Deficiency Records for Missoula Health and Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Missoula Health and Rehabilitation Center. 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? |
|---|---|---|---|---|
| Have correct number of accessible exits for each story. | Fire Safety | 2023-02-28 | 2023-04-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-28 | 2023-04-07 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2023-02-28 | 2023-04-07 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-02-28 | 2023-04-07 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-02-16 | 2023-03-27 | 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 | 2023-02-16 | 2023-03-27 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-02-16 | 2023-03-27 | N |
| 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 | 2023-02-16 | 2023-03-27 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-02-16 | 2023-03-27 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-02-16 | 2023-03-27 | N |
| Post nurse staffing information every day. | Health | 2023-02-16 | 2023-03-27 | 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 | 2023-02-16 | 2023-03-27 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2023-02-16 | 2023-03-27 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2023-02-16 | 2023-03-27 | N |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2023-02-16 | 2023-03-27 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-02-16 | 2023-02-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-16 | 2023-02-16 | Y |
| 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 | 2022-02-07 | 2022-03-18 | 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 | 2022-02-07 | 2022-03-18 | 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 | 2022-02-07 | 2022-03-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-02-07 | 2022-03-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-02-07 | 2022-03-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-02-07 | 2022-03-18 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2022-02-07 | 2022-03-18 | N |
| Have correct number of accessible exits for each story. | Fire Safety | 2022-02-07 | 2022-02-22 | 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 | 2021-03-04 | 2021-04-09 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-03-04 | 2021-04-09 | 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 | 2021-03-04 | 2021-04-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-03-04 | 2021-04-09 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-03-02 | 2021-04-09 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-03-02 | 2021-04-09 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-03-02 | 2021-04-09 | 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 | 2021-03-02 | 2021-04-09 | N |
| Have correct number of accessible exits for each story. | Fire Safety | 2021-03-02 | 2021-04-09 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-03-02 | 2021-04-09 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-03-02 | 2021-04-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-03-02 | 2021-04-09 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-03-02 | 2021-04-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-03-02 | 2021-04-09 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-03-02 | 2021-04-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-03-02 | 2021-04-09 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-03-02 | 2021-04-09 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-03-02 | 2021-04-09 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-03-02 | 2021-04-09 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-03-02 | 2021-04-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-03-02 | 2021-04-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-03-02 | 2021-04-09 | N |
