US Nursing Home Finder: AWE KUALAWAACHE CARE CENTER CROW AGENCY MT

General Information: AWE KUALAWAACHE CARE CENTER
Nursing home name	AWE KUALAWAACHE CARE CENTER
Address	10131 S HERITAGE RD CROW AGENCY, MT 59022
Phone number	(406) 638-9111
Located within a hospital	No
Type of ownership	Non profit - Other
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	40
Total number of residents	22
Perc of occupied beds	55
Sprinkler status	fully sprinklered
Last health survey date	12/09/2009
Fire survey date:	12/07/2009

Ratings Summary: AWE KUALAWAACHE CARE CENTER
Overall rating	4 out of 5 stars
Nursing Home Staffing	4 out of 5 stars
Registered Nurses only	3 out of 5 stars
Health Inspections	3 out of 5 stars
Quality Measures	4 out of 5 stars

Nursing Home Staffing Info: AWE KUALAWAACHE CARE CENTER
	National Average	AWE KUALAWAACHE CARE CENTER
Overall staff rating	Not Available.	4 out of 5 stars
Registered Nurses only rating	Not Available	3 out of 5 stars
Total Number of Residents	94.2	22
Total Number of Licensed Nurse Staff Hours per Resident per Day	1.4 hours	0.43 hours
Registered Nurses Hours per Residents per Day	0.6 hours	0.43 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day	0.8 hours	0 hours
Certified Nursing Assistants Hours per Residents per Day	0.6 hours	0.43 hours

Health Inpections: AWE KUALAWAACHE CARE CENTER
Inspection Results: 12/09/2009
Corrected	Category	Deficiency	Severity
01/25/2010	Administration Deficiencies	Be administered in a way that leads to the highest possible level of well being for each resident.	C
01/25/2010	Environmental Deficiencies	Make sure that staff members wash their hands when needed.	D
01/25/2010	Pharmacy Service Deficiencies	Properly mark drugs and other similar products.	E
01/25/2010	Pharmacy Service Deficiencies	At least once a month, have a licensed pharmacist check the drugs that each resident takes.	E
01/25/2010	Pharmacy Service Deficiencies	1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects.	E
01/25/2010	Environmental Deficiencies	Provide needed housekeeping and maintenance.	B
Inspection Results: 02/19/2009
Corrected	Category	Deficiency	Severity
03/02/2009	Nutrition and Dietary Deficiencies	Make sure that residents are well nourished.	E
03/13/2009	Pharmacy Service Deficiencies	Properly mark drugs and other similar products.	E
03/13/2009	Pharmacy Service Deficiencies	Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly.	B
03/13/2009	Resident Assessment Deficiencies	Make sure that doctors visit residents regularly, as required.	E
03/24/2009	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	F
03/20/2009	Environmental Deficiencies	Move, clean and store sheets, towels and other linens in a way that prevents the spread of infection.	E
03/13/2009	Resident Assessment Deficiencies	Make a complete assessment that covers all questions for areas that are listed in official regulations.	D
03/13/2009	Environmental Deficiencies	Provide needed housekeeping and maintenance.	E
03/21/2009	Resident Rights Deficiencies	Send and promptly deliver unopened mail to residents.	C
07/08/2009	Resident Rights Deficiencies	Allow residents to easily see the results of the nursing home's most recent survey.	C
Inspection Results: 03/27/2008
Corrected	Category	Deficiency	Severity
05/17/2008	Administration Deficiencies	Keep accurate and appropriate medical records.	E
05/21/2008	Pharmacy Service Deficiencies	Properly mark drugs and other similar products.	E
05/17/2008	Pharmacy Service Deficiencies	Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.	E
05/17/2008	Quality Care Deficiencies	Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.	D
05/19/2008	Resident Assessment Deficiencies	Keep assessments completed in the preceding 15 months in the resident's active record.	E
05/17/2008	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	E
05/07/2008	Resident Assessment Deficiencies	Make a complete assessment that covers all questions for areas that are listed in official regulations.	D
05/07/2008	Resident Rights Deficiencies	Keep each resident's personal and medical records private and confidential.	E

Fire Safety Inpections: AWE KUALAWAACHE CARE CENTER
Inspection Results: 12/07/2009
Corrected	Category	Deficiency	Severity
01/03/2010	Electrical Deficiencies	properly installed electrical wiring and equipment.	E
01/10/2010	Electrical Deficiencies	a separate and independent backup electrical power source.	D
01/08/2010	Electrical Deficiencies	weekly inspections and monthly testing of generators.	F
12/08/2009	Furnishings and Decorations Deficiencies	exits that are free from obstructions and can be used at all times.	E
01/06/2010	Building Service Equipment Deficiencies	properly protected cooking facilities.	D
01/04/2010	Automatic Sprinkler Systems Deficiencies	portable fire extinguishers.	F
01/08/2010	Automatic Sprinkler Systems Deficiencies	have an adequate water supply for the sprinkler system.	F
12/14/2009	Emergency Plans and Fire Drills Deficiencies	record of quarterly fire drills for each shift under varying conditions.	F
12/08/2009	Exits and Egress Deficiencies	corridors or aisles that are unobstructed and are at least 8 feet in width.	F
01/15/2010	Exits and Egress Deficiencies	exits that are accessible at all times.	D
12/29/2009	Smoke Compartmentation and Control Deficiencies	walls or barriers that prevent smoke from passing through and would resist fire for at least one hour.	E
12/28/2009	Corridor Walls and Doors Deficiencies	corridor and hallway doors that block smoke.	E
12/31/2009	Building Construction Deficiencies	approved construction type or materials.	F
Inspection Results: 02/17/2009
Corrected	Category	Deficiency	Severity
03/06/2009	Fire Alarm Systems Deficiencies	a fire alarm system that can be heard throughout the facility.	D
02/23/2009	Miscellaneous Deficiencies	fire safety features required by current fire safety codes.	E
02/18/2009	Medical Gases and Anesthetizing Areas Deficiencies	proper medical gas storage and administration areas.	D
03/20/2009	Furnishings and Decorations Deficiencies	restrictions on the use of flammable curtains.	E
02/19/2009	Furnishings and Decorations Deficiencies	exits that are free from obstructions and can be used at all times.	E
02/18/2009	Building Service Equipment Deficiencies	heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	D
03/13/2009	Automatic Sprinkler Systems Deficiencies	portable fire extinguishers.	D
04/13/2009	Fire Alarm Systems Deficiencies	properly maintained smoke detectors.	D
02/19/2009	Fire Alarm Systems Deficiencies	an approved installation, maintenance and testing program for fire alarm systems.	D
02/20/2009	Electrical Deficiencies	properly installed electrical wiring and equipment.	D
02/20/2009	Illumination and Emergency Power Deficiencies	emergency lighting that can last at least 1 1/2 hours.	D
02/18/2009	Hazardous Area Deficiencies	construction that can resist fire for one hour or an approved fire extinguishing system.	E
03/10/2009	Smoke Compartmentation and Control Deficiencies	walls or barriers that prevent smoke from passing through and would resist fire for at least one hour.	E
02/18/2009	Corridor Walls and Doors Deficiencies	corridor and hallway doors that block smoke.	D
03/12/2009	Building Construction Deficiencies	approved construction type or materials.	E
Inspection Results: 03/18/2008
Corrected	Category	Deficiency	Severity
04/24/2008	Electrical Deficiencies	a separate and independent backup electrical power source.	F
04/15/2008	Electrical Deficiencies	properly installed electrical wiring and equipment.	C
04/16/2008	Electrical Deficiencies	weekly inspections and monthly testing of generators.	C
03/19/2008	Medical Gases and Anesthetizing Areas Deficiencies	proper medical gas storage and administration areas.	E
03/19/2008	Building Service Equipment Deficiencies	properly protected cooking facilities.	B
03/19/2008	Automatic Sprinkler Systems Deficiencies	portable fire extinguishers.	B
06/12/2008	Automatic Sprinkler Systems Deficiencies	have an adequate water supply for the sprinkler system.	F
03/21/2008	Automatic Sprinkler Systems Deficiencies	automatic sprinkler systems that have been maintained in working order.	C
04/10/2008	Automatic Sprinkler Systems Deficiencies	an approved automatic sprinkler system connected to the fire alarm system.	F
03/19/2008	Fire Alarm Systems Deficiencies	properly maintained smoke detectors.	B
03/19/2008	Fire Alarm Systems Deficiencies	a fire alarm system that can be heard throughout the facility.	B
03/24/2008	Emergency Plans and Fire Drills Deficiencies	record of quarterly fire drills for each shift under varying conditions.	C
03/25/2008	Illumination and Emergency Power Deficiencies	emergency lighting that can last at least 1 1/2 hours.	B
04/14/2008	Exits and Egress Deficiencies	exits that are accessible at all times.	E
04/15/2008	Corridor Walls and Doors Deficiencies	corridor and hallway doors that block smoke.	E
03/19/2008	Building Construction Deficiencies	approved construction type or materials.	B
03/19/2008	Building Construction Deficiencies	a two-hour-resistant firewall in common walls.	D

Resident Complaints: AWE KUALAWAACHE CARE CENTER
Date Complaint Substantiated: 07/31/2007
Corrected	Category	Deficiency	Severity
09/25/2007	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.	B
09/25/2007	Mistreatment Deficiencies	Protect residents from mistreatment, neglect, and/or theft of personal property.	D

Quality Measures: AWE KUALAWAACHE CARE CENTER
Quality Measures	National Average	AWE KUALAWAACHE CARE CENTER
Overall quality rating	Not Available	4 out of 5 stars
Long-Stay Residents
Percent of long-stay residents whose ability to move about in and around their room got worse	11%	0%
Percent of long-stay residents who were physically restrained	3%	5%
Percent of long-stay residents who have/had a catheter inserted and left in their bladder	5%	5%
Percent of long-stay residents who have moderate to severe pain	3%	2%
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 were assessed and given pneumococcal vaccination	89%	39%
Percent of long-stay residents given influenza vaccination during the flu season	91%	83%
Percent of low-risk long-stay residents who have pressure sores	2%	3%
Percent of long-stay residents whose need for help with daily activities has increased	14%	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%	8%
Percent of low-risk long-stay residents who lose control of their bowels or bladder	50%	40%
Percent of long-stay residents who lose too much weight	8%	5%
Short-Stay Residents
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.%
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.%

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™: AWE KUALAWAACHE CARE CENTER CROW AGENCY MT