Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
F585 in Montana. Pick another state for the same tag.
Against expectation — 2025
Montana cites F585 more often than its own record predicts
Versus expected share2.93×
2.93 times the share F585 takes of citations nationally.
Share of Montana citations1.88%
Of every deficiency written in Montana in 2025, this is the portion that was F585.
Montana1.88%
National0.64%
Share of all citations that were F585.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Montana surveyors wrote
F585 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 13, 2026
Based on interview and record review, the facility failed to follow up on grievances identified during resident council meetings by investigating concerns, documenting actions, and communicating resolution to residents. The failure placed all residents at risk for having grievances remain unaddressed or unresolved, negatively affecting their psychosocial well-being. Findings include:During an interview and record review on 8/12/26 at 4:15 p.m., staff member G stated when resident concerns (grievances) were identified during resident council, she completed a Care and Concern form and submitted it to the appropriate department head for review and response. …
C · No harm, potential for minimal, widespreadApril 9, 2026
Based on observation, interview, and record review, the facility failed to ensure a system was in place, so grievance forms were readily accessible without staff needing to assist in the provision or acceptance of a grievance form, and that grievances received were secured to maintain confidentiality. The deficient practice was widespread and may affect any resident, family member, or visitor who wishes to complete and or submit grievances without staff assistance or maintain confidentiality. Findings include:During an observation on 4/7/26 at 9:10 a.m., the door to the social services office was closed, and residents and staff members were passing through the hallways near it. A wall-mounted file holder was located on the wall outside the door to social services. …
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