Deficiency Index

F638 citations in Montana

Resident Assessment and Care Planning Deficiencies

Assure that each resident’s assessment is updated at least once every 3 months.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

F638 in Montana. Pick another state for the same tag.

Against expectation — 2024

Montana cites F638 more often than its own record predicts

Versus expected share2.02×

2.02 times the share F638 takes of citations nationally.

Share of Montana citations0.35%

Of every deficiency written in Montana in 2024, this is the portion that was F638.

Each state is measured against its own expected share, not against other states.

In the surveyor’s words

What Montana surveyors wrote

F638 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.

E · No harm, potential for more than minimal, patternFebruary 26, 2026

Based on interview and record review, the facility failed to complete Quarterly MDS assessments in the required timeframe of 14 days after the ARD for 6 (#s 5, 7, 9, 10, 11, and 55) of 25 sampled resident assessments. Findings include:During an interview on 2/26/26 at 8:48 a.m., staff member M stated he started covering as the MDS Coordinator at the end of December 2025. Staff member M stated he believed the facility had Quarterly MDS's that were late when he started. Staff member M stated he was not sure why they were late.- A review of resident #11's medical record showed a Quarterly MDS was scheduled with an ARD of 12/18/25. The Quarterly assessment was due to be completed on 1/1/26. …

Billings Rehabilitation and Nursing LLC

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