Based on observation, interview, and record review, the facility failed to identify psychosocial harm after a resident's traumatic experience and fall from a mechanical lift, and failed to provide medically necessary social services for 1 (#5) of 14 sampled residents. This deficient practice caused the resident to continue to be fearful of transfers with the lift and falling, which increased her anxiety. Findings include:During an interview on 12/1/25 at 1:03 p.m., resident #5 stated, I have a hard time with some of the staff. It is like they don't listen to me when I tell them how to do things. There are some staff here I don't trust.During an interview on 12/2/25 at 1:32 p.m., resident #5 stated, I remember the incident with the lift. …
F745 citations in Montana
Quality of Life and Care Deficiencies
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Montana cites F745 more often than its own record predicts
4.49 times the share F745 takes of citations nationally.
Of every deficiency written in Montana in 2025, this is the portion that was F745.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Montana surveyors wrote
F745 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 ensure social services was provided to one resident needing assistance with transitioning to a long-term care facility and managing the resident's finances for 1 (#1); and ensuring psychosocial well-being was assessed for a resident following a physical altercation for 1 (#23) of 19 sampled residents. The failure could result in undue stress for the residents related to the lack of social service assistance. Findings include:1. During an interview on 6/17/26 at 8:10 a.m., resident #1 was observed sitting in a wheelchair at the breakfast table. Resident #1 asked if the surveyor could find an advocate for him. …
The short window
Recent years
| Year | Share of Montana citations | vs expected |
|---|---|---|
| 2024 | 0.52% | 2.38× |
| 2025 | 0.78% | 4.49× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Montana surveyors cite →
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