Missoula Health & Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Missoula Health & Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Mar 26, 2026

  Based on observation, interview, and record review, the facility failed to maintain sanitary conditions in the kitchen by ensuring staff with facial hair wore beard coverings while working in the kitchen. The deficient practice had the potential to affect all residents who received food prepared in the facility's kitchen by increasing the risk of hair contamination in the food. Findings include:During an observation on 3/23/26 at 1:56 p.m., staff member L was observed with facial hair and was not wearing a beard cover while working in the kitchen.During an interview and observation on 3/25/26 at 11:51 a.m., staff member M was observed working in the kitchen with facial hair and was not wearing a beard cover. […]

• No harm, potential for more than minimal, widespreadF761Feb 15, 2024

  Based on observations, interviews, and record review, the facility failed to remove expired items for disposal for one medication room and two medication carts; and properly store food items used for medication administration, keeping it off the floor, in one medication room. These failures increased the risk of expired items being or food being used, when stored unsafely, for resident care, if taken from the identified medication room and carts. Findings include: 1. During an observation on 2/13/24 at 10:43 a.m., with staff member B, in the medication room, the following items were found: - One case of Prostat packets, on the floor. - One case of individual serving, vanilla pudding cups, on the floor. - One case of individual applesauce cups, on the floor. 2. […]

• No harm, potential for more than minimal, patternF761Mar 26, 2026

  Based on observation, interview, and record review, the facility failed to ensure temperatures were monitored daily by staff for a refrigerator that contained stored medications and vaccines. This failure placed residents who had or used refrigerated medications and vaccines at risk for experiencing adverse effects. Findings include: During an observation and interview on 3/26/26 at 8:51 a.m., staff member Q stated the two refrigerators in the provider office were used to store medications and supplements. Staff member Q stated the night shift nurse was supposed to check the refrigerator temperatures during their shift. Staff member Q stated he could see some temperatures were missing from the log sheets with daily temperature monitoring displayed on both refrigerators. […]

• No harm, potential for more than minimal, patternF584Feb 13, 2025

  Based on observation, interview, and record review, the facility failed to maintain a comfortable temperature for 5 (#s 1, 9, 20, 26, and 89) of 14 sampled residents throughout the facility; and failed to repair the sheet metal covering on a base board heater in a community area. This deficient practice had the potential to cause cold induced stress, and injure a resident ambulating in the affected area. Findings include: 1. During an observation on 2/12/25 at 3:50 p.m., the base board heater at the end of the North Hall, by the nurses' station, had sheet metal that was detached, and a sharp edge was protruding out on both ends of the heater. […]

• No harm, potential for more than minimal, patternF675Feb 13, 2025

  Based on interview and record review, the facility failed to honor a resident's activity preference for going outside when the weather was comfortable, for 2 (#s 9 and 24) of 14 sampled residents. This deficient practice increased the risk of the resident's of a decline in mood or well-being. Findings include: During an interview on 2/11/25 at 8:22 a.m., NF1 stated she had asked facility staff shortly after resident #24 was admitted to the facility, when would she be able to go outside, and was told resident #24 could go out with the smokers. The smokers went outside five times a day. NF1 further stated the residents could go months and months without going outside. […]