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Marias Care Center

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About Marias Care Center

General Information

Legal Business NameToole County
Ownership TypeGovernment - City/County
Changed Ownership In The Last 12 MonthsYes
First Accepted MedicareJune 1, 1977 (40 years)
Capacity53
Residents35
Percent Occupied66%
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 Marias Care Center

Marias Care Center
was reviewed by Medicare to have a rating of 1 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

Note that this facility has changed ownership within the past 12 months.

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

May 26, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionA two-hour-resistant firewall separation.
ESomePotential for HarmFire Safety InspectionWalls that prevent smoke from passing through and would resist fire for at least one hour.
DFewPotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.

April 29, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmComplaintHelp and prepare each resident for a safe and easy discharge or transfer from the nursing home.
DFewPotential for HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.

April 9, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$50,000 fine
LManyImmediate JeopardyHealth InspectionMake sure that the facility is administered in an acceptable way that maintains the well-being of each resident .
LManyImmediate JeopardyHealth InspectionAt least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.
LManyImmediate JeopardyHealth InspectionChoose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility.
LManyImmediate JeopardyHealth InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
LManyImmediate JeopardyHealth InspectionEstablish 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
KSomeImmediate JeopardyHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
KSomeImmediate JeopardyHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
FManyPotential for HarmHealth Inspection1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionMake sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing.
ESomePotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
ESomePotential for HarmHealth InspectionProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
ESomePotential 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 InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

July 1, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
ESomePotential for HarmHealth InspectionMake sure that doctors visit residents regularly, as required.
ESomePotential for HarmHealth InspectionEnsure residents maintain acceptable nutritional status.
ESomePotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential 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 InspectionStore, cook, and serve food in a safe and clean way.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionKeep residents' personal and medical records private and confidential.
DFewPotential for HarmHealth InspectionDevelop policies and procedures for influenza and pneumococcal immunizations.
DFewPotential for 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.
DFewPotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
BSomePotential for Minimal HarmHealth InspectionProvide housekeeping and maintenance services.

June 30, 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 InspectionProperly installed electrical wiring and equipment.
ESomePotential for HarmFire Safety InspectionSmoke barrier doors that can resist smoke for at least 20 minutes.
ESomePotential for HarmFire Safety InspectionA two-hour-resistant firewall separation.
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 InspectionProperly installed hallway dispensers for alcohol-based hand rub.
DFewPotential for HarmFire Safety InspectionNo-smoking signs where oxygen is used.
DFewPotential for HarmFire Safety InspectionProper medical gas storage and administration areas.
DFewPotential for HarmFire Safety InspectionAn approved automatic sprinkler system connected to the fire alarm system.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Marias Care 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 25min
2hr 20min
ReportedExpected
CNA
30min
40min
ReportedExpected
LPN
1hr 5min
55min
ReportedExpected
RN
3hr 55min
3hr 55min
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%
100.0%
100.0%
96.6%
Q1 2015Q2 2015Q3 2015MT
Assessed and Appropriately Given the Seasonal Influenza Vaccine
100.0%
97.1%
100.0%
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
12.5%
8.8%
15.2%
15.5%
Q1 2015Q2 2015Q3 2015MT
Received an Antipsychotic Medication
-
-
-
15.4%
Q1 2015Q2 2015Q3 2015MT
* The data for this facility for some quarters is unavailable.
Need for Help with ADLs has Increased
-
-
-
13.3%
Q1 2015Q2 2015Q3 2015MT
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
15.6%
17.6%
15.2%
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%
0.0%
5.8%
Q1 2015Q2 2015Q3 2015MT
Have Depressive Symptoms
6.2%
8.8%
15.2%
5.4%
Q1 2015Q2 2015Q3 2015MT
With a Urinary Tract Infection
6.2%
8.8%
3.0%
4.1%
Q1 2015Q2 2015Q3 2015MT
Experiencing One or More Falls with Major Injury
0.0%
5.0%
2.5%
4.0%
Q1 2015Q2 2015Q3 2015MT
With a Catheter Inserted and Left in Their Bladder
3.1%
2.9%
3.0%
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