Deficiency Records for Southwest Montana Veterans Home

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Updated as of March 01, 2024

A list of the most recent deficiencies for Southwest Montana Veterans 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?
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2023-05-11 2023-06-01 N
Provide activities to meet all resident's needs. Health 2023-05-11 2023-06-01 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2023-05-11 2023-06-01 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-05-11 2023-06-01 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 2023-05-11 2023-06-01 N
Have a policy regarding use and storage of foods brought to residents by family and other visitors. Health 2023-05-11 2023-06-01 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-05-16 2023-05-30 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-05-16 2023-05-30 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2022-05-05 2022-07-10 N
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Fire Safety 2022-05-05 2022-07-10 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2022-05-05 2022-07-10 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 2022-04-28 2022-06-07 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2022-04-28 2022-06-07 N
Assess the resident when there is a significant change in condition Health 2022-04-28 2022-06-07 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 2022-04-28 2022-06-07 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 2022-04-28 2022-06-07 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 2022-04-28 2022-06-07 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-04-28 2022-06-07 N
Provide emergency officials' contact information. Fire Safety 2021-06-02 2021-08-06 N
Have an enclosure around a vertical opening shaft. Fire Safety 2021-06-02 2021-08-06 N
Install an approved automatic sprinkler system. Fire Safety 2021-06-02 2021-08-06 N
Have proper medical gas storage and administration areas. Fire Safety 2021-06-02 2021-08-06 N