Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

BRENDAN HOUSE

KALISPELL, MT · 110 certified beds · Last Life Safety survey July 17, 2025

CMS Certification Number 275109 · first certified April 1985

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

10
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
2
Tags cited more than once
Across separate surveys
3
Inspection & testing records
Of the citations on file

Position within MT

10 citations — more than 25% of the 61 certified nursing homes in MT. Compared within MT rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Holding steadyabout the same at the latest survey as at its earlier surveys in the window.

The latest survey found 3 citations; the earlier surveys in the window averaged 3.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (July 2026 to August 2026), and past the point by which nine in ten MT facilities have been surveyed. This facility’s last Life Safety survey was July 2025. Facilities in MT are typically surveyed 12–13 months after the last one (median 12), measured over 104 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

1 of the 10 citations on file is Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

2 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 10 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in MT, and nationally. Surveyors differ markedly between states, so the MT figure is the meaningful one.

This facility10MT median15National median11
Citations on file over three years, compared
MeasureCitations
This facility10
Median facility in MT15
Median facility nationally11

Survey history

Citations at each Life Safety survey
32023-0942024-0832025-07
Citations at each Life Safety survey
Survey dateCitations
September 14, 20233
August 29, 20244
July 17, 20253

Most-cited tags

Most-cited tags at this facility
K-03532K-03002E-00391K-09021K-02931K-02221K-07611K-02111
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.22025-07-17
K-0300Meet other general requirements that are deficient.22025-07-17
E-0039Conduct testing and exercise requirements.12025-07-17
K-0902Meet requirements for the installation and maintenance of medical gas and medical vacuum systems.12023-09-14
K-0293Have properly located and lighted "Exit" signs.12024-08-29
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.12024-08-29
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.12023-09-14
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.12024-08-29

What the citations cover

Citations by CMS category
  • Egress Deficiencies 5
  • Smoke Deficiencies 2
  • Gas, Vacuum, and Electrical Systems Deficiencies 1
  • Emergency Preparedness Deficiencies 1
  • Other 1
Citations by CMS category
CategoryCitations
Egress Deficiencies5
Smoke Deficiencies2
Gas, Vacuum, and Electrical Systems Deficiencies1
Emergency Preparedness Deficiencies1
Miscellaneous Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

July 17, 2025 — 3 citations

Citations issued on July 17, 2025
TagWhat the surveyor checksStatus
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (August 27, 2025)
K-0300Meet other general requirements that are deficient.Deficient, Provider has date of correction (August 31, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (August 31, 2025)

August 29, 2024 — 4 citations

Citations issued on August 29, 2024
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (October 11, 2024)
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (October 11, 2024)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (October 11, 2024)
K-0300Meet other general requirements that are deficient.Deficient, Provider has date of correction (October 11, 2024)

September 14, 2023 — 3 citations

Citations issued on September 14, 2023
TagWhat the surveyor checksStatus
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (October 2, 2023)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (October 26, 2023)
K-0902Meet requirements for the installation and maintenance of medical gas and medical vacuum systems.Deficient, Provider has date of correction (November 8, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.