Based on observations, interviews, and record review, the facility failed to implement equal practices during the admission process, by failing to complete admissions on residents entering the facility for respite care for 1 (#77) of 16 sampled residents. This deficient practice placed residents at risk for staff providing effective, person-centered care. Findings include: During an observation on 3/10/25 at 3:15 p.m., resident #77 was in her room, with no name on the door, and was not listed on the census list provided by the facility. During an interview on 3/10/25 at 3:30 p.m., staff member C stated resident #77 was a respite patient, and the facility did not fully admit respite patients. Staff member C stated residents who were on respite stays would not be included in the census. …
F621 citations in Montana
Resident Rights Deficiencies
Treat residents equally regarding transfer, discharge, and provision of services for all residents, regardless of payment source
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Montana cites F621 more often than its own record predicts
42.41 times the share F621 takes of citations nationally.
Of every deficiency written in Montana in 2025, this is the portion that was F621.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Montana surveyors wrote
F621 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.
What else Montana surveyors cite →
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