Deficiency Records for Montana Mental Health Nursing Home
Updated as of November 01, 2022
This is not the most recent data for Montana Mental Health Nursing Home. For the most recent information, click here.
A list of the most recent deficiencies for Montana Mental Health Nursing 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-08-04 | 2021-09-17 | 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 | 2021-08-04 | 2021-09-17 | N |
| Assess the resident when there is a significant change in condition | Health | 2021-08-04 | 2021-09-17 | N |
| 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 | 2021-08-04 | 2021-09-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-04 | 2021-09-17 | N |
| Ensure that paid feeding assistants have the training they need. | Health | 2021-08-04 | 2021-09-17 | N |
| Respond appropriately to all alleged violations. | Health | 2021-08-04 | 2021-09-17 | Y |
| 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 | 2021-08-10 | 2021-09-17 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-08-10 | 2021-09-17 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2021-08-10 | 2021-09-17 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-08-10 | 2021-09-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-10 | 2021-09-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-08-10 | 2021-09-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-08-10 | 2021-09-17 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-08-10 | 2021-09-17 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-08-10 | 2021-09-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-08-10 | 2021-09-17 | 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 | 2021-03-18 | 2021-04-09 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-03-18 | 2021-04-09 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2021-03-18 | 2021-04-09 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-03-18 | 2021-04-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-05-13 | 2020-05-28 | 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 | 2019-04-18 | 2019-05-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-18 | 2019-05-23 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-04-18 | 2019-05-23 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-04-18 | 2019-05-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-18 | 2019-05-23 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-04-10 | 2019-05-16 | 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 | 2019-04-10 | 2019-05-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-04-10 | 2019-05-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-10 | 2019-05-16 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-04-10 | 2019-05-16 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-04-10 | 2019-05-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-04-10 | 2019-05-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-02-22 | 2018-05-31 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-02-22 | 2018-04-18 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-02-22 | 2018-04-18 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-02-22 | 2018-04-18 | N |
| Respond appropriately to all alleged violations. | Health | 2018-02-22 | 2018-04-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-02-22 | 2018-04-18 | 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 | 2018-02-22 | 2018-04-18 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-02-22 | 2018-04-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-02-22 | 2018-04-18 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2018-02-22 | 2018-04-18 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-02-22 | 2018-04-18 | 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 | 2018-02-22 | 2018-04-18 | 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 | 2018-02-22 | 2018-04-18 | N |
| Provide or obtain dental services for each resident. | Health | 2018-02-22 | 2018-04-18 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2018-02-22 | 2018-04-18 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-02-22 | 2018-04-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-02-22 | 2018-04-18 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2018-02-22 | 2018-04-18 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2018-02-28 | 2018-03-30 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2018-02-28 | 2018-03-30 | N |
| Establish methods for sharing information. | Fire Safety | 2018-02-28 | 2018-03-30 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2018-02-28 | 2018-03-30 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-02-28 | 2018-03-30 | N |
| Have exits that are accessible at all times. | Fire Safety | 2018-02-28 | 2018-03-30 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2018-02-28 | 2018-03-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-02-28 | 2018-03-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-02-28 | 2018-03-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-02-28 | 2018-03-30 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-02-28 | 2018-03-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-02-28 | 2018-03-30 | N |
