Based on observation, interview, and record review, the facility failed to implement, operationalize, and uphold, policies and procedures for the prohibition and prevention of abuse and neglect, by allowing the employment of a staff member who had a known criminal conviction of abuse (assault), and 1 (#1) voiced a sexual allegation against the employee, and the resident had psychosocial harm from the event, but the employee was allowed to continue to work with vulnerable residents. …
F607 citations in Montana
Abuse-prevention policies · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Montana cites F607 less often than its own record predicts
0.24 times the national share — cited less often here than elsewhere.
Of every deficiency written in Montana in 2025, this is the portion that was F607.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Montana surveyors wrote
F607 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.
Based on interview and record review, the facility failed to complete background checks on 6 (Staff IDs: O, L, R, N, M, and I) employees of 9 sampled employee files, prior to their start date in the facility. This deficient practice had the potential to put all residents at risk for abuse, neglect, exploitation, or misappropriation. Findings include:During an interview on 9/9/25 at 9:02 a.m., staff member H stated background checks on newly hired employees are completed upon hire and prior to the employee starting work. Staff member H reports it takes about 20 minutes for the background report to come back. …
The short window
Recent years
| Year | Share of Montana citations | vs expected |
|---|---|---|
| 2023 | 0.28% | 0.38× |
| 2025 | 0.16% | 0.24× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Montana surveyors cite →
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