F627 in Montana. Pick another state for the same tag.
Against expectation — 2025
Montana cites F627 more often than its own record predicts
Versus expected share1.51×
1.51 times the share F627 takes of citations nationally.
Share of Montana citations0.47%
Of every deficiency written in Montana in 2025, this is the portion that was F627.
Montana0.47%
National0.31%
Share of all citations that were F627.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Montana surveyors wrote
F627 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.
G · Actual harm, isolatedAugust 27, 2025
Based on observation, interview, and record review, the facility failed to follow the required discharge process to include obtaining physician orders to discharge the resident from the facility; failed to obtain physician orders to setup up home health post discharge as care planned; and failed to document discharge planning communication, and the day of discharge process, including when, where to, what the discharge orders for care were for 1 (#1) of 6 sampled residents. This failure led to the resident not having proper support in place at the discharge location, and subsequently, the resident returned to the hospital for continued care. …
D · No harm, potential for more than minimal, isolatedJune 4, 2026
Based on interview and record review, the facility failed to identify a resident had left the facility AMA and failed to inform the resident of the risks of leaving the facility AMA and their rights for 1 (#17) of 21 sampled and supplemental residents. This deficient practice put the resident at risk for a negative medical outcome. Findings include:Review of resident #17's Comprehensive MDS dated [DATE], showed: section C, Cognitive Patterns: BIMS Summary Score (C0500), 12 (Moderate Impairment). During an interview on 6/1/26 at 4:49 p.m., NF4 stated resident #17 never wanted to be at the facility and wanted to leave. NF4 stated that resident #17 had threatened to leave the facility AMA (Against Medical Advice) at one point and eventually did. …
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