US Nursing Home Finder: BILLINGS HEALTH & REHAB COMMUNITY BILLINGS MT

General Information: BILLINGS HEALTH & REHAB COMMUNITY
Nursing home name	BILLINGS HEALTH & REHAB COMMUNITY
Address	2115 CENTRAL AVE BILLINGS, MT 59102
Phone number	(406) 656-6500
Located within a hospital	No
Type of ownership	For profit - Partnership
Owner operates multiple homes	No
Accept Medicare or Medicaid	Medicare and Medicaid
Continue Care Retirement Community	No
Resident and family councils	BOTH
Certified number of beds	161
Total number of residents	128
Perc of occupied beds	80
Sprinkler status	partially sprinklered
Last health survey date	08/20/2009
Fire survey date:	08/20/2009

Ratings Summary: BILLINGS HEALTH & REHAB COMMUNITY
Overall rating	4 out of 5 stars
Nursing Home Staffing	4 out of 5 stars
Registered Nurses only	4 out of 5 stars
Health Inspections	3 out of 5 stars
Quality Measures	3 out of 5 stars

Nursing Home Staffing Info: BILLINGS HEALTH & REHAB COMMUNITY
	National Average	BILLINGS HEALTH & REHAB COMMUNITY
Overall staff rating	Not Available.	4 out of 5 stars
Registered Nurses only rating	Not Available	4 out of 5 stars
Total Number of Residents	94.2	128
Total Number of Licensed Nurse Staff Hours per Resident per Day	1.4 hours	1.38 hours
Registered Nurses Hours per Residents per Day	0.6 hours	0.65 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day	0.8 hours	0.73 hours
Certified Nursing Assistants Hours per Residents per Day	0.6 hours	0.65 hours

Health Inpections: BILLINGS HEALTH & REHAB COMMUNITY
Inspection Results: 08/20/2009
Corrected	Category	Deficiency	Severity
09/24/2009	Administration Deficiencies	Keep accurate and appropriate medical records.	B
09/24/2009	Administration Deficiencies	Be administered in a way that leads to the highest possible level of well being for each resident.	B
09/24/2009	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable.	B
09/24/2009	Environmental Deficiencies	Move, clean and store sheets, towels and other linens in a way that prevents the spread of infection.	E
09/24/2009	Environmental Deficiencies	Have a program to keep infection from spreading.	E
09/24/2009	Environmental Deficiencies	Provide needed housekeeping and maintenance.	B
09/24/2009	Resident Rights Deficiencies	Provide services to meet the needs and preferences of each resident.	D
09/24/2009	Resident Rights Deficiencies	Let residents give themselves their drugs if they are able.	D
Inspection Results: 08/21/2008
Corrected	Category	Deficiency	Severity
10/20/2008	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	F
10/20/2008	Environmental Deficiencies	Have a program to keep infection from spreading.	D
10/20/2008	Pharmacy Service Deficiencies	Properly mark drugs and other similar products.	B
10/20/2008	Resident Assessment Deficiencies	Make sure that doctors visit residents regularly, as required.	D
10/20/2008	Administration Deficiencies	Keep accurate and appropriate medical records.	E
10/20/2008	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	B
10/20/2008	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	D
10/20/2008	Resident Assessment Deficiencies	Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them.	D
10/20/2008	Environmental Deficiencies	Provide needed housekeeping and maintenance.	E
10/20/2008	Mistreatment Deficiencies	1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.	E
Inspection Results: 08/23/2007
Corrected	Category	Deficiency	Severity
10/12/2007	Administration Deficiencies	Keep accurate and appropriate medical records.	D
10/12/2007	Resident Assessment Deficiencies	Make sure that doctors visit residents regularly, as required.	E
10/12/2007	Nutrition and Dietary Deficiencies	Make sure that the attending doctor orders special diets.	D
10/12/2007	Quality Care Deficiencies	Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.	D
10/12/2007	Resident Assessment Deficiencies	1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan.	D
10/12/2007	Resident Assessment Deficiencies	Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them.	D
10/12/2007	Resident Rights Deficiencies	Provide services to meet the needs and preferences of each resident.	D
10/12/2007	Mistreatment Deficiencies	Protect residents from mistreatment, neglect, and/or theft of personal property.	G

Fire Safety Inpections: BILLINGS HEALTH & REHAB COMMUNITY
Inspection Results: 08/20/2009
Corrected	Category	Deficiency	Severity
09/24/2009	Electrical Deficiencies	properly installed electrical wiring and equipment.	E
09/24/2009	Medical Gases and Anesthetizing Areas Deficiencies	proper fire barriers, ventilation and signs for the transport of oxygen.	D
09/24/2009	Medical Gases and Anesthetizing Areas Deficiencies	proper medical gas storage and administration areas.	E
09/24/2009	Automatic Sprinkler Systems Deficiencies	automatic sprinkler systems that have been maintained in working order.	F
10/01/2009	Automatic Sprinkler Systems Deficiencies	an approved automatic sprinkler system connected to the fire alarm system.	D
09/24/2009	Fire Alarm Systems Deficiencies	an approved installation, maintenance and testing program for fire alarm systems.	E
09/24/2009	Emergency Plans and Fire Drills Deficiencies	did not have a written emergency evacuation plan.	F
09/24/2009	Illumination and Emergency Power Deficiencies	emergency lighting that can last at least 1 1/2 hours.	D
09/24/2009	Exits and Egress Deficiencies	exits that are accessible at all times.	D
09/24/2009	Smoke Compartmentation and Control Deficiencies	smoke barrier doors that can resist smoke for at least 20 minutes.	D
09/24/2009	Smoke Compartmentation and Control Deficiencies	walls or barriers that prevent smoke from passing through and would resist fire for at least one hour.	E
09/24/2009	Vertical Openings Deficiencies	exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detectors.	F
09/24/2009	Vertical Openings Deficiencies	proper stairway enclosures and vertical shafts.	E
09/24/2009	Corridor Walls and Doors Deficiencies	corridor and hallway doors that block smoke.	E
09/24/2009	Building Construction Deficiencies	approved construction type or materials.	E

Resident Complaints: BILLINGS HEALTH & REHAB COMMUNITY
Date Complaint Substantiated: 10/30/2008
Corrected	Category	Deficiency	Severity
01/06/2009	Resident Assessment Deficiencies	Make a complete assessment that covers all questions for areas that are listed in official regulations.	D
01/06/2009	Resident Assessment Deficiencies	Provide a final summary of the resident's health status and a summary of the resident's stay, when the resident is ready to leave the nursing home.	E
Date Complaint Substantiated: 12/28/2006
Corrected	Category	Deficiency	Severity
02/09/2007	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	D
02/09/2007	Nutrition and Dietary Deficiencies	Make sure that residents are well nourished.	E
02/09/2007	Quality Care Deficiencies	Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.	D
02/09/2007	Nutrition and Dietary Deficiencies	Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.	E
02/09/2007	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	E
02/09/2007	Quality Care Deficiencies	Give professional services that follow each resident's written care plan.	D
02/09/2007	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	D
02/09/2007	Administration Deficiencies	Keep accurate and appropriate medical records.	E
02/09/2007	Resident Assessment Deficiencies	Make a complete assessment that covers all questions for areas that are listed in official regulations.	D

Quality Measures: BILLINGS HEALTH & REHAB COMMUNITY
Quality Measures	National Average	BILLINGS HEALTH & REHAB COMMUNITY
Overall quality rating	Not Available	3 out of 5 stars
Long-Stay Residents
Percent of long-stay residents who have/had a catheter inserted and left in their bladder	5%	10%
Percent of long-stay residents who had a urinary tract infection	9%	7%
Percent of long-stay residents who spend most of their time in bed or in a chair	4%	0%
Percent of long-stay residents who are more depressed or anxious	14%	13%
Percent of high-risk long-stay residents who have pressure sores	11%	15%
Percent of long-stay residents whose need for help with daily activities has increased	14%	9%
Percent of low-risk long-stay residents who lose control of their bowels or bladder	50%	52%
Percent of long-stay residents whose ability to move about in and around their room got worse	11%	7%
Percent of long-stay residents who lose too much weight	8%	7%
Percent of long-stay residents who were physically restrained	3%	2%
Percent of long-stay residents who have moderate to severe pain	3%	4%
Percent of low-risk long-stay residents who have pressure sores	2%	4%
Percent of long-stay residents who were assessed and given pneumococcal vaccination	89%	85%
Percent of long-stay residents given influenza vaccination during the flu season	91%	84%
Short-Stay Residents
Percent of short-stay residents who have pressure sores	13%	13%
Percent of short-stay residents who had moderate to severe pain	19%	36%
Percent of short-stay residents who were assessed and given pneumococcal vaccination	83%	77%
Percent of short-stay residents who have delirium	2%	1%
Percent of short-stay residents given influenza vaccination during the flu season	83%	79%

Severity Codes Explanation. Note: The higher the letter, the higher the severity.
A	Isolated /Potential for minimal harm
B	Pattern /Potential for minimal harm
C	Widespread /Potential for minimal harm
D	Isolated /Minimal harm or potential for actual harm
E	Pattern /Minimal harm or potential for actual harm
F	Widespread /Minimal harm or potential for actual harm
G	Isolated /Actual harm
H	Pattern /Actual harm
I	Widespread /Actual harm
J	Isolated /Immediate jeopardy to resident health or safety
K	Pattern /Immediate jeopardy to resident health or safety
L	Widespread /Immediate jeopardy to resident health or safety

US Nursing Home Finder™: BILLINGS HEALTH & REHAB COMMUNITY BILLINGS MT