A list of the most recent deficiencies for Bella Terra of Billings. 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? |
|---|---|---|---|---|
| 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 | 2024-02-07 | 2024-02-28 | N |
| Have correct number of accessible exits for each story. | Fire Safety | 2024-02-07 | 2024-02-28 | 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 | 2024-02-07 | 2024-02-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-02-07 | 2024-02-28 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2024-02-07 | 2024-02-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-07 | 2024-02-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-02-07 | 2024-02-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-02-07 | 2024-02-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-02-07 | 2024-02-28 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-02-07 | 2024-02-28 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-01-18 | 2024-02-13 | 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 | 2024-01-18 | 2024-02-13 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-01-18 | 2024-02-13 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-01-18 | 2024-02-13 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2024-01-18 | 2024-02-13 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-01-18 | 2024-02-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-18 | 2024-02-13 | 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 | 2024-01-18 | 2024-02-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-18 | 2024-02-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-01-18 | 2024-02-13 | 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 | 2024-01-18 | 2024-02-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-18 | 2024-02-13 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-01-18 | 2024-02-13 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-01-18 | 2024-02-13 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-01-18 | 2024-02-13 | Y |
| 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 | 2024-01-18 | 2024-02-13 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-01-18 | 2024-02-13 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-12 | 2023-11-27 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-12 | 2023-11-27 | Y |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2023-10-12 | 2023-11-27 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-02-02 | 2023-04-03 | 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 | 2023-02-02 | 2023-04-03 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-02-06 | 2023-03-23 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-02-06 | 2023-03-23 | N |
| Provide emergency officials' contact information. | Fire Safety | 2023-02-06 | 2023-03-23 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-02-06 | 2023-03-23 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-02-06 | 2023-03-23 | 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 | 2023-02-06 | 2023-03-23 | 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 | 2023-02-06 | 2023-03-23 | N |
| Have correct number of accessible exits for each story. | Fire Safety | 2023-02-06 | 2023-03-23 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-02-06 | 2023-03-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-02-06 | 2023-03-23 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2023-02-06 | 2023-03-23 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-02-06 | 2023-03-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-06 | 2023-03-23 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-02-06 | 2023-03-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-02-06 | 2023-03-23 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-02-06 | 2023-03-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-02-06 | 2023-03-23 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-02-06 | 2023-03-23 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-02-06 | 2023-03-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-06 | 2023-03-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-02-06 | 2023-03-23 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-02-02 | 2023-03-20 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-02-02 | 2023-03-20 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-02-02 | 2023-03-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-02 | 2023-03-20 | 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 | 2023-02-02 | 2023-03-20 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2023-02-02 | 2023-03-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-02 | 2023-03-20 | N |
| 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 | 2023-02-02 | 2023-03-20 | 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 | 2023-02-02 | 2023-03-20 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-02-02 | 2023-03-20 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-02-02 | 2023-03-20 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-02-02 | 2023-03-20 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-02-02 | 2023-03-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-02 | 2023-03-20 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-02-02 | 2023-03-20 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2023-02-02 | 2023-03-20 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-02-02 | 2023-03-20 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-02 | 2023-03-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-02 | 2023-03-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-02 | 2023-03-20 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-02-02 | 2023-03-20 | Y |
| 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 | 2023-02-02 | 2023-03-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-02-02 | 2023-03-20 | Y |
| 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 | 2022-02-17 | 2022-04-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-17 | 2022-04-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-17 | 2022-04-01 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-02-17 | 2022-04-01 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-02-17 | 2022-04-01 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2022-02-17 | 2022-04-01 | N |
| 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 | 2022-02-17 | 2022-04-01 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2022-02-17 | 2022-04-01 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-02-17 | 2022-04-01 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-02-17 | 2022-04-01 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-02-17 | 2022-04-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-17 | 2022-04-01 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-02-17 | 2022-04-01 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-02-17 | 2022-04-01 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-02-17 | 2022-04-01 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-02-17 | 2022-04-01 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-02-17 | 2022-04-01 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-02-17 | 2022-04-01 | 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 | 2022-02-17 | 2022-04-01 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-02-17 | 2022-04-01 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-02-17 | 2022-04-01 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-02-23 | 2022-04-01 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-02-23 | 2022-04-01 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-02-23 | 2022-04-01 | 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 | 2022-02-23 | 2022-04-01 | 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 | 2022-02-23 | 2022-04-01 | N |
| Have correct number of accessible exits for each story. | Fire Safety | 2022-02-23 | 2022-04-01 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-02-23 | 2022-04-01 | 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 | 2022-02-23 | 2022-04-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-02-23 | 2022-04-01 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-02-23 | 2022-04-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-02-23 | 2022-04-01 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-02-23 | 2022-04-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-02-23 | 2022-04-01 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-02-23 | 2022-04-01 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-02-23 | 2022-04-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-02-23 | 2022-04-01 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2022-02-23 | 2022-04-01 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-09-16 | 2021-12-15 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-09-16 | 2021-10-28 | Y |
| 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 | 2021-09-16 | 2021-10-28 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-09-16 | 2021-10-28 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-09-16 | 2021-10-28 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-09-16 | 2021-10-28 | Y |
