant change in condition | Health | 2021-08-04 | 2021-09-17 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2021-08-04 | 2021-09-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-04 | 2021-09-17 | N |
| Ensure that paid feeding assistants have the training they need. | Health | 2021-08-04 | 2021-09-17 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2021-08-10 | 2021-09-17 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-08-10 | 2021-09-17 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2021-08-10 | 2021-09-17 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-08-10 | 2021-09-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-10 | 2021-09-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-08-10 | 2021-09-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-08-10 | 2021-09-17 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-08-10 | 2021-09-17 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-08-10 | 2021-09-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-08-10 | 2021-09-17 | N |
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