HOLY ROSARY EXTENDED CARE UNIT

📍 2600 WILSON ST, miles-city, MT 59301 📞 4062332600 🛏️ 84 beds

Overall Rating

⭐⭐⭐⭐
4/5

Health Inspection

⭐⭐⭐⭐
4/5

Staffing

⭐⭐⭐⭐
4/5

Quality Measures

⭐⭐⭐
3/5

Inspection History Overview

39
Total Violations
7 years of data
$7,810
Total Fines
5 penalties
4
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2025 5 violations

Tag 0552 D Feb 27, 2025

Ensure that residents are fully informed and understand their health status, care and treatments.

✓ Corrected: Apr 4, 2025
Tag 0689 E Feb 27, 2025

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Apr 4, 2025
Tag 0700 D Feb 27, 2025

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

✓ Corrected: Apr 4, 2025
Tag 0881 F Feb 27, 2025

Implement a program that monitors antibiotic use.

✓ Corrected: Apr 4, 2025
Tag 0887 E Feb 27, 2025

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

✓ Corrected: Apr 4, 2025

2024 8 violations

Tag 0657 E Jun 6, 2024

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Jul 11, 2024
Tag 0641 D Feb 15, 2024

Ensure each resident receives an accurate assessment.

✓ Corrected: Mar 31, 2024
Tag 0656 E Feb 15, 2024

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Mar 31, 2024
Tag 0677 D Feb 15, 2024

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Mar 31, 2024
Tag 0689 D Feb 15, 2024

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Mar 31, 2024
Tag 0692 D Feb 15, 2024

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: Mar 31, 2024
Tag 0699 D Feb 15, 2024

Provide care or services that was trauma informed and/or culturally competent.

✓ Corrected: Mar 31, 2024
Tag 0880 E Feb 15, 2024

Provide and implement an infection prevention and control program.

✓ Corrected: Mar 31, 2024

2023 4 violations

Tag 0609 D Feb 16, 2023

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Mar 31, 2023
Tag 0686 G Feb 16, 2023

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Mar 31, 2023
Tag 0851 C Feb 16, 2023

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

✓ Corrected: Mar 31, 2023
Tag 0880 D Feb 16, 2023

Provide and implement an infection prevention and control program.

✓ Corrected: Mar 15, 2023

2021 5 violations

Tag 0550 E Mar 18, 2021

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Apr 30, 2021
Tag 0656 E Mar 18, 2021

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Apr 30, 2021
Tag 0657 D Mar 18, 2021

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Apr 30, 2021
Tag 0758 E Mar 18, 2021

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

✓ Corrected: Apr 30, 2021
Tag 0880 E Mar 18, 2021

Provide and implement an infection prevention and control program.

✓ Corrected: Apr 16, 2021

2019 7 violations

Tag 0655 D May 16, 2019

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

✓ Corrected: Jun 30, 2019
Tag 0656 D May 16, 2019

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Jun 30, 2019
Tag 0679 D May 16, 2019

Provide activities to meet all resident's needs.

✓ Corrected: Jun 30, 2019
Tag 0693 D May 16, 2019

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

✓ Corrected: Jun 30, 2019
Tag 0700 D May 16, 2019

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

✓ Corrected: Jun 30, 2019
Tag 0759 E May 16, 2019

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: Jun 30, 2019
Tag 0880 D May 16, 2019

Provide and implement an infection prevention and control program.

✓ Corrected: Jun 30, 2019

2018 7 violations

Tag 0550 D Apr 4, 2018

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: May 19, 2018
Tag 0554 D Apr 4, 2018

Allow residents to self-administer drugs if determined clinically appropriate.

✓ Corrected: May 19, 2018
Tag 0676 D Apr 4, 2018

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

✓ Corrected: May 19, 2018
Tag 0806 D Apr 4, 2018

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

✓ Corrected: May 19, 2018
Tag 0810 D Apr 4, 2018

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

✓ Corrected: May 19, 2018
Tag 0812 E Apr 4, 2018

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: May 19, 2018
Tag 0925 E Apr 4, 2018

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

✓ Corrected: May 19, 2018

2016 3 violations

Tag 0154 E Nov 17, 2016

Ensure that residents are fully informed and understand their health status, care and treatments.

✓ Corrected: Dec 31, 2016
Tag 0281 D Nov 17, 2016

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Dec 31, 2016
Tag 0315 G Nov 17, 2016

Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.

✓ Corrected: Dec 31, 2016

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2022 1 penalties totaling $1,625

$1,625
Fine
January 3, 2022
Average: $1,625 | Range: $1,625 - $1,625

2021 3 penalties totaling $5,535

$1,310
Fine
September 13, 2021
$3,250
Fine
March 18, 2021
$975
Fine
February 22, 2021
Average: $1,845 | Range: $975 - $3,250

2020 1 penalties totaling $650

$650
Fine
December 14, 2020
Average: $650 | Range: $650 - $650

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

June 6, 2024
0.00

Health

February 15, 2024
0.00

Health

February 16, 2023
0.00

Health

March 18, 2021
0.00

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Ownership Information

Non profit - Church related
Independent (Not part of a chain)
275106
275106
4062332600
Custer

Historical Ownership Records

August 25, 2025
Individual
August 25, 2025
Individual
August 25, 2025
Individual