Based on interview and record review, the facility failed to ensure a staff member that was hired as a medication aide was certified or licensed. This deficient practice had the potential to affect all residents in the facility receiving medications, to include 1 (#2) resident. Findings include: During an interview on [DATE] at 2:46 p.m., staff member C stated during the time when staff member E was hired the previous DON had checked licensing and certifications for new hires. Staff member E had a certified medical assistant certificate but not a medication aide license. During an interview on [DATE] at 2:57 p.m., staff member B stated she audited nursing staff licensing in February 2024 and discovered staff member E did not have a medication technician license or certificate. …
F659 citations in Montana
Resident Assessment and Care Planning Deficiencies
Provide care by qualified persons according to each resident's written plan of care.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
Montana cites F659 more often than its own record predicts
5.91 times the share F659 takes of citations nationally.
Of every deficiency written in Montana in 2024, this is the portion that was F659.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Montana surveyors wrote
F659 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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