Based on interview and record review, the facility failed to ensure residents with indwelling urinary catheters received care to prevent urinary tract infections; failed to identify a root cause of repeated urinary tract infections for 2 (#s 6 & 9); and failed to follow up timely with urology referrals and appointments for 1 (# 9) of 19 sampled residents. Findings include1. Review of resident #9's medical record showed three hospitalizations occurring in 2026. Review of resident #9's hospital Discharge summary, dated [DATE] - 1/22/26 showed:- Diagnoses: Sepsis due to catheter associated Morganella morganii UTI with bilateral hydronephrosis .- Follow up Recommendations for PCP: Close follow-up with urology .Review of resident #9's hospital Discharge summary, dated [DATE] - 4/17/26… …
F690 citations in Montana
Incontinence and catheter care · Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Montana cites F690 less often than its own record predicts
0.69 times the national share — cited less often here than elsewhere.
Of every deficiency written in Montana in 2025, this is the portion that was F690.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Montana surveyors wrote
F690 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.
Based on interviews and record reviews, the facility failed to closely monitor and address a resident's lack of bowel movements and provide as-needed medications to treat and prevent constipation, for a resident who had a history of opioid induced constipation and had used constipation medications before admission, for 1 (#7) of 20 sampled residents. This deficient practice resulted in resident #7 having an extensive stool burden. Findings include:Review of [Hospital Name] History and Physical, dated 3/4/26, showed resident #7 admitted to the hospital with a 9.6 cm stool ball noted on the imaging (fecal impaction). Resident #7 was discharged on 3/10/26 to the skilled nursing facility for care of a surgical neck wound and rehabilitation. …
The short window
Recent years
| Year | Share of Montana citations | vs expected |
|---|---|---|
| 2023 | 0.56% | 0.35× |
| 2024 | 0.70% | 0.47× |
| 2025 | 0.94% | 0.69× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Montana surveyors cite →
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