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. …
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.
Against expectation — 2024
Montana cites F638 more often than its own record predicts
2.02 times the share F638 takes of citations nationally.
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.
What else Montana surveyors cite →
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