Mountrail Bethel Home

In the surveyor’s words

From the most serious findings on record at Mountrail Bethel Home, in the surveyor’s own words.

• Immediate jeopardy, widespreadF725Dec 8, 2022

  Based on review of the Payroll Based Journal (PBJ) Staffing Data Report, information from the complainant, review of nurse staffing schedules, and staff interview, the facility failed to provide the services of a licensed nurse for 24 hours a day, seven days a week, on 48 of 168 days of nursing schedules ([DATE]-[DATE]) reviewed. Failure to schedule a nurse 24 hours a day may result in inefficient or lack of coordination of care/services, limited ability to promptly respond to residents' needs or administrative concerns, and could lead to confusion and/or an adverse outcome in an emergency; therefore, endangering residents' health, safety and well-being. […]

• Actual harm, isolatedF684Dec 8, 2022

  [CONDITION(S)] TREATMENT 1. Based on record review, review of facility policy, and staff interview, the facility failed to provide care in accordance with professional standards for 1 of 2 sampled residents (Resident #23) with a urinary tract infection ([CONDITION(S)]). Failure to promptly treat a resident's urinary tract infection caused pain, discomfort, need for further treatments, and the potential for a serious bloodstream infection. Findings include: A review of the facility's Suspected [CONDITION(S)] Protocol Form occurred on 12/08/22. This protocol, revised 09/30/2020, stated, . […]

• No harm, potential for more than minimal, patternF947Mar 5, 2026

  Based on review of the facility assessment, review of the new employee checklist, review of the certified nurse aide (CNA) orientation packet, and staff interview, the facility failed to provide the required CNA training for dementia management. Failure to provide dementia management training limits the CNA's ability to effectively care for residents with dementia and promote the residents' highest level of functioning. Findings include:Review of the most recent facility assessment occurred on all days of the survey and stated, . the facility is licensed for 36 LTC [long term care] beds with 15 of those residents diagnosed with cognition issues . Dementia . Review of the facility checklist for new employees and the CNA orientation packet lacked evidence of dementia management training. […]

• No harm, potential for more than minimal, patternF949Mar 5, 2026

  Based on review of the facility assessment, review of the facility training/education documents, and staff interview the facility failed to provide the required behavioral health training to include care specific to the individual needs of residents diagnosed with dementia. Failure to provide behavioral health training limits the staffs' ability to effectively care for residents with behaviors and promote the residents' highest practicable level of functioning.Findings include:Review of the most recent facility assessment occurred on all days of the survey and stated, . the facility is licensed for 36 LTC [long term care] beds with 15 of those residents diagnosed with cognition issues . Dementia . […]

• No harm, potential for more than minimal, patternF880Dec 4, 2024

  Based on observation, review of facility policy, and staff interview, the facility failed to follow standards of infection control and prevention for 5 of 12 sampled residents (Resident #8, #10, #17, #19, and #25) observed during cares. Failure to practice infection control standards related to hand hygiene, catheter care, equipment disinfection, and enhanced barrier precautions (EBP) has the potential to spread infection throughout the facility. Findings include: Review of the facility policy titled Hand Hygiene Policy occurred on 12/04/24. This policy, dated December 2020, stated, . All staff will perform proper hand hygiene procedures to prevent the spread of infection to other personnel, residents, and visitors . The use of gloves does not replace hand hygiene. […]