SWEET MEMORIAL NURSING HOME
SWEET MEMORIAL NURSING HOME is a 42-bed nursing home in CHINOOK, Montana. CMS has certified it for Medicare and Medicaid since 1989-09-01. It averages 36.4 residents a day.
What harm was found in the violations cited at SWEET MEMORIAL NURSING HOME?
CMS lists 44 health-inspection deficiencies for SWEET MEMORIAL NURSING HOME, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-01-29.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-01-29 | F0692 | Provide enough food/fluids to maintain a resident's health. | G |
| 2026-01-29 | F0656, F0726, F0880 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. / Provide and implement an infection prevention and control program. | E |
| 2026-01-29 | F0604, F0605, F0657, F0689, F0744, F0757, F0790, F0825, F0838 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Provide routine and 24-hour emergency dental care for each resident. / Provide or get specialized rehabilitative services as required for a resident. / Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | D |
| 2025-08-07 | F0600, F0609, F0610, F0657, F0755 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E |
| 2025-08-07 | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D |
| 2024-12-05 | F0610, F0657, F0759, F0835, F0880 | Respond appropriately to all alleged violations. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure medication error rates are not 5 percent or greater. / Administer the facility in a manner that enables it to use its resources effectively and efficiently. / Provide and implement an infection prevention and control program. | E |
| 2024-12-05 | F0600, F0655, F0656, F0684, F0687, F0758, F0812, F0883 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate foot care. / Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Develop and implement policies and procedures for flu and pneumonia vaccinations. | D |
| 2023-12-06 | F0880, F0881 | Provide and implement an infection prevention and control program. / Implement a program that monitors antibiotic use. | F |
| 2023-12-06 | F0604, F0610, F0655, F0656, F0657, F0689 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Respond appropriately to all alleged violations. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E |
| 2023-12-06 | F0550, F0641, F0690, F0761 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure each resident receives an accurate assessment. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Ensure 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. | D |
Why was SWEET MEMORIAL NURSING HOME fined?
| Date | Type | Amount |
|---|---|---|
| 2026-02-05 | Fine | $28,243 |
How is SWEET MEMORIAL NURSING HOME staffed relative to the MT average?
| Measure | This facility | MT average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.94986 | 4.04638 |
| Total nursing staff turnover (%) | 51.1 | 54.8 |
| Average number of residents per day | 36.4 | 56.7 |
Who owns SWEET MEMORIAL NURSING HOME?
SWEET MEMORIAL NURSING HOME is registered with CMS as Non profit - Corporation, operates under the legal business name SWEET MEMORIAL NURSING HOME.
| Role | Owner | Association date |
|---|---|---|
| MANAGING CONTROL - GOVERNING BODY | KLEINJAN, ARTHUR | since 01/01/1984 |
| CORPORATE DIRECTOR | FRIEDE, DANNY, OVERCAST, DENNY | since 01/01/2008 |
| CORPORATE OFFICER | KLEINJAN, ARTHUR | since 01/01/1984 |
| OPERATIONAL/MANAGERIAL CONTROL | NESSLAR, HEATHER, ROBERTSON, CARLEY, SHACKELFORD, REBECCA | since 06/01/2013 |
| ADP OF THE SNF | NESSLAR, HEATHER, ROBERTSON, CARLEY, SHACKELFORD, REBECCA | since 06/01/2013 |
Were you or a family member harmed at SWEET MEMORIAL NURSING HOME?