F559 in Montana. Pick another state for the same tag.
Against expectation — 2025
Montana cites F559 more often than its own record predicts
Versus expected share2.83×
2.83 times the share F559 takes of citations nationally.
Share of Montana citations0.31%
Of every deficiency written in Montana in 2025, this is the portion that was F559.
Montana0.31%
National0.11%
Share of all citations that were F559.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Montana surveyors wrote
F559 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.
D · No harm, potential for more than minimal, isolatedDecember 4, 2025
Based on interviews and record review, the facility failed to ensure a resident or representative was provided written notifications of room changes, for 1 (#2) of 19 sampled residents, and room changes reportedly caused the resident frustration and anxiety, which the representative wanted to avoid, but she was not provided the opportunity to be present to assist the resident with the room changes. Findings include:During an interview on 12/3/25 at 1:10 p.m., NF1 stated she was very angry about the room move completed for resident #2, which occurred on 11/3/25 and 11/11/25. NF1 stated she was not notified when resident #2 would be moved, even after she requested the notice, so she could assist resident #2 through the move. …
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