Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
F678 in Montana. Pick another state for the same tag.
Against expectation — 2025
Montana cites F678 less often than its own record predicts
Versus expected share0.86×
0.86 times the national share — cited less often here than elsewhere.
Share of Montana citations0.16%
Of every deficiency written in Montana in 2025, this is the portion that was F678.
Montana0.16%
National0.18%
Share of all citations that were F678.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Montana surveyors wrote
F678 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.
J · Immediate jeopardy, isolatedJanuary 23, 2025
Based on observation, interview, and record review, the facility failed to ensure nursing staff had the necessary skills and training for CPR for 2 (#s 1 and 3) of 26 sampled residents. Resident #s 1 and 3 expired in the facility. The facility failed to ensure a process was in place for identifying and tracking staff CPR certifications. The facility failed to obtain the supplies necessary, and ensure they were in stock and on the crash cart, for staff to perform high-quality CPR during emergent situations, which affected 2 (#s 1 and 3). …
Based on observation, interview, and record review, the facility failed to follow physician's orders for a resident's POLST, with a DNR status, for 1 (#14) of 24 sampled residents. The facility failure caused unnecessary suffering and visible discomfort for resident #14. Findings include:
During an observation on [DATE] at 12:34 p.m., resident #14 began having respiratory distress after consuming his liquids during the lunch meal. The resident displayed coughing, gurgling, shortness of breath and the resident's lips began to change in color, displaying signs of being cyanotic. The resident's cough sounded moist.
During an observation and interview, on [DATE] at 12:47 p.m., staff member D stated, There are no orders to suction, he didn't want that, and his guardian didn't want that. …
E · No harm, potential for more than minimal, patternFebruary 10, 2026
Based on interview and record review, the facility failed to ensure facility staff received hands on BLS certification. This deficient practice placed residents at risk of failed CPR for full code residents and respiratory distress treatment during an emergency, if necessary. Findings include:Review of all staff BLS certifications showed all staff members except for one were certified through the National CPR Foundation, which did not provide a hands-on training.During an interview on [DATE] at 1:22 p.m., staff member P stated they participated in a CPR class at their current position, but the class was entirely online, and it did not consist of any hands-on training. …
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