Based on the observation, interview, and record review, the facility failed to ensure a physical restraint used for a resident with a seatbelt was used to treat a documented medical symptom, failed to assess the resident's ability to release the seatbelt, and failed to ensure the restraint was used for the least amount of time with appropriate monitoring and re-evaluation for 1 (#3) of 20 sampled residents. The deficient practice increased the risk for decreased mobility and injury. Findings include:During an interview on 1/27/26 at 10:45 a.m., NF2 stated resident #3's seat belt should be buckled when she was in the wheelchair. …
F604 citations in Montana
Restraints · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Montana cites F604 more often than its own record predicts
2.47 times the share F604 takes of citations nationally.
Of every deficiency written in Montana in 2025, this is the portion that was F604.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Montana surveyors wrote
F604 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.
The short window
Recent years
| Year | Share of Montana citations | vs expected |
|---|---|---|
| 2023 | 1.69% | 4.43× |
| 2024 | 0.52% | 1.43× |
| 2025 | 0.94% | 2.47× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Montana surveyors cite →
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