Based on observation, interview, and record review, the facility failed to assess the safety and appropriateness of bed rail use and obtain informed consent for the use of two upper side rails for 1 (#49) of 23 sampled and supplemental residents. The failure placed the resident at risk for injury related to bed rail use, including entrapment, falls, and restriction of movement. Findings include:During an observation on 6/16/26 at 8:12 a.m., resident #49 was observed in bed with two upper side rails in the raised position.During an interview on 6/16/26 at 4:23 p.m., staff member A stated the facility did not complete a bed rail safety assessment or obtain informed consent for resident #49 because the resident was receiving hospice services.During an interview on 6/17/26 at 11:44 a.m., staff… …
F700 citations in Montana
Bed rails · Quality of Life and Care Deficiencies
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Montana cites F700 more often than its own record predicts
1.61 times the share F700 takes of citations nationally.
Of every deficiency written in Montana in 2025, this is the portion that was F700.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Montana surveyors wrote
F700 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.
The short window
Recent years
| Year | Share of Montana citations | vs expected |
|---|---|---|
| 2023 | 0.28% | 0.76× |
| 2025 | 0.63% | 1.61× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Montana surveyors cite →
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