Based on interview and record review, the facility failed to promptly obtain a new PASARR (Preadmission Screening and Resident Review) Level One screen, upon re-admission from the hospital for a resident who had a significant change in mental status, for 1 (#68) of 16 sampled residents. Findings include:A review of a facility document in resident #68's EHR showed a request for a PASARR Level One review, dated 11/4/22.A review of a progress note for resident #68 in the facility's EHR, dated 4/8/26 at 10:35 a.m., showed, [Resident #68] reported to charge nurse and to myself that she had awakened hearing voices and that she was frightened. …
F646 citations in Montana
Resident Assessment and Care Planning Deficiencies
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
No F646 citations were recorded in Montana for 2025. That means none appear in the CMS file for that year — not that the requirement does not apply.
In the surveyor’s words
What Montana surveyors wrote
F646 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 →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction