F610 in Montana. Pick another state for the same tag.
Against expectation — 2025
Montana cites F610 more often than its own record predicts
Versus expected share2.07×
2.07 times the share F610 takes of citations nationally.
Share of Montana citations3.13%
Of every deficiency written in Montana in 2025, this is the portion that was F610.
Montana3.13%
National1.51%
Share of all citations that were F610.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Montana surveyors wrote
F610 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.
K · Immediate jeopardy, patternFebruary 22, 2018
Based on observation, interview, and record review, the facility failed to adequately respond to allegations of abuse, take appropriate action for the prevention of abuse, and protection of the residents on the Firefly unit, and have evidence that all alleged violations were investigated thoroughly; and, the facility failed to show all allegations were reported to the required officials, to include the Administrator, Ombudsman, or the local authorities, as deemed necessary, for resident abuse, for 6 (#s 4, 43, 73, 74, 76, and 77) residents of 34 sampled and supplemental residents. …
Based on observation, interview, and record review, the facility failed to prevent and protect residents from ongoing sexual, physical, or emotional abuse for 6 residents residing on the secure care unit (#s 8, 16, 32, 35, 53, and 58) of 29 sampled residents. This deficient practice allowed residents to continue to be at risk for further abuse, and resident #53 had multiple injuries, to include stitches, female residents exhibited fear, and were risk for sexually inappropriate touching. Findings include:
1. Review of a facility reported incident, dated 11/23/21, showed, [Resident #53] had his hand in [resident #32's] shirt. Appeared that he (resident #53) was attempting to put his other hand down her (resident #32's) pants when they were separated. …
D · No harm, potential for more than minimal, isolatedAugust 13, 2026
Based on interview and record review, the facility failed to protect residents by failing to thoroughly investigate allegations of abuse for 2 (#s 2 and 22) of 6 residents sampled for Facility Reported Incidents. The facility's investigations did not adequately evaluate conflicting information, establish the circumstances surrounding the allegations, evaluate staff responses to resident behaviors, assess the residents' psychosocial responses following the events, or evaluate the need for staff education and corrective measures. The failure placed residents at risk due to abuse allegations not being thoroughly investigated or appropriate measures not being identified to protect residents. Findings include:1. …
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