Based on interview and record review, the facility failed to honor a POA's (Power of Attorney) wishes with regard to treatment for 1 (#84) of 41 sampled residents. This deficient practice resulted in the POA not being informed of resident #84's condition or treatment, the resident continuing to receive a psychotropic medication without the POA's knowledge for approximately six months, and the resident receiving the psychotropic medication for approximately two months after the POA requested it to be stopped. Findings include: During an interview on 3/9/26 at 4:02 p.m., NF1 stated that the facility had not contacted her for a care conference for resident #84, since the last care conference in August 2025, and she had not heard from the facility since then. …
F551 citations in Montana
Resident Rights Deficiencies
Give the resident's representative the ability to exercise the resident's rights.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2023
Montana cites F551 more often than its own record predicts
5.21 times the share F551 takes of citations nationally.
Of every deficiency written in Montana in 2023, this is the portion that was F551.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Montana surveyors wrote
F551 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.
What else Montana surveyors cite →
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