The Living Centre
THE LIVING CENTRE in STEVENSVILLE, MT — inspection on January 30, 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
During an interview on 1/28/25 at 3:04 p.m., staff member I stated she would take care of resident #29 when he would come to the shower.
She stated there was an occurrence one time with resident #29, and she could not remember the exact date.
Staff member I stated she had another CNA bring her some clothes for resident #29 after she had given him a bath.
The other CNA arrived with a red shirt, and resident #29 got very upset.
Staff member I stated resident #29 told her the red shirt reminded him of blood, and he would not allow her to put that shirt on him.
She said she was aware he had PTSD, but she was not aware of anything that would tell her what things might trigger his PTSD.
She stated she would not have tried to put the red shirt on him if she had known it would upset him and trigger his PTSD.
During an interview on 1/29/25 at 10:14 a.m., staff member C stated she did not know if the facility had a trauma informed care assessment.
She stated she knew resident #29 had a PTSD diagnosis, and the diagnosis was not new.
Staff member C stated she was unaware of how resident #29's PTSD was triggered and stated she did not know who would add that to the resident's care plan.
She stated she thought maybe the activities director would know.
During an interview on 1/29/25 at 10:37 a.m., staff member J stated she would do an initial interview with all residents to find out family history and some other questions for new residents.
She stated she did not have a formal trauma informed care assessment.
Staff member J said she would typically ask the residents if they had anything that would make them sad or angry.
She said those questions would usually allow her to find out if the resident had anything that would trigger them emotionally.
She stated she did not ask the residents directly about past traumatic events.
Review of resident #29's nursing progress note, dated 1/22/25 at 11:51 a.m., showed resident #29 was more confused than normal, and he was hallucinating about his experiences in Vietnam in gruesome detail.
Review of resident #29's comprehensive care plan, printed on 1/29/25, failed to show a focus area reflecting resident #29 had PTSD, or if he had any triggering factors, related to his PTSD.
275125
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 275125 B.
Wing 01/30/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
The Living Centre 57 Main St Stevensville, MT 59870