D+
54/100

IVY AT DEER LODGE Inspection Report, Violations & Safety Grade (DEER LODGE, Montana)

1100 TEXAS AVE, DEER LODGE, Montana 59722

Phone: 4068461655

CMS Overall:1/5

Overview & Bed Count

Certified Beds
60
Avg Residents/Day
38.7
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
County
Powell
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall1/5
Health1/5
Staffing4/5
Quality3/5

Nurse Staffing Check

MetricThis FacilityMontana AvgDifference
RN Hours per Resident per Day0.540.92-0.38
Total Nurse Hours per Resident per Day3.494.02-0.53
CMS Staffing Rating4/53.5/5-
Nursing Staff Turnover56.3%54.6%-

Health Citation History

33 health citations on record

DateCategoryDescriptionSeverity
2025-12-03Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G – Actual Harm
2025-12-03Quality of Life and Care DeficienciesProvide medically-related social services to help each resident achieve the highest possible quality of life.G – Actual Harm
2025-12-03Infection Control DeficienciesProvide and implement an infection prevention and control program.F – Moderate Harm Potential
2025-12-03Resident Rights DeficienciesAllow residents to self-administer drugs if determined clinically appropriate.D – Moderate Harm Potential
2025-12-03Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D – Moderate Harm Potential
2025-12-03Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.D – Moderate Harm Potential
2024-11-25Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.K – Immediate Jeopardy
2024-11-25Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.J – Immediate Jeopardy
2024-11-25Quality of Life and Care DeficienciesProvide safe, appropriate pain management for a resident who requires such services.J – Immediate Jeopardy
2024-10-10Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2024-10-10Pharmacy Service DeficienciesEnsure 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.E – Moderate Harm Potential
2024-10-10Resident Rights DeficienciesProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D – Moderate Harm Potential
2024-10-10Resident Rights DeficienciesHonor the resident's right to organize and participate in resident/family groups in the facility.B – Minimal Harm Potential
2024-10-10Resident Rights DeficienciesNotify 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.B – Minimal Harm Potential
2024-09-19Resident Rights DeficienciesHonor the resident's right to choose his or her attending physician.E – Moderate Harm Potential
2024-09-19Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.E – Moderate Harm Potential
2024-09-19Resident Rights DeficienciesHonor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.D – Moderate Harm Potential
2024-09-19Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2024-09-19Administration DeficienciesArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.D – Moderate Harm Potential
2024-07-17Resident Rights DeficienciesGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.E – Moderate Harm Potential
2024-07-17Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.E – Moderate Harm Potential
2024-07-17Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.E – Moderate Harm Potential
2024-07-17Nursing and Physician Services DeficienciesEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.E – Moderate Harm Potential
2023-11-08Nutrition and Dietary DeficienciesEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.F – Moderate Harm Potential
2023-11-08Administration DeficienciesSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.F – Moderate Harm Potential
2023-11-08Resident Rights DeficienciesHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.E – Moderate Harm Potential
2023-11-08Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.E – Moderate Harm Potential
2023-11-08Resident Assessment and Care Planning DeficienciesPlan the resident's discharge to meet the resident's goals and needs.E – Moderate Harm Potential
2023-11-08Nutrition and Dietary DeficienciesEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.E – Moderate Harm Potential
2023-11-08Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2023-11-08Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.D – Moderate Harm Potential
2023-11-08Resident Rights DeficienciesGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.B – Minimal Harm Potential
2023-11-08Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.B – Minimal Harm Potential

Fire Safety Citation History

23 fire safety citations on record

DateCategoryDescriptionSeverity
2025-12-03Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2025-12-03Gas, Vacuum, and Electrical Systems DeficienciesEnsure that testing and maintenance of electrical equipment is performed.F – Moderate Harm Potential
2025-12-03Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.D – Moderate Harm Potential
2025-12-03Smoke DeficienciesInstall an approved automatic sprinkler system.D – Moderate Harm Potential
2024-10-10Emergency Preparedness DeficienciesDevelop and maintain an Emergency Preparedness Program (EP).F – Moderate Harm Potential
2024-10-10Emergency Preparedness DeficienciesCreate arrangements with other facilities to receive patients.F – Moderate Harm Potential
2024-10-10Emergency Preparedness DeficienciesEstablish staff and initial training requirements.F – Moderate Harm Potential
2024-10-10Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2024-10-10Egress DeficienciesAdd 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.E – Moderate Harm Potential
2024-10-10Gas, Vacuum, and Electrical Systems DeficienciesMeet requirements for the installation and maintenance of electrical systems.E – Moderate Harm Potential
2024-10-10Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.D – Moderate Harm Potential
2024-05-09Gas, Vacuum, and Electrical Systems DeficienciesHave a battery powered remote alarm panel in a location accessible by operating personnel.F – Moderate Harm Potential
2023-11-08Emergency Preparedness DeficienciesAddress subsistence needs for staff and patients.F – Moderate Harm Potential
2023-11-08Emergency Preparedness DeficienciesEstablish emergency prep training and testing.F – Moderate Harm Potential
2023-11-08Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2023-11-08Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2023-11-08Gas, Vacuum, and Electrical Systems DeficienciesHave a battery powered remote alarm panel in a location accessible by operating personnel.F – Moderate Harm Potential
2023-11-08Gas, Vacuum, and Electrical Systems DeficienciesMeet requirements for the use of electrical equipment.F – Moderate Harm Potential
2023-11-08Gas, Vacuum, and Electrical Systems DeficienciesEnsure that testing and maintenance of electrical equipment is performed.F – Moderate Harm Potential
2023-11-08Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.E – Moderate Harm Potential
2023-11-08Egress DeficienciesAdd 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.E – Moderate Harm Potential
2023-11-08Egress DeficienciesProvide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.E – Moderate Harm Potential
2023-11-08Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.E – Moderate Harm Potential

Total Penalties & Fines

$93,969
Total Fine Amount (CMS)
2
Number of Fines
2
Total Penalties
DateTypeFine AmountPayment Denial
2025-12-03Fine$17,345-
2024-11-25Fine$76,624-

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