F550 in Montana. Pick another state for the same tag.
Against expectation — 2025
Montana cites F550 more often than its own record predicts
Versus expected share1.03×
1.03 times the share F550 takes of citations nationally.
Share of Montana citations2.19%
Of every deficiency written in Montana in 2025, this is the portion that was F550.
Montana2.19%
National2.13%
Share of all citations that were F550.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Montana surveyors wrote
F550 findings written in Montana, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
G · Actual harm, isolatedJune 10, 2021
Based on observation, interview, and record review the facility failed to provide dignity and respect for 1 (#62 ) of 24 sampled residents, and the resident felt humiliated, hopeless, harassed, abused, and violated, and this negatively effected her mood, and the resident was assessed to have a deterioration in mood per the Minimum Data Set Assessment over the last year. Findings include:
During an observation and interview on 6/7/21 at 2:40 p.m., resident #62 said she needs extensive assist to transfer from the bed to the chair, and is a cares in pairs (two staff) for assistance. Resident #62 said she was weighed with one gown on and her butt hanging out. Resident #62 said she felt humiliated. …
D · No harm, potential for more than minimal, isolatedJuly 1, 2026
Based on interview and record review, the facility failed to ensure a resident's right to a dignified existence for 1 (#8) of 3 sampled residents. The failure exposed the resident to feelings of embarrassment and shame associated with incontinence. Findings include:Review of a Facility-Reported Incident which occurred on 3/13/26 and was submitted to the State Survey Agency on 3/17/26, showed that while attending a group activity, resident #8 had an episode of incontinence and had to leave the activity so she could be cleaned up. The report showed NF1 had announced loudly, and in front of other residents and staff, that there was a big mess needing to be cleaned up, referencing the resident's situation. …
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