Based on interview and record review, the facility failed to provide the required bed hold notice to the resident or the resident's representatives prior to, or timely after, a transfer, for 3 (#s 18, 64, and 78) of 36 sampled residents. Findings include: 1. Review of resident #18's medical record showed the resident was transported to the hospital for acute changes in condition on 11/7/23 and 8/19/24. There was no documentation in the medical record to show the resident or his representative was provided or notified of the required written bed hold notice. During an interview on 11/6/24 at 2:10 p.m., staff member L stated, I guess I don't know who is responsible for the bed hold documentation or how that (process) works. …
F625 citations in Montana
Bed-hold notice · Resident Rights Deficiencies
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Montana cites F625 more often than its own record predicts
1.09 times the share F625 takes of citations nationally.
Of every deficiency written in Montana in 2025, this is the portion that was F625.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Montana surveyors wrote
F625 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 observation, interview, and record review, the facility failed to provide written notice of bed-hold information, which included the reserve bed payment amount, for 4 (#s 8, 35, 39, and 151) of 18 sampled and supplemental residents. The notice also failed to five the resident or responsible party the opportunity to select either to pay the reserve bed hold cost or no bed hold. Findings include: 1. During an interview on 2/25/25 at 9:36 a.m., resident #35 said he could not remember why he had been admitted to the hospital in November and December of 2024. Review of resident #35's EHR showed he had been admitted to the hospital on [DATE], with diagnoses of adult failure to thrive, and chronic obstructive pulmonary disease. The resident returned to the facility on [DATE]. …
The short window
Recent years
| Year | Share of Montana citations | vs expected |
|---|---|---|
| 2023 | 0.56% | 0.91× |
| 2024 | 0.52% | 0.75× |
| 2025 | 0.31% | 1.09× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Montana surveyors cite →
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