F677 in Montana. Pick another state for the same tag.
Against expectation — 2025
Montana cites F677 more often than its own record predicts
Versus expected share1.04×
1.04 times the share F677 takes of citations nationally.
Share of Montana citations2.35%
Of every deficiency written in Montana in 2025, this is the portion that was F677.
Montana2.35%
National2.27%
Share of all citations that were F677.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Montana surveyors wrote
F677 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.
G · Actual harm, isolatedMarch 31, 2022
Based on observation, interview, and record review, the facility failed to ensure repositioning for a dependent resident, which lead to skin breakdown and made the resident feel helpless and lousy, for 1 (#51) of 1 sampled resident. Findings include:
During an observation and interview, on 3/30/22 at 3:40 p.m., staff member E performed wound care and a dressing change to the sacrum and buttocks area on resident #51. An open wound, which looked to be 1 cm in size, was noted inferior to resident #51's sacrum. Staff member E stated, That wasn't there yesterday, it was just a reddened area.
During an interview on 3/29/22 at 9:18 a.m., resident #51 stated she had turned in a grievance for care not being provided to her. …
D · No harm, potential for more than minimal, isolatedAugust 27, 2026
Based on interview and record review, the facility failed to ensure staff provided services for dependent residents requiring assistance with activities of daily living for 2 (#s 59 and 98) of 38 sampled and supplemental residents. The deficient practice placed residents #59 and #98 at risk for skin integrity issues and adverse psychosocial outcomes. Findings include:Review of a facility reported incident, submitted to the State Survey Agency on 8/13/26, showed nursing management had been informed of staff member G's lack of timely care for two residents, residents #59 and #98. Residents #59 and #98 had severe cognitive impairments, with resident #59's Brief Interview for Mental Status (BIMS) score of 7, and resident #98's BIMS score of 0. …
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