Nursing Home Grades
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TOBACCO ROOT MOUNTAINS CARE CENTER
PO BOX 308
SHERIDAN, MT  59749

(406) 842-5600

Size (date of last inspection: 20050608)
39 total beds available
30 current residents
77% occupied

Staff Presence
4.15 nurse hours per resident per day
0.89 with Registered Nurses
0.38 with Licensed Practical Nurses
2.88 with Certified Nurse Assistants

Medicare and Medicaid
Yes participant in Medicare
Yes participant in Medicaid

Administration Details
  • This home is owned by the county government
  • This home is not located within a hospital
  • The owner does not own other homes
  • This home has resident and family councils

    Resident Details (survey date: 20050608)
    0%Percent of High-Risk Residents Who Have Pressure Sores
    0%Percent of Low-Risk Residents Who Have Pressure Sores
    0%Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder
    0%Percent of Residents Who are More Depressed or Anxious
    0%Percent of Residents Whose Need for Help With Daily Activities Has Increased
    0%Percent of Short-Stay Residents With Delirium
    0%Percent of Short-Stay Residents Who Had Moderate to Severe Pain
    0%Percent of Residents Who Have Moderate to Severe Pain
    0%Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder
    0%Percent of Residents Who Lose Too Much Weight
    0%Percent of Residents Who Spend Most of Their Time in Bed or in a Chair
    0%Percent of Residents Who Were Physically Restrained
    0%Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse
    0%Percent of Residents With a Urinary Tract Infection
    0%Percent of Short-Stay Residents With Pressure Sores

    Deficiencies Found in Home Inspections
    10
    1...12
    Environmental: Make sure that the nursing home area is free of dangers that cause accidents.
    Level of Harm: Immediate jeopardy to resident health or safetyScope: Isolated
    Survey Date: 20040412Corrected By: 20040610
    6
    1...12
    Environmental: Make sure that the nursing home area is safe, easy to use, clean and comfortable.
    Level of Harm: Minimal harm or potential for actual harmScope: Widespread
    Survey Date: 20050608Corrected By: 20050727
    5
    1...12
    Environmental: Make sure that the nursing home area is free of dangers that cause accidents.
    Level of Harm: Minimal harm or potential for actual harmScope: Pattern
    Survey Date: 20050608Corrected By: 20050722
    5
    1...12
    Resident Assessment: Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them.
    Level of Harm: Minimal harm or potential for actual harmScope: Pattern
    Survey Date: 20050608Corrected By: 20050722
    5
    1...12
    Mistreatment: Keep each resident free from physical restraints, unless needed for medical treatment.
    Level of Harm: Minimal harm or potential for actual harmScope: Pattern
    Survey Date: 20040412Corrected By: 20040610
    5
    1...12
    Administration: Be administered in a way that leads to the highest possible level of well being for each resident.
    Level of Harm: Minimal harm or potential for actual harmScope: Pattern
    Survey Date: 20040412Corrected By: 20040610
    5
    1...12
    Resident Assessment: Make a complete assessment that covers all questions for areas that are listed in official regulations.
    Level of Harm: Minimal harm or potential for actual harmScope: Pattern
    Survey Date: 20040412Corrected By: 20040610
    4
    1...12
    Administration: Keep accurate and appropriate medical records.
    Level of Harm: Minimal harm or potential for actual harmScope: Isolated
    Survey Date: 20040412Corrected By: 20040610
    4
    1...12
    Mistreatment: 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.
    Level of Harm: Minimal harm or potential for actual harmScope: Isolated
    Survey Date: 20030123Corrected By: 20030324
    4
    1...12
    Resident Assessment: 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.
    Level of Harm: Minimal harm or potential for actual harmScope: Isolated
    Survey Date: 20040412Corrected By: 20040610
    4
    1...12
    Resident Rights: Provide care in a way that keeps or builds each resident's dignity and self respect.
    Level of Harm: Minimal harm or potential for actual harmScope: Isolated
    Survey Date: 20040412Corrected By: 20040610
    4
    1...12
    Mistreatment: 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.
    Level of Harm: Minimal harm or potential for actual harmScope: Isolated
    Survey Date: 20040412Corrected By: 20040610
    4
    1...12
    Pharmacy Service: Make sure that the pharmacist reports anything unusual to the doctor on duty and the director of nursing.
    Level of Harm: Minimal harm or potential for actual harmScope: Isolated
    Survey Date: 20030123Corrected By: 20030324
    4
    1...12
    Mistreatment: Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.
    Level of Harm: Minimal harm or potential for actual harmScope: Isolated
    Survey Date: 20030123Corrected By: 20030324
    3
    1...12
    Administration: Hire nurse aides who have completed required training and shown that they are skilled.
    Level of Harm: Potential for minimal harmScope: Widespread
    Survey Date: 20050608Corrected By: 20050722
    3
    1...12
    Administration: Hire nurse aides who have shown that they are skilled and care for residents safely on-the-job.
    Level of Harm: Potential for minimal harmScope: Widespread
    Survey Date: 20050608Corrected By: 20050722
    2
    1...12
    Environmental: Make sure that staff members wash their hands when needed.
    Level of Harm: Potential for minimal harmScope: Pattern
    Survey Date: 20030123Corrected By: 20030324
    2
    1...12
    Administration: Keep accurate and appropriate medical records.
    Level of Harm: Potential for minimal harmScope: Pattern
    Survey Date: 20050608Corrected By: 20050722


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