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Missoula Health & Rehabilitation Center

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About Missoula Health & Rehabilitation Center

General Information

Legal Business NameEvergreen At Missoula, L.L.C.
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJanuary 1, 1967 ()
Capacity53
Residents36
Percent Occupied68%
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 Missoula Health & Rehabilitation Center

Missoula Health & Rehabilitation Center
was reviewed by Medicare to have a rating of 4 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

December 17, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
FManyPotential for HarmHealth InspectionHire a qualified dietician.
FManyPotential for HarmHealth InspectionHire sufficient dietary support personnel.
ESomePotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
ESomePotential for HarmHealth InspectionPrepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.
ESomePotential 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.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionReview or revise the resident's care plan after any major change in physical or mental health.
DFewPotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.

November 26, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
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.
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
FManyPotential for HarmHealth InspectionMake sure that the facility is administered in an acceptable way that maintains the well-being of each resident .
FManyPotential for HarmHealth InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
ESomePotential for HarmHealth InspectionEnsure that residents are safe from serious medication errors.
ESomePotential for HarmHealth InspectionEnsure that residents are fully informed and understand their health status, care and treatments.
ESomePotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
ESomePotential for HarmHealth InspectionProvide medically-related social services to help each resident achieve the highest possible quality of life.
ESomePotential for HarmHealth InspectionKeep each resident free from physical restraints, unless needed for medical treatment.
ESomePotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
ESomePotential for HarmHealth InspectionProvide activities to meet the interests and needs of each resident.
DFewPotential for HarmHealth InspectionProvide housekeeping and maintenance services.
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.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Missoula 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 5min
2hr 5min
ReportedExpected
CNA
40min
35min
ReportedExpected
LPN
1hr
55min
ReportedExpected
RN
3hr 40min
3hr 30min
ReportedExpected
Total Nursing

This facility also provides approximately 1hr 45min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

93.8%
100.0%
100.0%
100.0%
95.8%
Q4 2015Q1 2016Q2 2016Q3 2016MT
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
90.6%
97.0%
87.9%
88.6%
91.3%
Q4 2015Q1 2016Q2 2016Q3 2016MT
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
-
25.0%
22.7%
28.6%
43.7%
Q4 2015Q1 2016Q2 2016Q3 2016MT
* The data for this facility for some quarters is unavailable.
Percentage of low risk long-stay residents who lose control of their bowels or bladder
30.0%
37.5%
27.3%
23.5%
19.6%
Q4 2015Q1 2016Q2 2016Q3 2016MT
Percentage of long-stay residents who received an antianxiety or hypnotic medication
10.4%
9.7%
12.5%
8.1%
16.3%
Q4 2015Q1 2016Q2 2016Q3 2016MT
Percentage of long-stay residents whose ability to move independently worsened
27.6%
34.4%
46.7%
41.9%
14.7%
Q4 2015Q1 2016Q2 2016Q3 2016MT
Percentage of long-stay residents who received an antipsychotic medication
11.5%
17.9%
6.5%
6.5%
15.8%
Q4 2015Q1 2016Q2 2016Q3 2016MT
Percentage of long-stay residents whose need for help with daily activities has increased
12.9%
5.1%
0.0%
0.0%
12.3%
Q4 2015Q1 2016Q2 2016Q3 2016MT
Percentage of long-stay residents who self-report moderate to severe pain
3.1%
0.0%
0.0%
0.0%
7.9%
Q4 2015Q1 2016Q2 2016Q3 2016MT
Percentage of long-stay residents who lose too much weight
-
-
-
-
5.2%
Q4 2015Q1 2016Q2 2016Q3 2016MT
* The data for this facility for some quarters is unavailable.
Percentage of high risk long-stay residents with pressure ulcers
0.0%
0.0%
3.1%
5.9%
5.5%
Q4 2015Q1 2016Q2 2016Q3 2016MT
Percentage of long-stay residents who have depressive symptoms
3.1%
0.0%
0.0%
2.9%
4.7%
Q4 2015Q1 2016Q2 2016Q3 2016MT
Percentage of long-stay residents with a urinary tract infection
3.1%
9.1%
15.2%
14.3%
4.5%
Q4 2015Q1 2016Q2 2016Q3 2016MT
Percentage of long-stay residents experiencing one or more falls with major injury
2.6%
3.2%
2.9%
9.7%
3.0%
Q4 2015Q1 2016Q2 2016Q3 2016MT
Percentage of long-stay residents with a catheter inserted and left in their bladder
6.2%
0.0%
0.0%
0.0%
0.7%
Q4 2015Q1 2016Q2 2016Q3 2016MT
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

75.0%
57.1%
72.0%
66.7%
77.9%
Q4 2015Q1 2016Q2 2016Q3 2016MT
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
79.2%
71.4%
71.4%
71.4%
76.5%
Q4 2015Q1 2016Q2 2016Q3 2016MT
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
-
-
-
-
68.6%
Q4 2015Q1 2016Q2 2016Q3 2016MT
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who made improvements in function
-
-
-
-
21.5%
Q4 2015Q1 2016Q2 2016Q3 2016MT
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who self-report moderate to severe pain
-
-
-
-
2.1%
Q4 2015Q1 2016Q2 2016Q3 2016MT
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who newly received an antipsychotic medication
0.0%
0.0%
9.2%
6.9%
2.7%
Q4 2015Q1 2016Q2 2016Q3 2016MT
Percentage of short-stay residents with pressure ulcers that are new or worsened