F697 in Montana. Pick another state for the same tag.
Against expectation — 2025
Montana cites F697 more often than its own record predicts
Versus expected share1.00×
1.00 times the share F697 takes of citations nationally.
Share of Montana citations0.78%
Of every deficiency written in Montana in 2025, this is the portion that was F697.
Montana0.78%
National0.78%
Share of all citations that were F697.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Montana surveyors wrote
F697 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, isolatedNovember 25, 2024
Based on interview and record review, the facility failed to assess, document, treat, and monitor pain for 1 (#4) of 6 sampled residents. Resident #4 had severe pain during pressure ulcer dressing changes and turning and repositioning, which caused the resident to refuse care and dressing changes. Resident #4 expressed to the staff the pain regimen he had in place had not worked in relieving his pain during dressing changes and cares, resulting in increased skin breakdown. Resident #4 was transferred to the hospital on 11/9/24, and he passed away on 11/10/24. The facility failed to provide adequate pain management in a timely and effective manner to meet the resident's pain needs. …
Based on observations, interviews, and record reviews, the facility failed to ensure a resident's pain was managed in accordance with the resident's care plan and preferences for 1 (#57) of 23 sampled residents. This deficient practice resulted in resident #57 having moderate to severe pain from a fracture. This deficient practice increased the likelihood of other residents with pain not being managed. Findings include:During an observation and interview on 6/27/26 at 3:48 p.m., resident #57 was sitting in her recliner in her room. Resident #57 stated she was in pain due to a fractured elbow. Resident #57 rated her pain level as 6 out of 10 (moderate pain). …
D · No harm, potential for more than minimal, isolatedAugust 13, 2026
Based on interview and record review, the facility failed to implement person-centered pain management approaches to address goals and preferences, for 1 (#9) of 6 residents sampled for pain. The deficient practice caused resident #9 increased discomfort because the facility did not have doses of scheduled medications for pain to administer, and provided the lowest available dose of as-needed opioid pain medications for pain relief following hip replacement surgery, when resident #9 requested the highest available dose. Findings include:During an interview on 8/12/26 at 11:22 a.m., resident #9 stated she was admitted for rehabilitation following hip surgery and had long-standing and chronic and nerve pain treated with Lyrica and opioid medications. …
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction