CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Montrose Springs Skilled Nursing and Wellness Center
View the most recent health deficiencies and inspection results for Montrose Springs Skilled Nursing and Wellness Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Montrose Springs Skilled Nursing and Wellness Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2026-04-20 | 2026-05-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-02-26 | 2026-03-20 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2026-02-26 | 2026-03-20 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-02-26 | 2026-03-20 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2026-01-22 | 2026-02-14 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-01-22 | 2026-02-14 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2025-07-03 | 2025-07-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-07-03 | 2025-07-25 | 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 | 2025-07-03 | 2025-07-25 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-07-03 | 2025-07-25 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2025-07-03 | 2025-07-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-07-03 | 2025-07-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-07-03 | 2025-07-25 | N |
| Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | Health | 2025-07-03 | 2025-07-25 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2025-07-03 | 2025-07-25 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2025-07-03 | 2025-07-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-07-03 | 2025-07-25 | Y |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-07-03 | 2025-07-25 | 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 | 2025-07-03 | 2025-07-25 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2025-07-03 | 2025-07-25 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2025-07-03 | 2025-07-25 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-07-03 | 2025-07-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-07-03 | 2025-07-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-05-01 | 2025-05-22 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-03-12 | 2025-04-09 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-03-28 | 2025-04-05 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-03-28 | 2025-04-05 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2025-02-20 | 2025-03-14 | Y |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2024-07-12 | 2024-08-12 | 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 | 2024-07-12 | 2024-08-12 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-07-12 | 2024-08-12 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-07-12 | 2024-08-05 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2024-07-12 | 2024-08-05 | N |
| Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | Health | 2024-07-12 | 2024-08-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-12 | 2024-08-05 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2024-07-12 | 2024-08-05 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2024-07-12 | 2024-08-05 | 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 | 2024-07-12 | 2024-08-05 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-07-12 | 2024-08-05 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-07-12 | 2024-08-05 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-07-12 | 2024-08-05 | N |
| Post nurse staffing information every day. | Health | 2024-07-12 | 2024-08-05 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-07-12 | 2024-08-05 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-07-12 | 2024-08-05 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-07-12 | 2024-08-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-07-12 | 2024-08-05 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-07-12 | 2024-08-05 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-07-12 | 2024-08-05 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-07-12 | 2024-08-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-07-12 | 2024-08-05 | 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 | 2024-07-12 | 2024-08-05 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-07-12 | 2024-08-05 | 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 | 2024-07-12 | 2024-08-05 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-05-17 | 2024-06-14 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-05-17 | 2024-06-14 | Y |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2024-05-10 | 2024-06-03 | Y |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2024-05-10 | 2024-06-03 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-04-09 | 2024-04-29 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-04-09 | 2024-04-29 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2024-04-09 | 2024-04-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-06 | 2024-03-22 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-03-06 | 2024-03-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-27 | 2024-03-20 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-29 | 2023-12-26 | Y |
| 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 | 2023-06-13 | 2023-06-29 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-06-02 | 2023-06-28 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-06-02 | 2023-06-28 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-06-07 | 2023-06-15 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-06-07 | 2023-06-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-07 | 2023-06-15 | 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 | 2022-03-24 | 2022-04-26 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2022-03-24 | 2022-04-26 | N |
| Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | Health | 2022-03-24 | 2022-04-26 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-03-24 | 2022-04-26 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-03-24 | 2022-04-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-24 | 2022-04-26 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-03-24 | 2022-04-26 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-03-24 | 2022-04-26 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-03-24 | 2022-04-26 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-03-24 | 2022-04-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-03-24 | 2022-04-26 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-03-24 | 2022-04-26 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-24 | 2022-04-26 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-03-24 | 2022-04-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-24 | 2022-04-26 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-03-24 | 2022-04-26 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-03-24 | 2022-04-26 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-03-24 | 2022-04-26 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2022-03-24 | 2022-04-26 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-03-24 | 2022-04-19 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-03-24 | 2022-04-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-04-07 | Not Fixed | Y |