Based on observation, interview, and record review, the facility failed to provide psychiatric services for 1 (#40) of 1 resident with the diagnoses: Borderline Personality Disorder, Generalized Anxiety Disorder, Major Depressive Disorder, Epilepsy, Other Drug Induced Secondary Parkinsonism, as shown in resident #40's EHR. Findings include: During an interview on 9/10/24 at 1:40 p.m., NF2 stated, [Resident #40] has emotional breakdowns and crying. So, I know the meds are holding her together, but they're not quite right . NF2 expressed frustration during the conversation and stated she knew resident #40 was not completely okay because she was still having hallucinations, and she never used to, prior to admission. NF2 stated, No, I do not think this is her new normal. …
F742 citations in Montana
Quality of Life and Care Deficiencies
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Montana cites F742 more often than its own record predicts
3.88 times the share F742 takes of citations nationally.
Of every deficiency written in Montana in 2025, this is the portion that was F742.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Montana surveyors wrote
F742 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 interview and record review, the facility failed to develop an individualized care plan reflecting a resident's past trauma, did not address his desire for sexual activities on the individualized care plan, or initiate behavior monitoring for potential sexual behaviors; and the facility did not identify the need for additional mental health trauma-based services timely for 1 (#73) of 25 sampled residents. This deficient practice increased the resident's risk of negative outcomes and or behaviors continuing to be unaddressed or unmonitored, which could affect 2 residents (#s 22 and 46). Findings include:During an interview on 2/24/26 at 5:05 p.m., staff member N stated she witnessed resident #73 assisting resident #46 with eating. …
The short window
Recent years
| Year | Share of Montana citations | vs expected |
|---|---|---|
| 2024 | 0.17% | 1.40× |
| 2025 | 0.47% | 3.88× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Montana surveyors cite →
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