Awe Kualawaache Care Center

Non profit - Other · 10131 S Heritage Rd, Crow Agency, MT 59022 · See home’s Medicare page

3.89

Nurse hours/resident/day

Reported total nurse staffing hours per resident per day.

State Average: 3.9

82.9%

Nurse turnover

The percentage of nursing staff who stopped working at the home over a 12-month period.

State Average: 61.2%

Certified beds

Qualifying beds in the certified provider or supplier facility.

Average residents/day

Average number of residents based on daily census.

Direct owners are the layer of ownership closest to the nursing home while indirect owners have a stake in the nursing home but are further removed, like a company that owns the direct owner of a home. All owners listed below are people or companies who have at least a 5% stake in the nursing home. Entities with “managerial control” are those who conduct the day-to-day operations of the nursing home.

Direct owners

Crow Tribe Of Indians (100%)

Indirect owners

No indirect owner information

Managerial control

Health Management Services, Llc since Mar, 2010

Managing employee(s)

Paul Little Light since May, 2015

Inspection Reports

total deficiencies

infection-related deficiency

Inspection reports document deficiencies, which are nursing homes’ failures to meet care requirements. The Centers for Medicare and Medicaid Services releases the last three standard inspection reports, as well as the last 36 months of complaint and infection-control reports.

Jul 30, 2024

Complaint report

5 deficiencies

to E

Full report

Administration Deficiency — F0838

Failure to: Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Some people affected

Seriousness

Administration Deficiency — F0949

Failure to: Provide behavior health training consistent with the requirements and as determined by a facility assessment.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Some people affected

Seriousness

Freedom from Abuse, Neglect, and Exploitation Deficiency — F0600

Failure to: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Quality of Life and Care Deficiency — F0740

Failure to: Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Pharmacy Service Deficiency — F0758

Failure to: 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.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Apr 25, 2024

Standard report

3 deficiencies

to D

Full report

Resident Assessment and Care Planning Deficiency — F0657

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

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Nursing and Physician Services Deficiency — F0726

Failure to: Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Administration Deficiency — F0851

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

Severity

No actual harm, with potential for minimal harm

Scope

Some people affected

Seriousness

Apr 27, 2023

Standard report

5 deficiencies

to F

Full report

Nursing and Physician Services Deficiency — F0727

Failure to: Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Many people affected

Seriousness

Quality of Life and Care Deficiency — F0678

Failure to: Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident's advance directives.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Some people affected

Seriousness

Resident Assessment and Care Planning Deficiency — F0641

Failure to: Ensure each resident receives an accurate assessment.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Quality of Life and Care Deficiency — F0689

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

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Resident Assessment and Care Planning Deficiency — F0842

Failure to: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Apr 28, 2022

Complaint report

2 deficiencies

$113,482 Fine

1 Payment Suspension

Full report

Freedom from Abuse, Neglect, and Exploitation Deficiency — F0600

Failure to: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Freedom from Abuse, Neglect, and Exploitation Deficiency — F0610

Failure to: Respond appropriately to all alleged violations.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Apr 28, 2022

Standard report

15 deficiencies

$113,482 Fine

1 Payment Suspension

to J

Full report

Quality of Life and Care Deficiency — F0692

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

Severity

Immediate jeopardy to resident health or safety

Scope

Few people affected

Seriousness

Nutrition and Dietary Deficiency — F0801

Failure to: Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Many people affected

Seriousness

Nutrition and Dietary Deficiency — F0803

Failure to: Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Many people affected

Seriousness

Administration Deficiency — F0867

Failure to: Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Many people affected

Seriousness

Infection Control Deficiency — F0880

Failure to: Provide and implement an infection prevention and control program.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Many people affected

Seriousness

Resident Assessment and Care Planning Deficiency — F0641

Failure to: Ensure each resident receives an accurate assessment.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Some people affected

Seriousness

Resident Assessment and Care Planning Deficiency — F0657

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

Severity

No actual harm, with a potential for more than minimal harm

Scope

Some people affected

Seriousness

Resident Rights Deficiency — F0623

Failure to: Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Resident Rights Deficiency — F0625

Failure to: Notify the resident or the resident's representative in writing how long the nursing home will hold the resident's bed in cases of transfer to a hospital or therapeutic leave.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Resident Assessment and Care Planning Deficiency — F0645

Failure to: PASARR screening for Mental disorders or Intellectual Disabilities

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Quality of Life and Care Deficiency — F0676

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

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Quality of Life and Care Deficiency — F0689

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

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Nursing and Physician Services Deficiency — F0711

Failure to: Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Pharmacy Service Deficiency — F0756

Failure to: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Administration Deficiency — F0838

Failure to: Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Dec 22, 2021

Complaint report

4 deficiencies

to F

Full report

Administration Deficiency — F0835

Failure to: Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Many people affected

Seriousness

Freedom from Abuse, Neglect, and Exploitation Deficiency — F0609

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

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Freedom from Abuse, Neglect, and Exploitation Deficiency — F0610

Failure to: Respond appropriately to all alleged violations.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Nursing and Physician Services Deficiency — F0725

Failure to: Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Penalties

$173K

total fines

payment suspension

A nursing home receives a penalty, either a fine or payment suspensions, when it has a serious health citation or fails to fix a citation. Fines may be imposed once per citation or regularly until the nursing home corrects the citation. Fines not associated with inspection reports can include fines for not reporting COVID-19 data or not complying with infection-control requirements. Payment suspensions are when the government stops payments to the nursing home until an issue is fixed. The Centers for Medicare and Medicaid Services releases the last three years of penalty information.

Apr 28, 2022

$113,482 fine

1 Payment Suspension