Based on observation, interview, and record review, the facility failed to ensure proper respiratory supplies were readily available during emergencies, for 2 (#s 1 and 3) of 26 sampled residents. This deficient practice caused a delay in care during emergent situations, and an Immediate Jeopardy was cited for F678 - Cardio Pulmonary Resuscitation, which included concerns with the lack of supplies and availability. Findings include: During an observation and interview on [DATE] at 11:55 a.m., staff member C showed the crash cart was located in the hallway by the medication room and the nurse's station on the 100 and 300 hallway. The crash cart was wedged in between a treatment cart and the wall and was not easily accessible. There was a light blue, tarp-like cloth covering the crash cart. …
F695 citations in Montana
Respiratory care · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Montana cites F695 less often than its own record predicts
0.78 times the national share — cited less often here than elsewhere.
Of every deficiency written in Montana in 2025, this is the portion that was F695.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Montana surveyors wrote
F695 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 observation, interview, and record review, the facility failed to ensure oxygen tubing was free from contamination for 1 (#27) of 30 sampled and supplemental residents, increasing the risk of respiratory infection. Findings include:During an observation on 7/28/26 at 8:19 a.m., oxygen tubing with a nasal cannula was connected to resident #27's oxygen concentrator and observed lying on the floor; it was not labeled with the date when it was last changed. During an observation on 7/28/26 at 11:34 a.m., oxygen tubing with a nasal cannula was connected to resident #27's oxygen concentrator and observed lying on the floor, without a label or date of when it was last changed. …
Based on observation and interview, the facility failed to change oxygen tubing and supplies for 2 (#s 11 and 27) of 5 sampled residents having oxygen in their rooms, increasing the risk for respiratory infections. Findings include: 1. During an observation on 11/6/23 at 1:13 p.m., resident #11 had an oxygen concentrator in his room with tubing, with no dates reflecting when last changed. 2. During an observation on 11/6/23 at 1:22 p.m., resident #27 had an oxygen concentrator in her room with tubing, with no dates reflecting when last changed. During an interview on 11/7/23 at 9:44 a.m., staff member C stated the tubing was changed weekly by night staff. …
The short window
Recent years
| Year | Share of Montana citations | vs expected |
|---|---|---|
| 2023 | 1.98% | 0.85× |
| 2024 | 1.75% | 0.79× |
| 2025 | 1.72% | 0.78× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Montana surveyors cite →
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