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Hot Springs Health & Rehabilitation Center

Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 64
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: 03/29/2012

Date of last standard health inspection: 03/29/2012
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 0
Average number of Health Deficiencies in MT: 2
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in MT: 0 - 5

Inspection, 01/00/2011

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Post nurse staffing information/data on a daily basis. 01/00/2011 00/00/0000 1 Many
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates 01/00/2011 01/01/2001 Some controls and keeps infection from spreading.
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 01/00/2011 01/01/2001 2 Some
Use a registered nurse at least 8 hours a day 01/00/2011 00/00/0000 Some 7 days a week.
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep residents' personal and medical records private and confidential. 01/00/2011 01/01/2001 1 Some

Inspection, 02/05/2010

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 02/05/2010 02/03/2011 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/05/2010 02/03/2011 2 Few
Have a program that investigates, controls and keeps infection from spreading. 02/05/2010 02/03/2011 2 Some
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 02/05/2010 02/03/2011 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 02/05/2010 02/03/2011 2 Few
Provide care by qualified persons according to each resident's written plan of care. 02/05/2010 02/03/2011 2 Few
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 02/05/2010 02/03/2011 2 Some
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Conduct initial and periodic assessments of each resident's functional capacity. 02/05/2010 02/03/2011 2 Few
Ensure each resident receives an accurate assessment by a qualified health professional. 02/05/2010 02/03/2011 2 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 02/05/2010 02/03/2011 2 Some

Inspection, 00/04/2008

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident. 00/04/2008 03/01/2008 1 Some
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 00/04/2008 03/01/2008 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 00/04/2008 02/09/2009 2 Some
Have a program that investigates, controls and keeps infection from spreading. 00/04/2008 03/01/2008 2 Many
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. 00/04/2008 03/01/2008 1 Many
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 00/04/2008 03/01/2008 2 Some
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/04/2008 03/01/2008 3 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Conduct initial and periodic assessments of each resident's functional capacity. 00/04/2008 03/01/2008 1 Some
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 00/04/2008 02/09/2009 2 Few

Inspection, 01/08/2007

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 01/08/2007 01/03/2008 2 Few
Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing. 01/08/2007 01/03/2008 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide proper discharge planning and communication 01/08/2007 01/03/2008 Few of the resident's health status and summary of the
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide timely notification to the resident before transfer or discharge. 01/08/2007 01/03/2008 2 Few

Inspection, 02/09/2006

Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 02/09/2006 02/05/2007 2 Some
At least once a month 02/09/2006 02/05/2007 Some have a licensed pharmacist review each resident's
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/09/2006 02/05/2007 4 Few

Inspection, 03/00/2003

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 03/00/2003 02/08/2005 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide proper discharge planning and communication 03/00/2003 02/08/2005 Few of the resident's health status and summary of the
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident 03/00/2003 02/08/2005 and a family member of situations (injury/decline/ the resident's doctor

Inspection, 02/09/2003

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 02/09/2003 02/05/2004 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/09/2003 02/05/2004 2 Few
Have a program that investigates, controls and keeps infection from spreading. 02/09/2003 02/05/2004 2 Many
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 02/09/2003 02/05/2004 2 Few
Have enough outside ventilation via a window or mechanical ventilation, or both. 02/09/2003 02/05/2004 2 Some
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store, cook, and serve food in a safe and clean way. 02/09/2003 02/05/2004 2 Many
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 02/09/2003 02/05/2004 2 Few

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 MT Golden Living Center, Asheville
RN Staff Only1 N/A N/A 4 out of 5 stars
Total Number of Residents 86 53 30
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 1 hour 39 minutes 1 hour 10 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 1 hour 8 minutes 40 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 44 minutes 30 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 2 hours 44 minutes 2 hours

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

Short-Term Residents

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: 03/27/2012

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 03/27/2012
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Fire Safety Deficiencies for this nursing home: 0
Average number of Fire Safety Deficiencies in MT: 0
Average number of Fire Safety Deficiencies in US: 2
Range of Fire Safety Deficiencies in MT: 0 - 0

Inspection, 02/02/2010

Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 02/02/2010 03/00/2011 2 Few
Emergency Plans and Fire Drills Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
A written emergency evacuation plan. 02/02/2010 03/00/2011 2 Many
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 02/02/2010 03/00/2011 2 Few
Corridors or aisles that are unobstructed and are at least 8 feet in width. 02/02/2010 02/00/2012 2 Some
Miscellaneous Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Other fire safety features required by fire safety codes. 02/02/2010 03/00/2011 2 Few

Inspection, 00/07/2007

Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 00/07/2007 02/07/2007 2 Some
Vertical Openings Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. 00/07/2007 02/07/2007 2 Some

Inspection, 02/07/2003

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 02/07/2003 02/01/2005 2 Few
Back-up procedures in place for a faulty automatic sprinkler system. 02/07/2003 02/01/2005 1 Many
Building Construction Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Approved construction type or materials. 02/07/2003 02/01/2005 2 Few
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridors that are separated from use areas by walls constructed to limit the passage of smoke. 02/07/2003 02/01/2005 2 Few
Corridor and hallway doors that block smoke. 02/07/2003 02/01/2005 2 Some
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 02/07/2003 02/01/2005 2 Many
Properly installed electrical wiring and equipment. 02/07/2003 02/01/2005 2 Some
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. 02/07/2003 02/01/2005 2 Few
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 02/07/2003 02/01/2005 2 Few
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. 02/07/2003 02/01/2005 1 Many
Furnishings and Decorations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are free from obstructions and can be used at all times. 02/07/2003 02/01/2005 2 Many
Restrictions on the use of flammable curtains. 02/07/2003 02/01/2005 2 Some
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 02/07/2003 02/01/2005 2 Many
Illumination and Emergency Power Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Emergency lighting that can last at least 1 1/2 hours. 02/07/2003 02/01/2005 2 Many
Medical Gases and Anesthetizing Areas Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper medical gas storage and administration areas. 02/07/2003 02/01/2005 2 Some
Smoking Regulations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Posted No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed." 02/07/2003 02/01/2005 2 Many
 

600 1st Ave N
Hot Springs, MT 59845

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