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Bear Lake Memorial Skilled Nursing Facility
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164 South 5th Street
Montpelier, ID 83254
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0 Recommendations
Details
| Type of Ownership | Government - County |
| Participates in Medicare? | Yes |
| Participates in Medicaid? | Yes |
| Certified Beds | 36 |
| Continuing Care? | No |
| Resident Council? | Yes |
| Family Council? | No |
| Multi-Home Chain? | No |
| Located in a Hospital? | No |
| Special Focus Facility? | No |
View: Health Inspections | Quality Measures | Staffing | Fire Inspections
Health Inspections
Most Recent Inspection: 03/18/2011
| Date of last standard health inspection: | 03/18/2011 |
| Quality Indicator Survey | No |
| Dates of Complaint Investigations: | 12/01/2010 - 11/30/2011 |
| Total number of Health Deficiencies for this nursing home: | 18 |
| Average number of Health Deficiencies in ID: | 12 |
| Average number of Health Deficiencies in US: | 8 |
| Range of Health Deficiencies in ID: | 0 - 28 |
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep safe, clean and homelike surroundings. | 03/18/2011 | 04/06/2011 | Minimal harm or potential for actual harm | Isolated |
| Provide needed housekeeping and maintenance. | 03/18/2011 | 04/06/2011 | Minimal harm or potential for actual harm | Pattern |
| Make sure that the nursing home area is free of dangers that cause accidents. | 03/18/2011 | 04/06/2011 | Actual harm | Isolated |
| Have a program to keep infection from spreading. | 03/18/2011 | 04/06/2011 | Minimal harm or potential for actual harm | Pattern |
| Put firmly secured handrails on each side of hallways. | 03/18/2011 | 04/06/2011 | Minimal harm or potential for actual harm | Pattern |
Mistreatment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep each resident free from physical restraints, unless needed for medical treatment. | 03/18/2011 | 04/06/2011 | Minimal harm or potential for actual harm | Isolated |
| Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | 03/18/2011 | 04/06/2011 | Minimal harm or potential for actual harm | Pattern |
Nutrition and Dietary Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| 1) Provide 3 meals daily at regular times; or 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day. | 03/18/2011 | 04/06/2011 | Minimal harm or potential for actual harm | Pattern |
| Store, cook, and give out food in a safe and clean way. | 03/18/2011 | 04/06/2011 | Minimal harm or potential for actual harm | Widespread |
Pharmacy Service Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| 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. | 03/18/2011 | 04/06/2011 | Minimal harm or potential for actual harm | Isolated |
| Properly mark drugs and other similar products. | 03/18/2011 | 04/06/2011 | Minimal harm or potential for actual harm | Pattern |
Quality Care Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide activities to meet the needs of each resident. | 03/18/2011 | 04/06/2011 | Minimal harm or potential for actual harm | Isolated |
| Give professional services that meet a professional standard of quality. | 03/18/2011 | 04/06/2011 | Minimal harm or potential for actual harm | Isolated |
| Give each resident care and services to get or keep the highest quality of life possible. | 03/18/2011 | 04/06/2011 | Minimal harm or potential for actual harm | Pattern |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | 03/18/2011 | 04/06/2011 | Actual harm | Isolated |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | 03/18/2011 | 04/06/2011 | Minimal harm or potential for actual harm | Pattern |
Resident Assessment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| 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. | 03/18/2011 | 04/06/2011 | Minimal harm or potential for actual harm | Isolated |
Resident Rights Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Let residents give themselves their drugs if they are able. | 03/18/2011 | 04/06/2011 | Minimal harm or potential for actual harm | Isolated |
Inspection, 02/26/2010
Environmental Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Make sure that the nursing home area is free of dangers that cause accidents. | 02/26/2010 | 04/02/2010 | Minimal harm or potential for actual harm | Pattern |
| Put firmly secured handrails on each side of hallways. | 02/26/2010 | 04/02/2010 | Minimal harm or potential for actual harm | Pattern |
Pharmacy Service Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| 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. | 02/26/2010 | 04/02/2010 | Minimal harm or potential for actual harm | Isolated |
| At least once a month, have a licensed pharmacist check the drugs that each resident takes. | 02/26/2010 | 04/02/2010 | Minimal harm or potential for actual harm | Isolated |
Quality Care Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | 02/26/2010 | 04/02/2010 | Minimal harm or potential for actual harm | Isolated |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | 02/26/2010 | 04/02/2010 | Minimal harm or potential for actual harm | Isolated |
Resident Assessment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Make a complete assessment that covers all questions for areas that are listed in official regulations. | 02/26/2010 | 04/02/2010 | Minimal harm or potential for actual harm | Isolated |
| 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. | 02/26/2010 | 04/02/2010 | Minimal harm or potential for actual harm | Isolated |
| Make sure that doctors visit residents regularly, as required. | 02/26/2010 | 04/02/2010 | Minimal harm or potential for actual harm | Isolated |
Resident Rights Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Tell the resident completely about his or her health status. | 02/26/2010 | 04/02/2010 | Minimal harm or potential for actual harm | Isolated |
| Keep each resident's personal and medical records private and confidential. | 02/26/2010 | 04/02/2010 | Minimal harm or potential for actual harm | Isolated |
Inspection, 01/30/2009
Environmental Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Make sure that the nursing home area is free of dangers that cause accidents. | 01/30/2009 | 02/05/2009 | Minimal harm or potential for actual harm | Isolated |
| Have a program to keep infection from spreading. | 01/30/2009 | 02/05/2009 | Minimal harm or potential for actual harm | Isolated |
| Provide enough emergency electricity. | 01/30/2009 | 02/05/2009 | Minimal harm or potential for actual harm | Isolated |
Mistreatment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | 01/30/2009 | 02/05/2009 | Minimal harm or potential for actual harm | Isolated |
Nutrition and Dietary Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Store, cook, and give out food in a safe and clean way. | 01/30/2009 | 02/05/2009 | Minimal harm or potential for actual harm | Widespread |
Quality Care Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | 01/30/2009 | 02/05/2009 | Minimal harm or potential for actual harm | Isolated |
Resident Assessment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Make a complete assessment that covers all questions for areas that are listed in official regulations. | 01/30/2009 | 02/05/2009 | Minimal harm or potential for actual harm | Pattern |
Resident Rights Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep each resident's personal and medical records private and confidential. | 01/30/2009 | 02/05/2009 | Minimal harm or potential for actual harm | Isolated |
| Allow residents to easily see the results of the nursing home's most recent survey. | 01/30/2009 | 02/05/2009 | Potential for minimal harm | Widespread |
| Provide care in a way that keeps or builds each resident's dignity and self respect. | 01/30/2009 | 02/05/2009 | Minimal harm or potential for actual harm | Isolated |
Nursing Home Staffing
Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.
| National Average | Average in ID | Golden Living Center, Asheville | |
| RN Staff Only1 | N/A | N/A | NA |
| Total Number of Residents | 86 | 53 | 35 |
|
Total, Licensed Nurse Staff Hours per Resident per Day |
1 hour 29 minutes | 1 hour 42 minutes | |
|
RN Hours per Resident per Day |
40 minutes | 53 minutes | |
|
LPN/LVN Hours per Resident per Day |
49 minutes | 48 minutes | |
|
CNA Hours per Resident per Day |
2 hours 25 minutes | 2 hours 52 minutes |
1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.
Quality Measures
Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.
Long-Term Residents
| Percent of high-risk long-stay residents who have pressure sores | 7% |
| Percent of long-stay residents given influenza vaccination during the flu season | 90+% |
| Percent of long-stay residents who are more depressed or anxious | 16% |
| Percent of long-stay residents who had a urinary tract infection | 13% |
| Percent of long-stay residents who have moderate to severe pain | 5% |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder | 17% |
| Percent of long-stay residents who spend most of their time in bed or in a chair | 0% |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination | 90+% |
| Percent of long-stay residents who were physically restrained | 0% |
| Percent of long-stay residents whose ability to move about in and around their room got worse | 8% |
| Percent of long-stay residents whose need for help with daily activities has increased | 9% |
| Percent of low-risk long-stay residents who have pressure sores | Not Available |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder | 24% |
Short-Term Residents
| Percent of long-stay residents who lose too much weight | 4% |
| Percent of short-stay residents given influenza vaccination during the flu season | 88% |
| Percent of short-stay residents who had moderate to severe pain | 23% |
| Percent of short-stay residents who have delirium | 0% |
| Percent of short-stay residents who have pressure sores | 10% |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination | 88% |
Fire Safety Inspections
Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.
Most Recent Inspection: 05/04/2010
| Automatic Sprinkler Systems in all required areas | fully sprinklered |
| Date of last standard fire safety inspection: | 05/04/2010 |
| Dates of Complaint Investigations: | 12/01/2010 - 11/30/2011 |
| Total number of Fire Safety Deficiencies for this nursing home: | 4 |
| Average number of Fire Safety Deficiencies in ID: | 0 |
| Average number of Fire Safety Deficiencies in US: | 4 |
| Range of Fire Safety Deficiencies in ID: | 0 - 0 |
Automatic Sprinkler Systems Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| automatic sprinkler systems that have been maintained in working order. | 05/04/2010 | 06/01/2010 | Minimal harm or potential for actual harm | Widespread |
Building Construction Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| a two-hour-resistant firewall in common walls. | 05/04/2010 | 06/01/2010 | Minimal harm or potential for actual harm | Widespread |
Fire Alarm Systems Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| properly maintained smoke detectors. | 05/04/2010 | 06/01/2010 | Minimal harm or potential for actual harm | Widespread |
Hazardous Area Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| properly installed hallway dispensers for alcohol-based hand rub. | 05/04/2010 | 06/01/2010 | Minimal harm or potential for actual harm | Pattern |
Inspection, 05/19/2009
Automatic Sprinkler Systems Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| an approved automatic sprinkler system connected to the fire alarm system. | 05/19/2009 | 06/11/2009 | Minimal harm or potential for actual harm | Widespread |
Emergency Plans and Fire Drills Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| record of quarterly fire drills for each shift under varying conditions. | 05/19/2009 | 06/15/2009 | Minimal harm or potential for actual harm | Widespread |
Smoke Compartmentation and Control Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| walls or barriers that prevent smoke from passing through and would resist fire for at least one hour. | 05/19/2009 | 06/12/2009 | Minimal harm or potential for actual harm | Widespread |
Inspection, 06/04/2008
Automatic Sprinkler Systems Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| portable fire extinguishers. | 06/04/2008 | 07/15/2008 | Minimal harm or potential for actual harm | Isolated |
Emergency Plans and Fire Drills Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| record of quarterly fire drills for each shift under varying conditions. | 06/04/2008 | 07/15/2008 | Minimal harm or potential for actual harm | Isolated |
Fire Alarm Systems Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| an approved back-up procedure for a faulty fire alarm system. | 06/04/2008 | 07/15/2008 | Minimal harm or potential for actual harm | Widespread |
Medical Gases and Anesthetizing Areas Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| proper medical gas storage and administration areas. | 06/04/2008 | 07/15/2008 | Minimal harm or potential for actual harm | Isolated |
