US Nursing Home Finder: BIG SANDY MED CENTER LTC BIG SANDY MT

General Information: BIG SANDY MED CENTER LTC
Nursing home name	BIG SANDY MED CENTER LTC
Address	166 MONTANA AVE E BIG SANDY, MT 59520
Phone number	(406) 378-2188
Located within a hospital	Yes
Type of ownership	Non profit - Corporation
Owner operates multiple homes	No
Accept Medicare or Medicaid	Medicare and Medicaid
Continue Care Retirement Community	No
Resident and family councils	RESIDENT
Certified number of beds	22
Total number of residents	19
Perc of occupied beds	86
Sprinkler status	fully sprinklered
Last health survey date	10/07/2009
Fire survey date:	10/06/2009

Ratings Summary: BIG SANDY MED CENTER LTC
Overall rating	5 out of 5 stars
Nursing Home Staffing	5 out of 5 stars
Registered Nurses only	5 out of 5 stars
Health Inspections	4 out of 5 stars
Quality Measures	4 out of 5 stars

Nursing Home Staffing Info: BIG SANDY MED CENTER LTC
	National Average	BIG SANDY MED CENTER LTC
Overall staff rating	Not Available.	5 out of 5 stars
Registered Nurses only rating	Not Available	5 out of 5 stars
Total Number of Residents	94.2	19
Total Number of Licensed Nurse Staff Hours per Resident per Day	1.4 hours	1.85 hours
Registered Nurses Hours per Residents per Day	0.6 hours	1.72 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day	0.8 hours	0.13 hours
Certified Nursing Assistants Hours per Residents per Day	0.6 hours	1.72 hours

Health Inpections: BIG SANDY MED CENTER LTC
Inspection Results: 10/07/2009
Corrected	Category	Deficiency	Severity
12/05/2009	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	E
12/05/2009	Resident Rights Deficiencies	Keep each resident's personal and medical records private and confidential.	B
Inspection Results: 11/25/2008
Corrected	Category	Deficiency	Severity
01/24/2009	Quality Care Deficiencies	Develop/implement required procedures for the administration of immunizations.	E
01/24/2009	Environmental Deficiencies	Move, clean and store sheets, towels and other linens in a way that prevents the spread of infection.	E
01/24/2009	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	E
01/24/2009	Administration Deficiencies	Keep accurate and appropriate medical records.	E
01/24/2009	Resident Assessment Deficiencies	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	D
01/24/2009	Resident Rights Deficiencies	Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged.	D
01/24/2009	Environmental Deficiencies	Provide needed housekeeping and maintenance.	D
01/24/2009	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
Inspection Results: 09/06/2007
Corrected	Category	Deficiency	Severity
11/02/2007	Environmental Deficiencies	Move, clean and store sheets, towels and other linens in a way that prevents the spread of infection.	C
11/02/2007	Environmental Deficiencies	Make sure that staff members wash their hands when needed.	D

Fire Safety Inpections: BIG SANDY MED CENTER LTC
Inspection Results: 10/06/2009
Corrected	Category	Deficiency	Severity
12/16/2009	Electrical Deficiencies	properly installed electrical wiring and equipment.	D
12/16/2009	Miscellaneous Deficiencies	fire safety features required by current fire safety codes.	D
12/16/2009	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.	E
Inspection Results: 12/10/2008
Corrected	Category	Deficiency	Severity
02/23/2009	Fire Alarm Systems Deficiencies	an approved back-up procedure for a faulty fire alarm system.	C
02/23/2009	Automatic Sprinkler Systems Deficiencies	back-up procedures in place for a faulty automatic sprinkler system.	C
02/23/2009	Automatic Sprinkler Systems Deficiencies	automatic sprinkler systems that have been maintained in working order.	C
Inspection Results: 09/10/2007
Corrected	Category	Deficiency	Severity
11/08/2007	Automatic Sprinkler Systems Deficiencies	an approved automatic sprinkler system connected to the fire alarm system.	D
10/01/2007	Hazardous Area Deficiencies	construction that can resist fire for one hour or an approved fire extinguishing system.	D

Resident Complaints: BIG SANDY MED CENTER LTC
Not available

Quality Measures: BIG SANDY MED CENTER LTC
Quality Measures	National Average	BIG SANDY MED CENTER LTC
Overall quality rating	Not Available	4 out of 5 stars
Long-Stay Residents
Percent of high-risk long-stay residents who have pressure sores	11%	Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure.%
Percent of long-stay residents who are more depressed or anxious	14%	9%
Percent of low-risk long-stay residents who have pressure sores	2%	Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure.%
Percent of long-stay residents who have/had a catheter inserted and left in their bladder	5%	8%
Percent of long-stay residents who have moderate to severe pain	3%	1%
Percent of long-stay residents who were assessed and given pneumococcal vaccination	89%	90+%
Percent of long-stay residents whose ability to move about in and around their room got worse	11%	16%
Percent of low-risk long-stay residents who lose control of their bowels or bladder	50%	82%
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 lose too much weight	8%	2%
Percent of long-stay residents given influenza vaccination during the flu season	91%	90+%
Percent of long-stay residents who had a urinary tract infection	9%	11%
Percent of long-stay residents whose need for help with daily activities has increased	14%	8%
Percent of long-stay residents who were physically restrained	3%	0%
Short-Stay Residents
Percent of short-stay residents who had moderate to severe pain	19%	Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure.%
Percent of short-stay residents who have delirium	2%	Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure.%
Percent of short-stay residents who have pressure sores	13%	Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure.%
Percent of short-stay residents who were assessed and given pneumococcal vaccination	83%	Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure.%
Percent of short-stay residents given influenza vaccination during the flu season	83%	Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure.%

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™: BIG SANDY MED CENTER LTC BIG SANDY MT