F759 in Montana. Pick another state for the same tag.
Against expectation — 2025
Montana cites F759 more often than its own record predicts
Versus expected share1.16×
1.16 times the share F759 takes of citations nationally.
Share of Montana citations1.25%
Of every deficiency written in Montana in 2025, this is the portion that was F759.
Montana1.25%
National1.08%
Share of all citations that were F759.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Montana surveyors wrote
F759 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.
E · No harm, potential for more than minimal, patternAugust 27, 2026
Based on observation, interview, and record review, the facility failed to ensure medications were administered safely without a medication error rate over 5% for 3 (#s 31, 33, and 66) of 5 sampled residents observed during medication pass. The medication error rate was 22.22%. Findings include:During an interview and observation on 8/25/26 at 7:43 a.m., the following medication errors were observed for resident #66:-The MAR showed: protein 30 ml. Staff member T stated that the MAR and the medications/supplements given should match exactly. Staff member T stated a traveler (contracted staff member) may not know what protein meant due to the ambiguity on the MAR. …
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