F692 in Montana. Pick another state for the same tag.
Against expectation — 2025
Montana cites F692 more often than its own record predicts
Versus expected share1.37×
1.37 times the share F692 takes of citations nationally.
Share of Montana citations1.56%
Of every deficiency written in Montana in 2025, this is the portion that was F692.
Montana1.56%
National1.14%
Share of all citations that were F692.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Montana surveyors wrote
F692 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, isolatedApril 28, 2022
Based on observation, interview, and record review, the facility failed to timely assess, identify, implement, monitor, and revise nutritional interventions for 2 (#s 5 and 10) of 6 sampled residents. Resident #5 had a weight loss of - 10.36% in six months. Resident #10 had a weight loss of - 12.57% in six months. Findings include:
IMMEDIATE JEOPARDY
On 4/28/2022 at 9:33 a.m., the facility Administrator and Director of Nursing was notified that an Immediate Jeopardy existed in the area of F692 - Nutritional Services.
The Severity and Scope identified for the Immediate Jeopardy was identified to be at the level of J, and upon removal of immediacy lowered to a G. …
Based on observation, interview, and record review, the facility failed to routinely monitor and document a resident's weight in the resident's record, failed to ensure comprehensive nutritional assessments were completed timely to analyze and evaluate related factors for a severe weight loss, and failed to revise a resident's care plan to prevent an avoidable weight loss for 1 (#11) of 7 sampled residents. Resident #11 had a severe 13.5% weight loss in the last two months, and 12.6% in the last month. Findings include: During an observation, interview, and record review on 8/17/26 at 2:18 p.m., resident #11 was lying in bed with his lunch tray on his overbed table. …
D · No harm, potential for more than minimal, isolatedJune 17, 2026
Based on observation, interviews and record reviews, the facility failed to promptly identify, evaluate, and implement interventions to address clinically significant weight loss and nutritional declines for 3 (#s 2, 7, and 5) of 3 sampled for weight loss; and failed to timely notify the resident representative of severe weight loss for 1 (#2) resulting in delayed intervention for a resident who experienced the severe 19.2 pound weight loss (14.0%) within approximately 30 days and met criteria for severe malnutrition for #2. …
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