F726 in Montana. Pick another state for the same tag.
Against expectation — 2025
Montana cites F726 more often than its own record predicts
Versus expected share3.39×
3.39 times the share F726 takes of citations nationally.
Share of Montana citations2.03%
Of every deficiency written in Montana in 2025, this is the portion that was F726.
Montana2.03%
National0.60%
Share of all citations that were F726.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Montana surveyors wrote
F726 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, isolatedAugust 28, 2024
Based on observation, interview, and record review, the facility licensed staff member failed to provide necessary services, medically neglecting a resident's care needs, after a significant medication error occurred due to the staff member failing to follow the facility procedures for medication administration, resulting in an Immediate Jeopardy level significant medication error, for 1 (#1) resident of 3 sampled residents for medication errors. The resident had a significant decline in health, was unresponsive, had to be given Narcan, and was sent to the ER and had a hospital stay due to the failures identified. …
Based on interview and record review, the facility failed to ensure staff had the competencies and skills to identify, assess, document, and monitor a diabetic ulcer for 1 (#1) of 13 sampled residents. This increased the residents' risk of infection and resulted in hospitalization and amputation of the resident's great toe. Findings include: Review of a physicians visit note, dated 6/27/25, showed resident #1 had a diabetic ulcer on the right great toe.Review of resident #1's weekly head to toe skin checks performed by the facility staff showed the following:- 7/2/25, No skin issues- 7/9/25, No skin issues- 7/16/25, No skin issues- 7/23/25, No skin issues- 7/30/25, No skin issues- 8/6/25, Skin issues noted, Left lower leg - scab, Right toe(s) - R great toe skin alterationThe licensed… …
D · No harm, potential for more than minimal, isolatedAugust 27, 2026
Based on observation, interviews, and record reviews, the facility's licensed staff responsible for medication administration failed to display the necessary competencies and follow the rights of medication administration processes, which affected 2 (#s 31 and 40) of 33 supplemental and sampled residents. The medication error rate was high due to the lack of staff competencies. During one observation, which included the administration of a high-risk medication, Heparin, the medication was about to be administered to the resident incorrectly, and the staff member was stopped before the medication was given because of the significance of the error that was about to occur. …
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