A list of the most recent deficiencies for Mountrail Bethel 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-11-16 | 2023-12-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-16 | 2023-12-20 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-11-16 | 2023-12-18 | 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 | 2023-11-16 | 2023-12-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-11-16 | 2023-12-05 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-11-16 | 2023-12-05 | 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 | 2023-11-16 | 2023-12-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-16 | 2023-12-05 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-11-16 | 2023-12-05 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-11-16 | 2023-11-17 | N |
| Provide activities to meet all resident's needs. | Health | 2023-11-16 | 2023-11-17 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-11-16 | 2023-11-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-12-08 | 2023-02-17 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-12-08 | 2023-02-02 | 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 | 2022-12-08 | 2023-02-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-08 | 2023-02-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-08 | 2023-01-05 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-12-08 | 2023-01-05 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-12-08 | 2022-12-21 | 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 | 2022-12-08 | 2022-12-20 | Y |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2022-12-08 | 2022-12-09 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-12-08 | 2022-12-08 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-12-08 | 2022-12-08 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2022-01-04 | 2022-01-18 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-10-12 | 2021-11-19 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-09-23 | 2021-10-28 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-09-23 | 2021-10-28 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-09-23 | 2021-10-28 | 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 | 2021-09-23 | 2021-10-28 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-09-23 | 2021-10-28 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-09-23 | 2021-10-28 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-09-23 | 2021-10-28 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-09-23 | 2021-10-28 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2021-09-23 | 2021-10-28 | Y |
| 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 | 2021-09-23 | 2021-10-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-09-23 | 2021-10-28 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-09-23 | 2021-10-28 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2021-09-23 | 2021-10-28 | Y |
