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 |