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Health Inspection

Kalispell Rehabilitation And Nursing Llc

January 16, 2025 · Kalispell, MT · 171 Heritage Way
Citations 2
CMS Rating 1/5
Beds 140
Provider ID 275025
Healthcare Facility
Kalispell Rehabilitation And Nursing Llc
Kalispell, MT  ·  View full profile →
Inspection Summary

KALISPELL REHABILITATION AND NURSING LLC in KALISPELL, MT — inspection on January 16, 2025.

Found 2 citations. 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.

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Inspection Findings

FF584
Minimal harm or Few Based on interview and record review the facility failed to refer resident #62 for a PASARR Level II when the affected

Review of resident #62's history and physical, dated 6/16/24 showed, .Social History .He does state he was in the special forces in the Korean war and Vietnam war, and at one point was a prisoner of war for 60 days, but escaped . [sic]

Review of resident #62's MDS, with an ARD of 6/27/24, section I6100 showed the resident did not have a diagnosis of Post Traumatic Stress Disorder.

Review of resident #62's MDS, with an ARD of 9/22/24, section I6100 showed the resident did have a diagnosis of Post Traumatic Stress Disorder.

During an interview on 1/16/25 at 8:45 a.m., staff member C stated when the diagnosis of PTSD was added to the resident's diagnoses, a new PASRR Level 1 should have been completed.

The Level 1 would then show if a Level II was necessary.

A request was made for a Level II for resident #62's, and there was no information provided prior to the end of survey.

275025

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 275025 B.

Wing 01/16/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Kalispell Rehabilitation and Nursing LLC 171 Heritage Way Kalispell, MT 59901

During an observation and interview on 1/15/25 at 1:05 p.m. staff member Q stated they worked with activities to return clothes that had piled up monthly.

Staff member Q stated the label maker was currently in activities because of the influx of Christmas clothing.

Staff member Q stated clothes were labeled with the label maker, written on with a Sharpie, or they requested family to label the clothing.

During an interview on 1/15/25 at 3:56 p.m., staff member C stated, I literally spend one third of my time looking for missing items.

During an interview on 1/15/24 at 4:21 p.m., staff member A stated missing items are elevated to a grievance if they were aware of them.

Staff member A stated when something doesn't get put on a grievance form they try to do a concern form for it, try to address the concern, and it doesn't always get in the grievance log.

When asked about the current process for safeguarding personal items staff member A stated it is an expectation to complete an inventory of the resident's personal items and they try to complete an inventory listing on admission.

Staff member A stated resident inventory is an area the facility could improve on.

During an interview on 1/16/25 at 8:13 a.m., staff member J stated there were missing items all the time, more so clothing.

Staff member J said the residents never had clothes, their closets were empty, and we never had anything to dress them in.

When asked what happens if missing items were reported to her, she stated she goes to laundry or asks staff member I.

During an interview on 1/16/25 at 8:30 a.m., staff member Q stated yes, we do have missing clothing, it definitely does happen.

Staff member Q stated there was a no name cart or the clothing goes to the lost and found, and then it is gone through every once in a while.

Staff member Q stated he believed there was also a lost and found area in c hall, because we had so many missing items.

During an interview on 1/16/25 at 8:34 a.m., staff member R said there was a lot of missing clothing in the memory care unit, there were a lot of moving parts, and things can get lost quickly.

When asked if there was a policy or procedure that was followed for missing items, staff member R stated she had not seen a policy

During an interview on 1/16/25 at 9:13 a.m., NF5 stated resident #67 has discharged from the facility, and they were still missing an iPad, an apple watch, and clothing. NF5 stated she had requested resident #67's inventory sheet.

275025

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 275025 B.

Wing 01/16/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Kalispell Rehabilitation and Nursing LLC 171 Heritage Way Kalispell, MT 59901

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 KALISPELL, 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 KALISPELL REHABILITATION AND NURSING LLC or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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