Anaconda, MT

Community Nursing Home Of Anaconda

3-star overall rating with 4-star inspections with $24,131 in total fines with 5 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle

615 Main St, Anaconda, MT

(406) 563-8414

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

62

Certified beds

Average residents

17

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1977-06-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Hospital-based

Yes

CMS reports the provider resides in a hospital

Staffing

Hours and turnover

RN hours / resident day

0.00

Registered nurse staffing

LPN hours / resident day

0.00

Licensed practical nurse staffing

Aide hours / resident day

0.00

Nurse aide staffing

Total nurse hours

0.00

All reported nurse hours

Licensed hours

0.00

RN + LPN hours

Weekend hours

0.00

Weekend nurse staffing

Weekend RN hours

0.00

Weekend registered nurse coverage

Physical therapist

0.00

Reported PT staffing

Adjusted RN hours

0.00

CMS adjusted RN staffing hours

Adjusted total hours

0.00

CMS adjusted total nurse staffing hours

Case-mix index

0.00

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

0%

Annual nurse turnover

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission Not Available
10.72%
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure.
Discharge to community Not Available
50.57%
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure.
Medicare spending per beneficiary Not Available
1.02
No data were submitted for this measure.
Drug regimen review with follow-up Not Available
95.27%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Falls with major injury Not Available
0.77%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Pressure ulcers or injuries, new or worsened Not Available
2.29%
Numerator Not Available · Denominator Not Available · Adjusted rate Not Available · No data were submitted for this measure.
Healthcare-associated infections requiring hospitalization Not Available
7.12%
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure.
Staff COVID-19 vaccination coverage 3.33%
8.2%
4.9 pts worse
Numerator 2 · Denominator 60
Staff flu vaccination coverage 66.67%
42%
24.7 pts better
Numerator 24 · Denominator 36
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 90.3%
94.4%
4.1 pts worse
93.4%
3.1 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 90.3%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 95.2%
93.7%
1.5 pts better
95.5%
0.3 pts worse
Long Stay · 2024Q3-2025Q2 · 4Q avg 95.2%
Percentage of long-stay residents experiencing one or more falls with major injury 4.2%
4.2%
About the same
3.3%
0.9 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 4.2% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 0.0%
4.7%
4.7 pts better
11.4%
11.4 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0%
Percentage of long-stay residents who lose too much weight 1.6%
5.9%
4.3 pts better
5.4%
3.8 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 1.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 7.8%
17.4%
9.6 pts better
19.6%
11.8 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 7.8%
Percentage of long-stay residents who received an antipsychotic medication 14.3%
20.6%
6.3 pts better
16.7%
2.4 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 14.3% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.0%
0.4%
0.4 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 19.0%
19.7%
0.7 pts better
16.3%
2.7 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 19.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 19.6%
19.8%
0.2 pts better
14.9%
4.7 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 19.6% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 5.4%
2.6%
2.8 pts worse
1.0%
4.4 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 5.4% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 0.0%
2.9%
2.9 pts better
1.7%
1.7 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 33.5%
25.4%
8.1 pts worse
19.8%
13.7 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 33.5%
Percentage of long-stay residents with pressure ulcers 9.2%
6.4%
2.8 pts worse
5.1%
4.1 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 9.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-08-28 · Fire 2024-08-28

5 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

8 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 2 Health 2023-08-30 · Fire 2023-08-30

8 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

5 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 3 Health 2022-08-17 · Fire 2022-08-17

9 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

10 fire-safety deficiencies

Top issue: Emergency Preparedness (4 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-08-28

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-10-19

F · Potential for more than minimal harm 2024-08-28

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-10-19

E · Potential for more than minimal harm 2024-08-28

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2024-10-19

D · Potential for more than minimal harm 2024-08-28

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-10-19

D · Potential for more than minimal harm 2024-08-28

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-10-19

D · Potential for more than minimal harm 2024-08-28

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-10-19

D · Potential for more than minimal harm 2024-08-28

K754 · Miscellaneous Deficiencies

Fire Safety

Provide properly sized and located linen or trash receptacles.

Corrected 2024-10-19

D · Potential for more than minimal harm 2024-08-28

K912 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have power receptacles that are properly grounded.

Corrected 2024-10-19

F · Potential for more than minimal harm 2023-08-30

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-11-08

F · Potential for more than minimal harm 2023-08-30

K916 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have a battery powered remote alarm panel in a location accessible by operating personnel.

Corrected 2023-11-08

E · Potential for more than minimal harm 2023-08-30

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2023-11-08

D · Potential for more than minimal harm 2023-08-30

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2023-11-08

D · Potential for more than minimal harm 2023-08-30

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-11-08

F · Potential for more than minimal harm 2022-08-17

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2022-10-13

F · Potential for more than minimal harm 2022-08-17

E24 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures for volunteers.

Corrected 2022-10-13

F · Potential for more than minimal harm 2022-08-17

E26 · Emergency Preparedness Deficiencies

Fire Safety

Establish roles under a Waiver declared by secretary.

Corrected 2022-10-13

F · Potential for more than minimal harm 2022-08-17

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2022-10-13

F · Potential for more than minimal harm 2022-08-17

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2022-10-13

F · Potential for more than minimal harm 2022-08-17

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2022-10-13

F · Potential for more than minimal harm 2022-08-17

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2022-10-13

F · Potential for more than minimal harm 2022-08-17

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2022-10-13

F · Potential for more than minimal harm 2022-08-17

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-10-13

F · Potential for more than minimal harm 2022-08-17

K916 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have a battery powered remote alarm panel in a location accessible by operating personnel.

Corrected 2022-10-13

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-11-17

F730 · Nursing and Physician Services Deficiencies

Health

Observe each nurse aide's job performance and give regular training.

Corrected 2025-12-12

E · Potential for more than minimal harm 2024-08-28

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-10-10

E · Potential for more than minimal harm 2024-08-28

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2024-10-10

D · Potential for more than minimal harm 2024-08-28

F550 · Resident Rights Deficiencies

Health

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

Corrected 2024-10-10

D · Potential for more than minimal harm 2024-08-28

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-10-10

E · Potential for more than minimal harm 2023-08-30

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2023-10-10

D · Potential for more than minimal harm 2023-08-30

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2023-10-10

D · Potential for more than minimal harm 2023-08-30

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2023-10-10

D · Potential for more than minimal harm 2023-08-30

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-10-10

D · Potential for more than minimal harm 2023-08-30

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-10-10

D · Potential for more than minimal harm 2023-08-30

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-10-10

D · Potential for more than minimal harm 2023-08-30

F758 · Pharmacy Service Deficiencies

Health

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 2023-10-10

D · Potential for more than minimal harm 2023-08-30

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2023-10-10

G · Actual harm 2023-03-28

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-05-12

G · Actual harm 2022-08-17

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-10-01

E · Potential for more than minimal harm 2022-08-17

F638 · Resident Assessment and Care Planning Deficiencies

Health

Assure that each resident’s assessment is updated at least once every 3 months.

Corrected 2022-10-01

E · Potential for more than minimal harm 2022-08-17

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-10-01

D · Potential for more than minimal harm 2022-08-17

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2022-10-01

D · Potential for more than minimal harm 2022-08-17

F637 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident when there is a significant change in condition

Corrected 2022-10-01

D · Potential for more than minimal harm 2022-08-17

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2022-10-01

D · Potential for more than minimal harm 2022-08-17

F744 · Quality of Life and Care Deficiencies

Health

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Corrected 2022-10-01

D · Potential for more than minimal harm 2022-08-17

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-10-01

Penalties and ownership

What sits behind the stars

$24,131 2023-03-28

Fine

Fine · fine $24,131

Fine

Ownership

Aspholm, Audrey

Corporate Director · Individual

0% 1 facilities 2018-01-01
Bartoletti, Lee

Corporate Director · Individual

0% 1 facilities 2005-01-01
Blaz, Stan

Corporate Director · Individual

0% 1 facilities 1999-09-01
Community Hospital Of Anaconda

Operational/Managerial Control · Organization

0% 1 facilities 1969-01-01
Connors, Christine

Corporate Director · Individual

0% 1 facilities 2018-01-01
Denham, Stephanie

Corporate Officer · Individual

0% 1 facilities 2021-10-04
Forsberg, Andrea

Operational/Managerial Control · Individual

0% 1 facilities 2023-03-01
Hickey Boynton, Margaret

Corporate Officer · Individual

0% 1 facilities 2005-03-01
Mckay, Kristy

Corporate Director · Individual

0% 1 facilities 2018-01-01
Pafford, Roger

Operational/Managerial Control · Individual

0% 1 facilities 2019-01-01

Nearby options

Other facilities in reach

#1

Ivy At Deer Lodge

Deer Lodge, MT

1-star overall rating with 1-star inspections with $112,620 in total fines with 6 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

Overall
1 / 5
Health
1 / 5
Staffing
2 / 5
Fines
$112,620
#2

Copper Ridge Health And Rehabilitation Center

Butte, MT

4-star overall rating with 4-star inspections with $19,464 in total fines with 4 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

Overall
4 / 5
Health
4 / 5
Staffing
3 / 5
Fines
$19,464
#3

Continental Care And Rehabilitation

Butte, MT

4-star overall rating with 3-star inspections with $59,589 in total fines with 9 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle

Overall
4 / 5
Health
3 / 5
Staffing
3 / 5
Fines
$59,589

Jump out

Supporting pages