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Holy Rosary Extended Care Unit

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Friendship Villa Healthcare Community
Miles City, MT
< 1 mile

About Holy Rosary Extended Care Unit

General Information

Legal Business NameHoly Rosary Healthcare
Ownership TypeNon Profit - Church Related
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJanuary 1, 1985 (32 years)
Capacity84
Residents44
Percent Occupied52%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalYes
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Holy Rosary Extended Care Unit

Holy Rosary Extended Care Unit
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

August 27, 2015 - 16 months ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmHealth InspectionEnsure residents maintain acceptable nutritional status.
GFewActual HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
ESomePotential for HarmHealth InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
DFewPotential for HarmHealth InspectionProvide food in a way that meets a resident's needs.
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 InspectionImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DFewPotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.

July 31, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
CManyPotential for Minimal HarmHealth InspectionGive residents a notice of rights, rules, services and charges.
CManyPotential for Minimal HarmHealth InspectionMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
DFewPotential for HarmHealth InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
DFewPotential for HarmHealth InspectionKeep residents' personal and medical records private and confidential.
BSomePotential for Minimal HarmHealth InspectionMake sure that the facility is administered in an acceptable way that maintains the well-being of each resident .

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Holy Rosary Extended Care Unit 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.

1hr 50min
2hr 25min
ReportedExpected
CNA

35min
ReportedExpected
LPN
1hr 10min
40min
ReportedExpected
RN
3hr
3hr 35min
ReportedExpected
Total Nursing

This facility also provides approximately 1min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

100.0%
97.8%
97.8%
96.6%
Q1 2015Q2 2015Q3 2015MT
Assessed and Appropriately Given the Seasonal Influenza Vaccine
88.9%
90.5%
93.2%
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
11.4%
9.8%
9.3%
15.5%
Q1 2015Q2 2015Q3 2015MT
Received an Antipsychotic Medication
11.4%
14.3%
13.6%
15.4%
Q1 2015Q2 2015Q3 2015MT
Need for Help with ADLs has Increased
10.0%
13.5%
20.0%
13.3%
Q1 2015Q2 2015Q3 2015MT
Self Report Moderate to Severe Pain
0.0%
2.4%
9.1%
7.8%
Q1 2015Q2 2015Q3 2015MT
Lose Too Much Weight
5.6%
9.4%
9.1%
5.7%
Q1 2015Q2 2015Q3 2015MT
High Risk Residents With Pressure Ulcers
2.3%
0.0%
0.0%
5.8%
Q1 2015Q2 2015Q3 2015MT
Have Depressive Symptoms
4.4%
2.4%
13.6%
5.4%
Q1 2015Q2 2015Q3 2015MT
With a Urinary Tract Infection
6.7%
9.5%
9.1%
4.1%
Q1 2015Q2 2015Q3 2015MT
Experiencing One or More Falls with Major Injury
2.2%
2.3%
1.9%
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

-
-
-
74.6%
Q1 2015Q2 2015Q3 2015MT
* The data for this facility for some quarters is unavailable.
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
79.8%
Q1 2015Q2 2015Q3 2015MT
* The data for this facility for some quarters is unavailable.
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
-
-
-
24.2%
Q1 2015Q2 2015Q3 2015MT
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
-
-
-
1.9%
Q1 2015Q2 2015Q3 2015MT
* The data for this facility for some quarters is unavailable.
Newly Received an Antipsychotic Medication
-
-
-
1.5%
Q1 2015Q2 2015Q3 2015MT
* The data for this facility for some quarters is unavailable.
With Pressure Ulcers That Are New or Worsened