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Complaint Investigation

Whitefish Care And Rehabilitation

January 23, 2025 · Whitefish, MT · 1305 E 7th St
Citations 1
CMS Rating 1/5
Beds 100
Provider ID 275132
Healthcare Facility
Whitefish Care And Rehabilitation
Whitefish, MT  ·  View full profile →
Inspection Summary

WHITEFISH CARE AND REHABILITATION in WHITEFISH, MT — inspection on January 23, 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.

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Inspection Findings

FF678
Immediate Resident #1 was hospitalized on [DATE] for acute pneumonia and respiratory failure with hypoxia. Resident Few affected

During an interview on [DATE] at 12:02 p.m., staff member D stated she was on shift when resident #1 had coded.

Staff member D stated when the code was called staff had to run across the building to retrieve the crash cart and it did not have the supplies needed.

Staff member D stated no AED or Ambu bag was available on the crash cart (for the prior emergent situations).

Staff member D said she did not know who was responsible for checking the crash carts.

During an interview on [DATE] at 2:43 p.m., Staff member A stated, Ambu bags are now on the crash carts.

During an interview on [DATE] at 7:08 p.m., an anonymous staff member stated respiratory supplies had been requested back in the middle of December, and said staff members A and K were notified of the need for more respiratory supplies, and they were not ordered until after [DATE].

The anonymous staff member had to leave resident #1's room to search for an Ambu bag, one was found and the staff member returned to resident #1's room and took over the code .

Staff members A and K were notified again about needed respiratory supplies.

During an interview on [DATE] at 7:22 p.m., staff member E stated When I arrived in resident #1's room there was not an Ambu bag on the crash cart, I had to leave the code to go and find one. I had to look in multiple areas and had to run to a storage room located across the building from where resident #1's room was located. I was able to locate an Ambu bag and return to resident #1's room.

During an interview on [DATE] at 9:50 a.m., staff member H stated I entered resident #1's room and . immediately started chest compressions and yelled for the crash cart.

Staff member I came with the crash cart but there was no Ambu bags or barriers, so I could provide manual breathing safely . no one knew where the crash cart was and there were no Ambu bags or respiratory supplies available on the cart.

Staff member H stated she didn't know who was responsible for checking or stocking the crash cart.

275132

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 275132 B.

Wing 01/23/2025

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

Whitefish Care and Rehabilitation 1305 E 7th St Whitefish, MT 59937

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


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