of F540 citations were written at actual harm or above. The mark is the share across all tags, 5.4%.
Citations in 20251
Every F540 citation surveyors wrote nationally that year.
Facilities cited1
Distinct nursing homes with at least one F540 finding.
The harm level
How severely F540 is cited
0.0% of citations found actual harm or worse (level G and above).
Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
J—
K—
L—
Actual harm
G—
H—
I—
No harm, potential for more than minimal
D133.3%
E—
F266.7%
No harm, potential for minimal
A—
B—
C—
Every recorded F540 citation, by the harm level and scope the surveyor assigned.
In the surveyor’s words
What an F540 citation says
One finding from each severity level, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
F · No harm, potential for more than minimal, widespreadMarch 13, 2025
Based on interview and record review, the facility failed to adhere to the participation requirements for long-term care facilities, related to the lack of appointing a licensed Nursing Home Administrator, who has an active license for Montana. This failure did not allow the facility to maintain compliance for the Requirements of Participation, and may negatively affect all residents at the facility. Findings include:
During an interview on 3/12/25 at 10:03 a.m., staff member B stated he was the current Interim Chief Executive Officer providing oversight for the facility. …
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