Safe, clean, homelike environment · Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
F584 in Montana. Pick another state for the same tag.
Against expectation — 2025
Montana cites F584 more often than its own record predicts
Versus expected share1.12×
1.12 times the share F584 takes of citations nationally.
Share of Montana citations2.35%
Of every deficiency written in Montana in 2025, this is the portion that was F584.
Montana2.35%
National2.10%
Share of all citations that were F584.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Montana surveyors wrote
F584 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.
E · No harm, potential for more than minimal, patternAugust 27, 2026
Based on observation, interview, and record review, the facility failed to ensure it provided a clean, safe, and homelike environment for the facility residents for 5 residents (#s 3, 31, 40, 49, and 85). Resident #40 voiced concerns about the odor in/around his room and wanted to move due to the odor; #49's bathroom was unclean, and #3, 31, and 85, did not have equipment repaired, replaced, or provided as needed, out of 33 sampled and supplemental residents. Findings include:A. OdorDuring an observation of the facility on 8/25/26 at 9:52 a.m., the hallways smelled strongly of feces and urine.During an observation and interview on 8/25/26 at 9:54 a.m., NF2 and resident #40 were sitting in the hallway eating snacks. …
C · No harm, potential for minimal, widespreadDecember 21, 2023
Based on observation and interview, the facility failed to provide a safe, clean, homelike environment in good repair for the residents on the memory care unit, and for the residents who used the main dining room. Findings include:
During an observation on 12/20/23 at 8:10 a.m., the wall in the community area on the memory care unit had areas of paint missing from the wall and gouges in the dry wall from the recliner chairs hitting the wall. The Formica on the windowsills had been chipped off and the press board was exposed. There was an electrical plug for a surge protector power strip hanging part of the way out of the electrical outlet. The metal prongs were exposed. There was medical tape on the plug that looked like an attempt had been made to tape the plug into the outlet. …
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