F686 in Montana. Pick another state for the same tag.
Against expectation — 2025
Montana cites F686 less often than its own record predicts
Versus expected share0.88×
0.88 times the national share — cited less often here than elsewhere.
Share of Montana citations1.72%
Of every deficiency written in Montana in 2025, this is the portion that was F686.
Montana1.72%
National1.97%
Share of all citations that were F686.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Montana surveyors wrote
F686 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, isolatedJune 8, 2026
Based on interview and record review, the facility failed to identify, assess, measure, document, monitor, and obtain physician orders promptly for the treatment and care of an avoidable pressure ulcer, including failing to develop and implement a baseline care plan for pressure ulcer prevention. The pressure ulcer developed within ten days of the resident's admission to the facility and worsened to a Stage IV, causing the resident pain. She did not want to be repositioned and voiced not wanting to live. The resident was placed in Hospice for end-of-life care and services for 1 (#27) of 5 residents sampled for pressure injuries. …
Based on observation, interview and record review, the facility staff failed to assess, measure, document, and implement necessary interventions for the treatment of pressure ulcers for 1 (#11) of 7 sampled residents. The resident had one Stage ll pressure ulcer on his midline gluteal fold and one deep tissue injury on his left buttocks. The deep tissue injury was purple in color with intact skin. The facility failed to initiate treatment for the pressure ulcers upon admission, which placed resident #11 at risk of deterioration of both pressure ulcers or more developing. …
D · No harm, potential for more than minimal, isolatedJune 17, 2026
Based on interview and record review, the facility failed to effectively and systematically identify, assess, implement, monitor, and modify interventions timely after the identification of facility-acquired pressure injuries, which resulted in the progression of bilateral heel pressure injuries, including the development of an additional pressure injury to the plantar aspect of the left heel for 1 (#2) of 3 sampled residents for pressure injuries. The facility actions being taken for the wound(s) were not sufficient to meet the resident's needs related to wound care and the prevention of wounds. …
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