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Billings Health & Rehab Community

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About Billings Health & Rehab Community

General Information

Legal Business NameNew Western Manor Company Limited Partnership
Ownership TypeFor Profit - Partnership
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareOctober 1, 1969 ()
Capacity160
Residents129
Percent Occupied81%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Billings Health & Rehab Community

Billings Health & Rehab Community
was reviewed by Medicare to have a rating of 2 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Montana Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

October 22, 2015 - 14 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionMake sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed.
FManyPotential for HarmHealth InspectionPrepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.
GFewActual HarmHealth InspectionEnsure residents maintain acceptable nutritional status.
GFewActual HarmHealth InspectionGive proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible.
GFewActual HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionProvide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.
ESomePotential for HarmHealth InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
CManyPotential for Minimal HarmHealth InspectionAllow residents to easily view the results of the nursing home's most recent inspection.
DFewPotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmHealth InspectionAssure that each residentís assessment is updated at least once every 3 months.
DFewPotential for HarmHealth InspectionEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
DFewPotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
BSomePotential for Minimal HarmHealth Inspection1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews.

October 20, 2015 - 14 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
ESomePotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
ESomePotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.
ESomePotential for HarmFire Safety InspectionExits that are accessible at all times.
DFewPotential for HarmFire Safety InspectionProper stairway enclosures and vertical shafts.
DFewPotential for HarmFire Safety InspectionSigns that state that exit doors are to be kept closed.
DFewPotential for HarmFire Safety InspectionAn approved automatic sprinkler system connected to the fire alarm system.

May 15, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .
ESomePotential for HarmComplaintAllow residents the right to participate in the planning or revision of care and treatment.

November 20, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaint+InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionProvide housekeeping and maintenance services.
ESomePotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
ESomePotential for HarmComplaint+InspectionEnsure services provided by the nursing facility meet professional standards of quality.
CManyPotential for Minimal HarmHealth InspectionTrain all employees on what to do in an emergency, and carry out unannounced staff drills.
DFewPotential for HarmComplaint+InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

November 19, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionAn approved installation, maintenance and testing program for fire alarm systems.
ESomePotential for HarmFire Safety InspectionProper medical gas storage and administration areas.
ESomePotential for HarmFire Safety InspectionProper construction of ducts through walls designed to prevent smoke passage.
ESomePotential for HarmFire Safety InspectionOther fire safety features required by fire safety codes.
ESomePotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
ESomePotential for HarmFire Safety InspectionHorizontal exits.
ESomePotential for HarmFire Safety InspectionExit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
ESomePotential for HarmFire Safety InspectionWalls that prevent smoke from passing through and would resist fire for at least one hour.
ESomePotential for HarmFire Safety InspectionExit stairways and towers that are smoke proof.
ESomePotential for HarmFire Safety InspectionExits that are accessible at all times.
DFewPotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.

December 17, 2013 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionBack-up procedures in place for a faulty automatic sprinkler system.
FManyPotential for HarmFire Safety InspectionAn approved back-up procedure for a faulty fire alarm system.
ESomePotential for HarmFire Safety InspectionExits that are free from obstructions and can be used at all times.
ESomePotential for HarmFire Safety InspectionPortable fire extinguishers.
ESomePotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
ESomePotential for HarmFire Safety InspectionExit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
ESomePotential for HarmFire Safety InspectionSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.
DFewPotential for HarmFire Safety InspectionApproved construction type or materials.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Billings Health & Rehab Community require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 15min
2hr 25min
ReportedExpected
CNA
35min
40min
ReportedExpected
LPN
45min
1hr 5min
ReportedExpected
RN
3hr 35min
4hr 10min
ReportedExpected
Total Nursing

This facility also provides approximately 40min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

86.7%
84.4%
84.4%
96.6%
Q1 2015Q2 2015Q3 2015MT
Assessed and Appropriately Given the Seasonal Influenza Vaccine
90.7%
93.4%
91.7%
90.9%
Q1 2015Q2 2015Q3 2015MT
Assessed and Appropriately Given the Pneumococcal Vaccine
33.3%
42.5%
45.2%
43.9%
Q1 2015Q2 2015Q3 2015MT
Low Risk Residents Who Lose Control of Their Bowel or Bladder
21.6%
19.8%
18.3%
15.5%
Q1 2015Q2 2015Q3 2015MT
Received an Antipsychotic Medication
36.7%
34.7%
16.8%
15.4%
Q1 2015Q2 2015Q3 2015MT
Need for Help with ADLs has Increased
18.0%
17.1%
21.5%
13.3%
Q1 2015Q2 2015Q3 2015MT
Self Report Moderate to Severe Pain
7.7%
13.5%
11.0%
7.8%
Q1 2015Q2 2015Q3 2015MT
Lose Too Much Weight
0.0%
3.1%
4.2%
5.7%
Q1 2015Q2 2015Q3 2015MT
High Risk Residents With Pressure Ulcers
5.1%
5.0%
1.0%
5.8%
Q1 2015Q2 2015Q3 2015MT
Have Depressive Symptoms
7.7%
5.8%
4.6%
5.4%
Q1 2015Q2 2015Q3 2015MT
With a Urinary Tract Infection
1.9%
1.9%
0.0%
4.1%
Q1 2015Q2 2015Q3 2015MT
Experiencing One or More Falls with Major Injury
6.1%
5.5%
6.5%
4.0%
Q1 2015Q2 2015Q3 2015MT
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
0.0%
1.1%
Q1 2015Q2 2015Q3 2015MT
Were Physically Restrained

Quality Measures for Short Stay Residents

86.7%
88.2%
75.9%
74.6%
Q1 2015Q2 2015Q3 2015MT
Assessed and Appropriately Given the Pneumococcal Vaccine
90.4%
72.0%
72.0%
79.8%
Q1 2015Q2 2015Q3 2015MT
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
32.6%
32.3%
21.7%
24.2%
Q1 2015Q2 2015Q3 2015MT
Self Report Moderate to Severe Pain
2.1%
0.0%
2.4%
1.9%
Q1 2015Q2 2015Q3 2015MT
Newly Received an Antipsychotic Medication
0.5%
0.0%
0.0%
1.5%
Q1 2015Q2 2015Q3 2015MT
With Pressure Ulcers That Are New or Worsened