Based on observation, interview, and record review, the facility failed to educate staff on the identification of residents with behavioral health needs, and implementation of non-pharmacological behavioral interventions, for residents with anxiety, for 2 (#s 15 & 71) of 4 sampled residents. This deficient practice caused a resident to experience prolonged levels of anxiety and cause distress, impeding the resident's ability to avoid psychosocial harm. Findings include: 1. During an observation and interview on 2/28/23 at 8:12 a.m., resident #71 was calling and asking for help to a passing staff member, who did not go into the resident's room. Resident #71 spoke to the surveyor, appearing anxious and quick in speech, asking for help, and repeatedly stating she needed help. …
F741 citations in Montana
Quality of Life and Care Deficiencies
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2023
Montana cites F741 more often than its own record predicts
5.74 times the share F741 takes of citations nationally.
Of every deficiency written in Montana in 2023, this is the portion that was F741.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Montana surveyors wrote
F741 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 have sufficient staff to adequately supervise and provide non-pharmacological interventions for a resident on the memory care unit, for 1 (#60) of 32 residents residing on the unit. Findings include: During an observation on 5/22/23 at 9:38 a.m., resident #60 was in her room on her bed crying out mommy. The alarm on the bed was going off. During an observation on 5/22/23 at 9:45 a.m., the alarm in resident #60's room was still going off. During an observation on 5/22/23 at 9:46 a.m., the nurse was in the dining room administering medications. …
What else Montana surveyors cite →
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