Based on observation, interview, and record review, the facility failed to ensure medications that were required to be refrigerated were stored at the appropriate temperature for an extended period of time. This failure involved 12 (#s 3, 4, 6, 11, 12, 20, 22, 24, 26, 31, 33, and 35) of 24 sampled and supplemental residents, who had medications stored in the malfunctioning refrigerator, and all other residents who received or might receive medications that were required to be stored in the medication refrigerator. On 7/12/18 at 5:13 p.m., the facility Director of Clinical Services, Executive Director and Director of Nursing Services were notified that an immediate jeopardy existed in the area of F755 for pharmacy services and F761 for storage of drugs and biologicals. …
F761 citations in Montana
Drug labeling and storage · Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Montana cites F761 less often than its own record predicts
0.44 times the national share — cited less often here than elsewhere.
Of every deficiency written in Montana in 2025, this is the portion that was F761.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Montana surveyors wrote
F761 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 ensure staff properly secured medications and the medication cart, and licensed staff failed to ensure sanitary conditions for stock medications were maintained; these failures had the potential to affect any resident's medications or processes related to them. Findings include:During an observation and interview on 7/30/26 at 7:49 a.m., staff member B pulled a stock bottle of Certa-Vite (multi-vitamins) out of the medication cart. The bottle of Certa-Vite did not have a lid, and a plastic medication cup was placed on top of the bottle. Staff member B stated, I guess they lost the lid to my Certa-Vite. Staff member B removed the plastic medication cup and poured one tab of Certa-Vite into the medication cup. …
Based on observation, interview, and record review, the facility failed to dispose of an expired medication for 1 (#26) of 28 sampled residents; and failed to dispose of expired supplies. The expiration of the supplies had the potential to introduce infection into a vulnerable population. Findings include: During on observation on [DATE] at 3:10 p.m., [MEDICATION NAME] Gelcaps (eye health vitamin) was found on a medication cart and had an expiration date of ,[DATE]. During an interview on [DATE] at 3:10 p.m., staff member M stated no one was currently taking the [MEDICATION NAME] Gelcaps, but it had been prescribed for resident #26. Staff member M stated the last time resident #26 took the vitamin was in (MONTH) of 2019. …
The short window
Recent years
| Year | Share of Montana citations | vs expected |
|---|---|---|
| 2023 | 2.26% | 0.71× |
| 2024 | 1.75% | 0.57× |
| 2025 | 1.41% | 0.44× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Montana surveyors cite →
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