Based on observation, interview, and record review, the facility failed to complete a Discharge Minimum Data Set Assessment for a resident who passed away in the facility for 1 (#67) of 24 sampled and supplemental residents. Findings include: Review of resident #67's discharge summary with a date of 2/20/26 showed: . Narrative: Patient passed peacefully with her family by her side.Review of resident #67's electronic medical record showed:Minimum Data Set Assessment list: Tracking entry MDS with an accepted date of 2/12/26 had been completed.Comprehensive MDS with an accepted date of 2/19/26 had been completed.The electronic medical record failed to show that a Tracking (Death record) MDS had been completed after resident #67 passed away. …
F636 citations in Montana
Comprehensive assessments · Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Montana cites F636 less often than its own record predicts
0.63 times the national share — cited less often here than elsewhere.
Of every deficiency written in Montana in 2025, this is the portion that was F636.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Montana surveyors wrote
F636 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.
The short window
Recent years
| Year | Share of Montana citations | vs expected |
|---|---|---|
| 2023 | 0.56% | 1.43× |
| 2024 | 0.35% | 1.20× |
| 2025 | 0.16% | 0.63× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Montana surveyors cite →
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