F628 in Montana. Pick another state for the same tag.
Against expectation — 2025
Montana cites F628 more often than its own record predicts
Versus expected share1.34×
1.34 times the share F628 takes of citations nationally.
Share of Montana citations1.25%
Of every deficiency written in Montana in 2025, this is the portion that was F628.
Montana1.25%
National0.93%
Share of all citations that were F628.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Montana surveyors wrote
F628 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.
D · No harm, potential for more than minimal, isolatedJuly 30, 2026
Based on interviews and record review, the facility failed to notify the resident's representative, in writing, of the reason for the transfer and the required bed-hold information for 1 (#9), of 10 sampled residents. Findings include:Review of resident #9's nursing progress note, dated 5/9/26 at 4:46 p.m., showed resident #9 was found on the floor after falling. Resident #9 was sent to the local hospital and was admitted . Review of resident #9's Psychosocial assessment dated [DATE] showed resident #9 had a diagnosis of unspecified dementia, moderate with agitation. The assessment showed resident #9 had a BIMS (brief interview for mental status) of 12. …
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