Big Sandy Medical Center Ltc is a nursing home located in Big Sandy, Montana, which has 1,030 people. We awarded this facility an A overall grade, ranking it in the top 20 percent of all nursing homes in the nation. We also want to point out that this place is based in a hospital. Typically, this means that more intensive healthcare services are available. This place also received consistently good grades in all four of our categories. Additional information about these categories can be found below.

Additional Details:

Accepts Medicare 1 : TrueA checkmark indicating true.

Accepts Medicaid 1 : 22 Beds TrueA checkmark indicating true.

CCRC : FalseUsed to indicate false.

Non profit - Corporation

Resident Council: TrueA checkmark indicating true.

Family Council: TrueA checkmark indicating true.

Medical Staff Hours Per Patient (2019)

Less:
More:
January
January 1, 2019January 2, 2019January 3, 2019January 4, 2019January 5, 2019January 6, 2019January 7, 2019January 8, 2019January 9, 2019January 10, 2019January 11, 2019January 12, 2019January 13, 2019January 14, 2019January 15, 2019January 16, 2019January 17, 2019January 18, 2019January 19, 2019January 20, 2019January 21, 2019January 22, 2019January 23, 2019January 24, 2019January 25, 2019January 26, 2019January 27, 2019January 28, 2019January 29, 2019January 30, 2019January 31, 2019
February
February 1, 2019February 2, 2019February 3, 2019February 4, 2019February 5, 2019February 6, 2019February 7, 2019February 8, 2019February 9, 2019February 10, 2019February 11, 2019February 12, 2019February 13, 2019February 14, 2019February 15, 2019February 16, 2019February 17, 2019February 18, 2019February 19, 2019February 20, 2019February 21, 2019February 22, 2019February 23, 2019February 24, 2019February 25, 2019February 26, 2019February 27, 2019February 28, 2019
March
March 1, 2019March 2, 2019March 3, 2019March 4, 2019March 5, 2019March 6, 2019March 7, 2019March 8, 2019March 9, 2019March 10, 2019March 11, 2019March 12, 2019March 13, 2019March 14, 2019March 15, 2019March 16, 2019March 17, 2019March 18, 2019March 19, 2019March 20, 2019March 21, 2019March 22, 2019March 23, 2019March 24, 2019March 25, 2019March 26, 2019March 27, 2019March 28, 2019March 29, 2019March 30, 2019March 31, 2019
April
April 1, 2019April 2, 2019April 3, 2019April 4, 2019April 5, 2019April 6, 2019April 7, 2019April 8, 2019April 9, 2019April 10, 2019April 11, 2019April 12, 2019April 13, 2019April 14, 2019April 15, 2019April 16, 2019April 17, 2019April 18, 2019April 19, 2019April 20, 2019April 21, 2019April 22, 2019April 23, 2019April 24, 2019April 25, 2019April 26, 2019April 27, 2019April 28, 2019April 29, 2019April 30, 2019
May
May 1, 2019May 2, 2019May 3, 2019May 4, 2019May 5, 2019May 6, 2019May 7, 2019May 8, 2019May 9, 2019May 10, 2019May 11, 2019May 12, 2019May 13, 2019May 14, 2019May 15, 2019May 16, 2019May 17, 2019May 18, 2019May 19, 2019May 20, 2019May 21, 2019May 22, 2019May 23, 2019May 24, 2019May 25, 2019May 26, 2019May 27, 2019May 28, 2019May 29, 2019May 30, 2019May 31, 2019
June
June 1, 2019June 2, 2019June 3, 2019June 4, 2019June 5, 2019June 6, 2019June 7, 2019June 8, 2019June 9, 2019June 10, 2019June 11, 2019June 12, 2019June 13, 2019June 14, 2019June 15, 2019June 16, 2019June 17, 2019June 18, 2019June 19, 2019June 20, 2019June 21, 2019June 22, 2019June 23, 2019June 24, 2019June 25, 2019June 26, 2019June 27, 2019June 28, 2019June 29, 2019June 30, 2019
July
July 1, 2019July 2, 2019July 3, 2019July 4, 2019July 5, 2019July 6, 2019July 7, 2019July 8, 2019July 9, 2019July 10, 2019July 11, 2019July 12, 2019July 13, 2019July 14, 2019July 15, 2019July 16, 2019July 17, 2019July 18, 2019July 19, 2019July 20, 2019July 21, 2019July 22, 2019July 23, 2019July 24, 2019July 25, 2019July 26, 2019July 27, 2019July 28, 2019July 29, 2019July 30, 2019July 31, 2019
August
August 1, 2019August 2, 2019August 3, 2019August 4, 2019August 5, 2019August 6, 2019August 7, 2019August 8, 2019August 9, 2019August 10, 2019August 11, 2019August 12, 2019August 13, 2019August 14, 2019August 15, 2019August 16, 2019August 17, 2019August 18, 2019August 19, 2019August 20, 2019August 21, 2019August 22, 2019August 23, 2019August 24, 2019August 25, 2019August 26, 2019August 27, 2019August 28, 2019August 29, 2019August 30, 2019August 31, 2019
September
September 1, 2019September 2, 2019September 3, 2019September 4, 2019September 5, 2019September 6, 2019September 7, 2019September 8, 2019September 9, 2019September 10, 2019September 11, 2019September 12, 2019September 13, 2019September 14, 2019September 15, 2019September 16, 2019September 17, 2019September 18, 2019September 19, 2019September 20, 2019September 21, 2019September 22, 2019September 23, 2019September 24, 2019September 25, 2019September 26, 2019September 27, 2019September 28, 2019September 29, 2019September 30, 2019

Facility Inspections

A
Oct 18: ANov 18: ADec 18: AJan 19: AFeb 19: AMay 19: AJun 19: AJul 19: AAug 19: ASep 19: A
Historical

With an overall grade this high, it should come as no surprise that this facility excelled in the area of inspections, where it received an A. Inspection grades are tied to pieces of information located in the a nursing home's recent inspection reports. Nursing homes that receive favorable grades in this area tend to have very few deficiencies on those reports. Most importantly, these facilities generally do not have any severe deficiencies which are associated with endangerment of patients. Fortunately, although this nursing home had some minor dings on its government inspection report, it had no severe deficiencies. Severe deficiencies are labeled as categories G through L. This tells you that CMS did not consider any of the deficiencies on this facility's report to pose an imminent threat to patient safety or health. Finally, this facility had no substantiated complaints this year from residents, which is an excellent sign.

Nurse Quality

A
Oct 18: B+Nov 18: B+Dec 18: B+Jan 19: BFeb 19: BMay 19: BJun 19: BJul 19: A-Aug 19: A-Sep 19: A-
Historical

Among its many impressive grades, this facility received an excellent nursing grade. In fact, we gave it a grade of A in that category. Nursing grades are mostly associated with a nursing home's nurse staffing. This particular nursing home provided 3.2 hours of nursing care per resident on a daily basis. At least one quarter of this care was provided by registered nurses, which are highly skilled nurses. This is a high percentage of skilled nursing care. In determining our nursing scores, we apply additional weight to hours provided by registered nurses. Finally, we also assessed certain nursing quality-based metrics in computing our nursing grades. These include minimizing residents' pressure ulcers and major falls. We view these areas as good measures of the quality of nursing care provided, since better care tends to reduce these problems.

Long-term Care Quality

A
Oct 18: A-Nov 18: B+Dec 18: B+Jan 19: A-Feb 19: A-May 19: A-Jun 19: A-Jul 19: A-Aug 19: A-Sep 19: A-
Historical

Moving on our next category, this nursing home received first-rate long-term care score. In fact, it received a grade of A in this area. Long-term care ratings in this range generally require both 24/7 care from nurses and aids, as well as quality routine healthcare services. After considering the amount of nursing care, we then analyzed the facility's vaccination records. This nursing home vaccinated 100 percent of its patients for pneumonia, which is an impressive figure. Pneumonia is often a dangerous health condition for nursing home patients so we prefer when a facility doesn't leave its residents vulnerable. Lastly, this facility was able to limit hospitalizations. It had less than one hospitalization per one thousand long-term resident days, which is an impressively low number.

Short-term Care Quality

B+
Oct 18: B+Nov 18: B+Dec 18: B+Jan 19: BFeb 19: BMay 19: B+Jun 19: B+Jul 19: B+Aug 19: B+Sep 19: B+
Historical

In the final category we analyzed, this facility was given a very favorable grade of B+ in our short-term care category. With this grade, the facility completed an elite profile. Short-term care grades are based in part on a nursing home's quantity of skilled highly skilled professionals. This means a wide spectrum of services, spanning from registered nurses to physical and occupational therapists, in addition to other types of therapy. When we assessed this facility's nursing hours, we found it offered substantially more care from registered nurses than most nursing homes. The final datapoint we assessed in this category is the percentage of residents that who were able to eventually return home from the facility. We found that 0 percent of this nursing home's residents returned home as opposed to remaining at the facility on a permanent basis.

Overall Rating Over Time

Compared to national and state averages across all facilities.

Aug 20
Provider:
NA
State:
B
National:
B
FDCB-BB+A-AA+Oct 18Nov 18Dec 18Jan 19Feb 19Mar 19Apr 19May 19Jun 19Jul 19Aug 19Sep 19Oct 19Dec 19Jan 20Mar 20Apr 20May 20Jun 20Jul 20Aug 20
Overall Rating
Nurse Rating
Long-Term Rating
Short-Term Rating
Inspection Rating

Big Sandy Medical Center Ltc Quality Metrics

Minimizes Pressure Ulcers

This is the percentage of residents who have had a pressure ulcer. Pressure ulcers are considered to be an indicator of nursing care at a nursing home. Pressure ulcers, also referred to as bed sores, are routinely the result of patients staying in one position for too long.

Provider
B-
8%
State
B+
5.87%
National
B
7.32%

Percent of Patients with Pressure Ulcers
Lower is Better

Minimizes Serious Falls

This is the percentage of patients that have had a major fall. Falls resulting in major injuries are often linked to poor nursing care. More supervision can minimize the number of major falls sustained by residents in a nursing home.

Provider
A+
0%
State
B-
4.82%
National
B
3.36%

Percent of Patients with Serious Falls
Lower is Better

Minimizes Urinary Tract Infections

This tells you the percent of patients who suffered from a urinary tract infection. UTI's are considered to be an indicator of the quality of nursing care . UTI's are routinely linked to a facility with worst hygiene practices. However, this metric could be skewed for certain nursing homes due to inconsistent reporting standards for infections.

Provider
F
10.71%
State
B
3.34%
National
B
2.65%

Percent of Patients with UTIs
Lower is Better

Appropriately Uses Anti-Psychotic Medication

This is the percentage of residents prescribed antipsychotic medications. These medications are sometimes used to treat several medical conditions, including Alzheimer's or other dementias.

Provider
D
23.08%
State
B+
12.58%
National
B
14.18%

Percent of Patients
Lower is Better

Appropriately Uses Anti-Anxiety Medication

This metric tells you the percentage of long-term stay residents receiving antianxiety medications.

Provider
B-
23.21%
State
B+
15.09%
National
B
19.68%

Percent of Patients
Lower is Better

Managing Depression Among Residents

This is the percent of residents who are exhibiting depressive symptoms. Higher levels of depression could indicate worse patient care.

Provider
D
14.55%
State
B-
5.1%
National
B+
5.07%

Percent of Patients
Lower is Better

Appropriate Vaccine Usage

This is the percentage of residents that were given the flu and pneumonia vaccines. Higher vaccination rates should be the norm at this point.

Provider
A
100%
State
B
94.12%
National
B
92.05%

Percent of Patients
Higher is Better

Residents Maintain Autonomy

Measures the percent of long-term stay residents who needed increased assistance with activities of daily living over time. ADL's include activities such as dressing and taking a bath. Many in the industry believe that this is a reliable measure of a patient's well-being.

Provider
B+
13.46%
State
B
16.08%
National
B
14.45%

Percentage of Patients
Lower is Better

Ability to Keep Residents Mobile

This is the percent of residents that remained mobile levels over time. Retaining mobility is often a good sign for residents' well-being.

Provider
D
9.47%
State
B
16.55%
National
B
17.08%

Percentage of Residents
Higher is Better

Short-term Care: Rehospitalizations

This datapoint measures the number of times residents are rehospitalized per 1,000 days of short-term patient care. Avoiding rehospitalizations during rehabilitation is key to restoring the physical well-being of residents.

Provider
A
9.47
State
B
16.55
National
B
17.08

Percentage of Residents Rehospitalized
Lower is Better

Nearby Hospitals

Big Sandy Medical Center 0.03 mi
166 Montana Ave E Big Sandy Montana 59520
(406) 378-2188
Critical Access Hospitals
Voluntary non-profit - Private