CLARK FORK VALLEY NURSING HOME (PLAINS, MT) Detailed Nursing Home Profile

Complaint Deficiency

Corridor and hallway doors that block smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Some
A two-hour-resistant firewall in common walls
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Review or revise the resident's care plan after any major change in a resident's physical or mental health
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Proper backup exit lighting
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Exits that are accessible at all times
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Corridor and hallway doors that block smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detectors
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Allow residents to easily view the results of the nursing home's most recent survey
- Harm: Potential for minimal harm
- Scope: Many
1) Hire only people with 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
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide housekeeping and maintenance services
- Harm: Potential for minimal harm
- Scope: Many
Use a registered nurse at least 8 hours a day, 7 days a week
- Harm: Potential for minimal harm
- Scope: Many
Post nurse staffing information/data on a daily basis
- Harm: Potential for minimal harm
- Scope: Many
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Have a program that investigates, controls and keeps infection from spreading
- Harm: Potential for minimal harm
- Scope: Some
Approved construction type or materials
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Corridor and hallway doors that block smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Construction that can resist fire for one hour or an approved fire extinguishing system
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Protected exits that allow the resident to escape the building
- Harm: Minimal harm or potential for actual harm
- Scope: Few
A fire alarm system that can be heard throughout the facility
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Automatic sprinkler systems that have been maintained in working order
- Harm: Potential for minimal harm
- Scope: Many
Restrictions on the use of flammable curtains
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Proper medical gas storage and administration areas
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Proper construction of ducts through walls designed to prevent smoke passage
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Weekly inspections and monthly testing of generators
- Harm: Potential for minimal harm
- Scope: Many
Properly installed electrical wiring and equipment
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Properly installed hallway dispensers for alcohol-based hand rub
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Keep each resident's personal and medical records private and confidential
- Harm: Potential for minimal harm
- Scope: Some
Allow residents to easily view the results of the nursing home's most recent survey
- Harm: Potential for minimal harm
- Scope: Many
Conduct initial and periodic assessments of each resident's functional capacity
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure each resident receives an accurate assessment by a qualified health professional
- Harm: Potential for minimal harm
- Scope: Some
Post nurse staffing information/data on a daily basis
- Harm: Potential for minimal harm
- Scope: Many
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Approved construction type or materials
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Corridor and hallway doors that block smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Proper stairway enclosures and vertical shafts
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Construction that can resist fire for one hour or an approved fire extinguishing system
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Record of quarterly fire drills for each shift under varying conditions
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Portable fire extinguishers
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Exits that are free from obstructions and can be used at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Restrictions on the use of flammable curtains
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Proper medical gas storage and administration areas
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Weekly inspections and monthly testing of generators
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Properly installed electrical wiring and equipment
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Back-up procedures in place for a faulty automatic sprinkler system
- Harm: Minimal harm or potential for actual harm
- Scope: Some
An approved back-up procedure for a faulty fire alarm system
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Properly installed hallway dispensers for alcohol-based hand rub
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure services provided by the nursing facility meet professional standards of quality
- Harm: Minimal harm or potential for actual harm
- Scope: Few
1) Make sure that each resident's drug regimen is free from unnecessary drugs; 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being
- Harm: Minimal harm or potential for actual harm
- Scope: Some
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor
- Harm: Minimal harm or potential for actual harm
- Scope: Some

Process of Care

Pneumonia

Percent of Patients Given Initial Antibiotic(s) within 6 Hours After Arrival

This Nursing Home:	96.0%
Montana:	98.0%

Percent of Patients Whose Initial ER Blood Culture Was Performed Prior To Administration Of First Dose Of Antibiotics

This Nursing Home:	93.0%
State:	96.6%

Percent of Patients Given the Most Appropriate Initial Antibiotic(s)

Here:	89.0%
State:	92.5%

Percent of Patients Assessed and Given Pneumococcal Vaccination

Here:	100.0%
State:	95.7%

Outcome of Care

30-Day Mortality Rates from Heart Failure

This Nursing Home:	12.0%
Montana:	12.4%

30-Day Mortality Rates from Pneumonia

Here:	11.6%
State:	12.1%

30-Day Readmission Rates from Heart Failure

Here:	24.3%
State:	22.5%

30-Day Readmission Rates from Pneumonia

Here:	16.8%
State:	17.4%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: Between 100 and 299
Survey Response Rate: 41%

How often did nurses communicate well with patients?

Sometimes or never

Here:	3%
Montana:	5%

Usually

This Nursing Home:	20%
Montana:	20%

Always

This Nursing Home:	77%
State:	75%

How often did doctors communicate well with patients?

Sometimes or never

Here:	4%
Montana:	5%

Usually

Here:	18%
Montana:	15%

Always

This Nursing Home:	78%
Montana:	80%

How often did patients receive help quickly from hospital staff?

Sometimes or never

Here:	5%
Montana:	7%

Usually

This Nursing Home:	26%
State:	24%

Always

This Nursing Home:	69%
State:	69%

How often was patients' pain well controlled?

Sometimes or never

Here:	5%
Montana:	8%

Usually

Here:	23%
Montana:	24%

Always

Here:	72%
Montana:	68%

How often did staff explain about medicines before giving them to patients?

Sometimes or never

Here:	19%
State:	20%

Usually

This Nursing Home:	24%
State:	18%

Always

This Nursing Home:	57%
Montana:	62%

How often were the patients' rooms and bathrooms kept clean?

Sometimes or never

Here:	6%
State:	8%

Usually

Here:	14%
State:	20%

Always

Here:	80%
State:	72%

How often was the area around patients' rooms kept quiet at night?

Sometimes or never

Here:	5%
State:	11%

Usually

This Nursing Home:	38%
Montana:	31%

Always

Here:	57%
Montana:	58%

Were patients given information about what to do during their recovery at home?

Yes

This Nursing Home:	81%
State:	82%

Here:	19%
Montana:	18%

How do patients rate the hospital overall on a scale from 0 (lowest) to 10 (highest)?

6 or lower

This Nursing Home:	7%
State:	11%

7 or 8

This Nursing Home:	21%
Montana:	23%

9 or 10

This Nursing Home:	72%
Montana:	66%

Would patients recommend the hospital to friends and family?

Here:	4%
Montana:	5%

Yes, probably

This Nursing Home:	24%
State:	28%

Yes, definitely

Here:	72%
Montana:	67%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	1.070
State:	0.883

Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day

Here:	0.740
Montana:	0.533

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	1.810
State:	1.405

CLARK FORK VALLEY NURSING HOME - PLAINS, MT

Complaint Deficiency

Process of Care

Pneumonia

Outcome of Care

Hospital Consumer Assessment of Healthcare Providers

Staff Information

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