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Livingston Health & Rehabilitation Center

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About Livingston Health & Rehabilitation Center

General Information

Legal Business NameEvergreen At Livingston, L.L.C.
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareAugust 1, 1974 (42 years)
Capacity115
Residents37
Percent Occupied32%
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 Livingston Health & Rehabilitation Center

Livingston Health & Rehabilitation Center
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

September 21, 2015 - 15 months ago

 Residents AffectedSeveritySource/TypeDescription
KSomeImmediate JeopardyComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .
KSomeImmediate JeopardyComplaintMake sure that the facility is administered in an acceptable way that maintains the well-being of each resident .
KSomeImmediate JeopardyComplaintSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
KSomeImmediate JeopardyComplaintEnsure services provided by the nursing facility meet professional standards of quality.
KSomeImmediate JeopardyComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
FManyPotential for HarmComplaintEstablish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility
ESomePotential for HarmComplaintDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
ESomePotential for HarmComplaintAllow residents the right to participate in the planning or revision of care and treatment.
CManyPotential for Minimal HarmComplaintHave an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.
DFewPotential for HarmComplaintKeep each resident free from physical restraints, unless needed for medical treatment.
DFewPotential for HarmComplaintProvide special eating equipment and utensils for each resident who needs them.
DFewPotential for HarmComplaintImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DFewPotential for HarmComplaintEnsure residents maintain acceptable nutritional status.
DFewPotential for HarmComplaintEnsure 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.

April 14, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmComplaintGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
ESomePotential for HarmComplaintEnsure that all nurse aids who have worked less than 4 months are enrolled in appropriate training or have been deemed competent to provide nursing and nursing related services.
DFewPotential for HarmComplaintHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmComplaintEnsure services provided by the nursing facility meet professional standards of quality.

December 29, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
ESomePotential for HarmFire Safety InspectionRestrictions on the use of flammable curtains.
ESomePotential for HarmFire Safety InspectionExits that are accessible at all times.
ESomePotential for HarmFire Safety InspectionSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.
ESomePotential for HarmFire Safety InspectionProper stairway enclosures and vertical shafts.
ESomePotential for HarmFire Safety InspectionWalls that prevent smoke from passing through and would resist fire for at least one hour.
DFewPotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.

December 17, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
CManyPotential for Minimal HarmHealth InspectionTrain all employees on what to do in an emergency, and carry out unannounced staff drills.
DFewPotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth InspectionProtect each resident from all abuse, physical punishment, and involuntary separation from others.
DFewPotential for HarmHealth Inspection1) 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.

December 18, 2013 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionApproved construction type or materials.
DFewPotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Livingston Health & Rehabilitation Center 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
2hr 15min
ReportedExpected
CNA
30min
35min
ReportedExpected
LPN
1hr 20min
1hr
ReportedExpected
RN
3hr 45min
3hr 50min
ReportedExpected
Total Nursing

This facility also provides approximately 25min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

97.1%
97.3%
97.3%
96.6%
Q1 2015Q2 2015Q3 2015MT
Assessed and Appropriately Given the Seasonal Influenza Vaccine
100.0%
95.0%
97.5%
90.9%
Q1 2015Q2 2015Q3 2015MT
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
43.9%
Q1 2015Q2 2015Q3 2015MT
* The data for this facility for some quarters is unavailable.
Low Risk Residents Who Lose Control of Their Bowel or Bladder
15.2%
10.8%
8.1%
15.5%
Q1 2015Q2 2015Q3 2015MT
Received an Antipsychotic Medication
-
15.2%
6.1%
15.4%
Q1 2015Q2 2015Q3 2015MT
* The data for this facility for some quarters is unavailable.
Need for Help with ADLs has Increased
-
7.4%
6.3%
13.3%
Q1 2015Q2 2015Q3 2015MT
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
0.0%
5.4%
5.0%
7.8%
Q1 2015Q2 2015Q3 2015MT
Lose Too Much Weight
-
-
-
5.7%
Q1 2015Q2 2015Q3 2015MT
* The data for this facility for some quarters is unavailable.
High Risk Residents With Pressure Ulcers
0.0%
0.0%
5.6%
5.8%
Q1 2015Q2 2015Q3 2015MT
Have Depressive Symptoms
2.9%
8.1%
7.5%
5.4%
Q1 2015Q2 2015Q3 2015MT
With a Urinary Tract Infection
0.0%
0.0%
0.0%
4.1%
Q1 2015Q2 2015Q3 2015MT
Experiencing One or More Falls with Major Injury
-
0.0%
2.7%
4.0%
Q1 2015Q2 2015Q3 2015MT
* The data for this facility for some quarters is unavailable.
With a Catheter Inserted and Left in Their Bladder
2.9%
2.5%
5.0%
1.1%
Q1 2015Q2 2015Q3 2015MT
Were Physically Restrained

Quality Measures for Short Stay Residents

72.1%
84.3%
83.0%
74.6%
Q1 2015Q2 2015Q3 2015MT
Assessed and Appropriately Given the Pneumococcal Vaccine
95.2%
93.0%
93.0%
79.8%
Q1 2015Q2 2015Q3 2015MT
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
20.0%
40.0%
26.7%
24.2%
Q1 2015Q2 2015Q3 2015MT
Self Report Moderate to Severe Pain
3.7%
7.4%
3.1%
1.9%
Q1 2015Q2 2015Q3 2015MT
Newly Received an Antipsychotic Medication
1.5%
0.0%
0.0%
1.5%
Q1 2015Q2 2015Q3 2015MT
With Pressure Ulcers That Are New or Worsened