Bella Terra of Billings is a large facility in Billings, Montana. This nursing home received an overall score of F. Based on our assessment, you'd be better off to avoid of this facility. We would not blame you if you are ready to stop reading and find another facility. However, if you want to learn more about this nursing home's category grades, we will discuss nursing in the next paragraph.
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Bella Terra of Billings
- Nursing Home
Updated Apr 1, 2023 by Nick Reese
Note: Bella Terra of Billings has been flagged for abuse in the past 12 months. We have capped this facility's overall grade accordingly.
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- Accepts Medicare 1
- Accepts Medicaid 1
- No CCRC
- Has Resident Council
- No Family Council
- For profit - Corporation
- Offers Inpatient Rehab
- Medical Transportation
- Speech Therapy
- Stroke Recovery
- Occupational Therapy
- Cardiac Therapy
- Physical Therapy
- Respiratory Therapy
- Nutritional Counseling
- Pain Management
- Oncology Care
- Orthopedic Rehabilitation
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Registered Staff Hours
While we gave this facility a terrible overall score, we awarded it a B- for our nursing rating. Our nursing rating features a number of factors. The most heavily weighted one is the amount of time nurses spend with residents. This nursing home provides 0.4 hours of nursing care per resident per day. This is a much lower figure than we are used to seeing. Lastly, we also assessed several nursing quality-based metrics. Although this facility got docked a bit for its nursing hours per resident, it actually excelled in some of these quality-based metrics. With fewer than five percent of its patients experiencing pressure ulcers, it performed well in this area. This is typically an indicator of quality nursing care. Pressure ulcers can generally be prevented by providing better nursing care, such as employing a protocol of moving a resident even once per day.
Short-term Care Quality
We were also pleasantly surprised to find that this facility received a decent short-term care rating in our assessment. We gave it a B- in that area. In calculating our short-term care scores, we assess the nursing home's skilled nursing services, such as those performed by registered nurses, respiratory therapists, physical therapists and other types of skilled professionals. The objective is to create a scale for comparing the rehabilitation services of different nursing homes. In this place's case, we were surprised to learn that it actually provides less physical therapist and registered nurse hours per resident than the typical facility. The final statistic we assessed in this area is the number of residents that eventually returned home from the facility. We found that just 5.3 percent of this facility's patients returned home.
Does this page answer your questions about Bella Terra of Billings?
We wanted to draw your attention to this facility's inspection score where it received an F. This usually means we found some red flags on the government inspections. For places that received this bad of an inspection score, we would scrutinize any severe deficiencies on its inspection report. This particular nursing home was assessed 8 deficiencies by CMS. The only positive thing we found is that none of these deficiencies were in the categories that suggest they posed a threat to resident health or safety. Finally, CMS cited this nursing home for possible abuse or neglect. Hopefully, its performance improves in the future, but until then we simply can't recommend this facility.
Long-term Care Quality
The final area we assessed is long-term care, in which this nursing home received a rock bottom grade in this category also. Unfortunately, we gave it a lowly F for this area, which is obviously a major concern. In a long-term care environment, the facility's primary objective is to keep patients healthy and safe. This is different than skilled nursing or short-term care where the goal is to rehabilitate residents. On top of looking at the quantity of care provided by nurses and other staff, we analyzed the number of residents vaccinated against pneumonia. This facility provided the vaccine to 97.01493 percent of its residents, which is more than the average nursing home. To our surprise, this nursing home also keeps its residents out of the hospital. In fact, it had only 0.02 hospitalizations per 1,000 long-term resident days. Unfortunately, some of its other scores in this category weren't as favorable as these.
Rating Over Time
Compared to national and state averages across all facilities.
Bella Terra of Billings Quality Metrics
Minimizes Pressure Ulcers
In Bella Terra of Billings, 8.97% of Patients had Pressure Ulcers
This indicates the percent of patients that have had a pressure ulcer. Pressure ulcers, also known as bed sores, are often the result of residents not being moved frequently enough. Better nursing care reduces the number of pressure ulcers sustained by residents in a nursing home.
Minimizes Serious Falls
In Bella Terra of Billings, 4.88% of Patients had Serious Falls
This is the percent of patients that sustained a major fall. Falls leading to major injuries are routinely caused by lower quality nursing care. Better nursing protocols reduces the number of major falls sustained by residents in a nursing home.
Minimizes Urinary Tract Infections
In Bella Terra of Billings, 2.93% of Patients had UTIs
This statistic indicates the percent of long-term stay patients which have sustained UTI's. While more of these infections may reflect poorly on a nursing home's cleanliness, it is difficult to compare different facilities due to nursing homes having differing reporting standards.
Appropriately Uses Anti-Psychotic Medication
In Bella Terra of Billings, 16.56% of Patients use Anti-Psychotic Medication
This statistic gauges the percent of long-term residents receiving antipsychotic medications. While antipsychotic drugs play an important role in caring for many residents, it is important to make sure these medications are being used appropriately. In some situations, increased usage of these drugs may suggest that a facility is using these medications to control patient behavior.
Appropriately Uses Anti-Anxiety Medication
In Bella Terra of Billings, 14.4% of Patients use Anti-Anxiety Medication
This datapoint is an indication of the percentage of long-term stay patients who were administered antianxiety medication. These drugs are generally prescribed to patients suffering from anxiety and depression.
Managing Depression Among Residents
In Bella Terra of Billings, 4.23% of Patients
This is the percentage of residents who are showing signs of depression. High levels of depression may be a sign a lower level of care.
Appropriate Vaccine Usage
In Bella Terra of Billings, 92.91% of Patients
This is the percentage of residents who have received the flu and pneumonia vaccines. High vaccination rates should be demanded by residents.
Residents Maintain Autonomy
In Bella Terra of Billings, 15.58% Percentage of Patients
This metric is a measure of the percentage of long-term care patients that required more assistance with activities of daily living over time. Activities of daily living include activities such as dressing and continence.
Ability to Keep Residents Mobile
In Bella Terra of Billings, 15.72% Percentage of Residents
This is a measure of the percent of long-term care patients who were able to retain mobility. Some experts argue that mobility is vital to residents' physical and mental well-being.
In Bella Terra of Billings, 1.26 Hospitalizations per 1,000 resident days
This tells you the number of hospitalizations per thousand days of care. There is generally a correlation between reduced hospitalizations and the quality of long-term care.
Short-term Care: Rehospitalizations
In Bella Terra of Billings, 15.72 Percentage of Residents Rehospitalized
This tells you the number of times residents are rehospitalized per 1,000 days of short-term patient care. There is typically a correlation between reduced hospitalizations and the quality of rehabilitation services.
Short-term Care: ER Visits
In Bella Terra of Billings, 12.39 Percentage of Patients
This tells you the number of times residents are sent to the emergency room per 1,000 days of short-term patient care.
Short-term Care: Facilitates Functional Improvement
In Bella Terra of Billings, 77.87% Percentage of Resident
This is the percentage of short-term patients that saw functional improvements, such as enhanced ability to perform activities of daily living. High levels of performance with ADL's often correlates with superior rehabilitation.