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Health Inspection

St Luke Community Nursing Home

March 27, 2025 · Ronan, MT · 107 6th Ave S W
Citations 1
CMS Rating 5/5
Beds 75
Provider ID 275093
Healthcare Facility
St Luke Community Nursing Home
Ronan, MT  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)  ·  14 pages
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

ST LUKE COMMUNITY NURSING HOME in RONAN, MT — inspection on March 27, 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

FF689
Actual harm level of J, Immediate Jeopardy to Health and Safety of the resident(s). The facility implemented a plan of Few affected

During observations on 3/24/25 at 12:05 p.m., 3/24/25 at 4:02 p.m., 3/25/25 at 8:19 a.m., 3/26/25 at 9:56 a. m., and on 3/27/25 at 8:58 a.m., resident #10 was reclined in a Broda chair either at the nursing station or her room.

During an interview on 3/25/25 at 10:00 a.m., NF2 stated she was concerned resident #10's mobility was being taken away from her since a fall in 2023, and now she was 100% wheelchair bound.

During an interview on 3/25/25 at 3:00 p.m., NF2 stated staff members A and E told her the use of the Broda chair was required for several reasons, to include the Broda chair keeps her safe from falling; and the Broda chair was harder for her mother to climb out of. NF2 stated she was upset watching her mother decline physically and mentally since she was placed in the Broda chair to prevent falls two years ago.

During an interview on 3/26/25 at 10:14 a.m., staff member A and E stated they did not have physician orders, consents, and quarterly assessments for the use of the resident #10's Broda chair as a possible restraint.

During an interview on 3/27/25 at 8:59 a.m., staff member L stated there was a safety component with the use of resident #10's Broda chair because she used to fall a lot.

Staff member L stated she could probably sit in a wheelchair but was not sure how she could be assessed for the manual wheelchair.

Review of the facility's policy titled, Policy and Procedure Broda chair, updated 3/25/25, showed:

.The goal is to support residents .improved quality of life.

.An assessment by the IDT team, including input from the resident and their family, will determine the need for a Broda chair.

The Broda chair assessment will be completed quarterly and annually by the care team.

.A physician order and consent form will be obtained .

On 3/25/25 at 4:30 p.m., a request for patient #10's Broda chair assessments, orders, and consents was requested from the facility. No additional documentation was provided by the end of the survey.

275093

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 275093 B.

Wing 03/27/2025

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

St Luke Community Nursing Home 107 6th Ave S W Ronan, MT 59864

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 RONAN, 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 ST LUKE COMMUNITY NURSING HOME 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.