F755 in Montana. Pick another state for the same tag.
Against expectation — 2025
Montana cites F755 less often than its own record predicts
Versus expected share0.53×
0.53 times the national share — cited less often here than elsewhere.
Share of Montana citations1.25%
Of every deficiency written in Montana in 2025, this is the portion that was F755.
Montana1.25%
National2.34%
Share of all citations that were F755.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Montana surveyors wrote
F755 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.
L · Immediate jeopardy, widespreadApril 12, 2022
Based on observation, interview, and record review, the facility failed to provide routine and emergent necessary pharmaceutical services to residents; failed to have a functioning system in place to accurately manage the ordering, administering, monitoring, and reconciliation of medications, including controlled substances, for 6 (#s 1, 2, 3, 4, 5, 6) of 8 sampled residents. This failure resulted in harm and potential for more harm to residents receiving medications from the facility.
An Immediate Jeopardy was called on [DATE] at 4:59 p.m., in the presence of the facility administrator, administrator in training, the RN, DDCO, and the facility AGACNP-BC, MSN, Chief Nursing Officer. The IJ pertained to F755 - Pharmacy services. …
Based on interview and record review, the facility failed ensure adequate monitoring, glucose administration, and insulin parameters were in place for diabetic residents for 1 (#27) of 1 sampled resident. This deficient practice had the potential to affect any resident receiving insulin.
During observations on 11/18/23 - 11/19/23, resident #27 was not observed to get out of bed or join any of the meals. Trays left at her bedside went untouched.
During an observation and interview on 11/19/23 at 4:42 p.m., resident #27 was lying in bed and stated she hadn't had much to eat and was very sleepy.
Review of resident #27's MAR, dated November 2023, showed she had an order for Blood Glucose AC and HS before meals and at bedtime related to .Diabetes mellitus with hyperosmolarity with coma. …
D · No harm, potential for more than minimal, isolatedJuly 30, 2026
Based on interview and record review, the facility failed to provide pharmacy services that ensured stock emergency medications were obtained, available, and administered only as authorized by physician orders for 1 (#4) of 1 resident reviewed for pharmacy services. The failure increased the risk residents could receive emergency medications without appropriate authorization or clinical indication. Findings include:Review of a facility-reported incident submitted to the State Survey Agency on 5/18/26 showed resident #4, a hospice resident receiving comfort-focused treatment, was found unresponsive, and the nurse administered Narcan (naloxone). Review of resident #4's electronic health record did not show a physician order authorizing Narcan. …
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