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Deficiency Records for Beartooth Rehabilitation and Nursing LLC

View the most recent health deficiencies and inspection results for Beartooth Rehabilitation and Nursing LLC. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Beartooth Rehabilitation and Nursing LLC. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2026-02-10 2026-04-27 Y
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2026-02-10 2026-04-02 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 2026-02-10 2026-03-25 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. Health 2026-02-10 2026-03-20 N
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Health 2026-02-10 2026-03-20 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2026-02-10 2026-03-20 N
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. Health 2026-02-10 2026-03-20 N
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. Health 2026-02-10 2026-03-20 N
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2026-02-10 2026-03-20 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2026-02-10 2026-03-20 N
Conduct risk assessment and an All-Hazards approach. Fire Safety 2026-02-10 2026-03-20 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 2026-02-10 2026-03-20 N
Provide activities to meet all resident's needs. Health 2026-02-10 2026-03-20 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 2026-02-10 2026-03-20 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2026-02-10 2026-03-20 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 2026-02-10 2026-03-20 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2026-02-10 2026-03-20 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2026-02-10 2026-03-20 Y
Respond appropriately to all alleged violations. Health 2026-02-10 2026-03-20 Y
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2026-02-10 2026-03-20 N
Provide and implement an infection prevention and control program. Health 2026-02-10 2026-03-20 N
Develop Emergency Preparedness policies and procedures. Fire Safety 2026-02-10 2026-03-20 N
Develop a communication plan. Fire Safety 2026-02-10 2026-03-20 N
List the names and contact information of those in the facility. Fire Safety 2026-02-10 2026-03-20 N
Establish emergency prep training and testing. Fire Safety 2026-02-10 2026-03-20 N
Establish staff and initial training requirements. Fire Safety 2026-02-10 2026-03-20 N
Conduct testing and exercise requirements. Fire Safety 2026-02-10 2026-03-20 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 2026-02-10 2026-03-20 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2026-02-10 2026-03-20 N
Meet other general requirements that are deficient. Fire Safety 2026-02-10 2026-03-20 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 2026-02-10 2026-03-20 N
Have simulated fire drills held at unexpected times. Fire Safety 2026-02-10 2026-03-20 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2026-02-10 2026-03-20 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2026-02-10 2026-03-20 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2026-02-10 2026-03-20 Y
Have a plan that describes the process for conducting QAPI and QAA activities. Health 2026-02-10 2026-03-20 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2025-09-04 2025-10-03 Y
Have a plan that describes the process for conducting QAPI and QAA activities. Health 2025-09-04 2025-10-03 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2025-09-04 2025-10-03 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2025-09-04 2025-10-03 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2025-09-04 2025-10-03 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 2025-09-04 2025-10-03 Y
Ensure each resident receives an accurate assessment. Health 2025-09-04 2025-10-03 Y
Assess the resident when there is a significant change in condition Health 2025-09-04 2025-10-03 Y
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. Health 2025-09-04 2025-10-03 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2025-09-04 2025-10-03 Y
Respond appropriately to all alleged violations. Health 2025-09-04 2025-10-03 Y
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Health 2025-09-04 2025-10-03 Y
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Health 2025-07-31 2025-08-22 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 2025-07-31 2025-08-22 Y
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 2025-07-31 2025-08-22 Y
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2024-12-05 2025-01-08 N
Conduct risk assessment and an All-Hazards approach. Fire Safety 2024-12-05 2025-01-08 N
Establish roles under a Waiver declared by secretary. Fire Safety 2024-12-05 2025-01-08 N
Provide emergency officials' contact information. Fire Safety 2024-12-05 2025-01-08 N
Provide family notifications of emergency plan. Fire Safety 2024-12-05 2025-01-08 N
Establish emergency prep training and testing. Fire Safety 2024-12-05 2025-01-08 N
Establish staff and initial training requirements. Fire Safety 2024-12-05 2025-01-08 N
Conduct testing and exercise requirements. Fire Safety 2024-12-05 2025-01-08 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2024-12-05 2025-01-08 N
Have exits that are accessible at all times. Fire Safety 2024-12-05 2025-01-08 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 2024-12-05 2025-01-08 N
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2024-12-05 2025-01-08 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-12-05 2025-01-08 N
Have a battery powered remote alarm panel in a location accessible by operating personnel. Fire Safety 2024-12-05 2025-01-08 N
Have power receptacles that are properly grounded. Fire Safety 2024-12-05 2025-01-08 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2024-12-05 2025-01-08 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-12-05 2025-01-08 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2024-12-05 2025-01-08 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-12-05 2025-01-08 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2024-12-05 2025-01-08 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 2024-12-05 2025-01-03 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-12-05 2025-01-03 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 2024-12-05 2025-01-03 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2024-12-05 2025-01-03 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-12-05 2025-01-03 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-12-05 2025-01-03 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 2024-12-05 2025-01-03 N
Provide and implement an infection prevention and control program. Health 2024-12-05 2025-01-03 N

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