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Complaint Investigation

Benefis Senior Services - Grandview

August 12, 2025 · Great Falls, MT · 3015 18th Ave S
Citations 1
CMS Rating 3/5
Beds 48
Provider ID 275157
Healthcare Facility
Benefis Senior Services - Grandview
Great Falls, MT  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

BENEFIS SENIOR SERVICES - GRANDVIEW in GREAT FALLS, MT — inspection on August 12, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF0880
Infection Control Deficiencies

During an observation on 8/12/25 at 7:38 a.m., staff member C entered resident #3's room and donned gloves to perform her blood glucose monitoring.

Staff member C did not sanitize her hands before donning the gloves.

Staff member C performed the blood glucose monitoring for resident #3, and then laid the handheld glucometer on a supply cart in the bathroom, doffed her gloves, and washed her hands.

Staff member C then returned to her medication cart, prepared to perform another resident's glucose monitoring.

She laid the handheld glucometer onto the top surface of the cart.

Staff member C did not clean or sanitize the portable handheld glucometer.During an observation on 8/12/25 at 7:45 a.m. staff member C entered resident #1's room and performed her blood glucose monitoring.

Staff member C returned the portable handheld glucometer to the locked supply room and placed it onto the charger, then left the room.

Staff member C did not clean or sanitize the portable handheld glucometer before, in between residents, or after the use of the device.

During an interview on 8/12/25 at 8:56 a.m., staff member C stated the portable handheld glucometer was to be cleaned with purple top Sani wipes, in between each resident use and after use, before returning the device to the charger.

Staff member C stated she did not clean the handheld glucometer after each use, between each resident, and after use before it was placed onto the charger.

During an interview on 8/12/25 at 8:56 a.m., staff member C stated hands were to be washed or sanitized before donning gloves and after doffing gloves.

Staff member C stated she did not perform hand hygiene before donning gloves to perform resident #3's blood glucose monitoring.

During an interview on 8/12/25 at 9:56 a.m., staff member B stated the portable handheld glucometer should be sanitized between each resident's use and after the last resident's monitoring before replacing the glucometer onto the charger.

Staff member B stated hand hygiene should be performed before donning gloves and after the removal of gloves.

Review of the facility's policy titled, Point of Care Testing Safety Manual, last revised 2/2024, showed:- . 4.

Safe Handling of Portable Handheld Testing Devices- In order to prevent transmission of infection, portable handheld testing devices must be disinfected after each patient use.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in GREAT FALLS, MT, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from BENEFIS SENIOR SERVICES - GRANDVIEW or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.