F804 in Montana. Pick another state for the same tag.
Against expectation — 2025
Montana cites F804 less often than its own record predicts
Versus expected share0.85×
0.85 times the national share — cited less often here than elsewhere.
Share of Montana citations0.78%
Of every deficiency written in Montana in 2025, this is the portion that was F804.
Montana0.78%
National0.92%
Share of all citations that were F804.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Montana surveyors wrote
F804 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.
G · Actual harm, isolatedDecember 20, 2019
Based on observation, interview, and record review, the facility failed to provide coffee at a safe temperature, which led to 1 (#1) of 4 sampled residents sustaining 1st and 2nd [MEDICAL CONDITION] her legs.
During an observation on 12/18/19 at 4:52 p.m., a cup was filled with coffee directly from the coffee machine in the dining room. An infrared thermometer showed the temperature was 154 degrees Fahrenheit. This was the identified machine which was used the day resident #1 sustained a coffee burn, and the coffee was provided to resident #1 by a staff person, who then left the resident unattended.
During an interview on 12/19/19 at 12:26 p.m., staff member [NAME] stated he checked the coffee temperatures three times every day. …
E · No harm, potential for more than minimal, patternJune 29, 2026
Based on interview, observation, and taste testing of food served by the facility, the facility failed to provide food at a palatable and appetizing temperature for 5 (#s 14, 28, 40, 48, and 52) of 20 sampled and supplemental residents. This deficient practice affected the residents' nutrition, weight management, and quality of life. Findings include:During an observation and interview on 6/27/26 at 12:31 p.m., resident #52's food was placed uncovered on the dining room table. Resident #52 got to the dining room and began eating at 12:36 p.m. When asked if his food was hot, resident #52 said no, not his French fries. During an observation and interview on 6/27/26 at 12:42 p.m., resident #48 was observed sitting at the dining room table. …
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