Based on observation, interview, and record review, the facility failed to ensure that food served to a resident did not contain food/contents the resident was allergic to, given the resident's documented banana allergy. After consuming several bites of food, resident #6 developed symptoms consistent with an allergic reaction, including tongue swelling and tingling, labored breathing, and required administration of Benadryl and transfer to the emergency department for further evaluation and treatment for 1 (#6) of 16 sampled residents. Findings include:During an interview on 8/25/26 at 1:38 p.m., staff member Q said resident #6 was allergic to bananas and had consumed bananas in yogurt. …
F806 citations in Montana
Allergies and food preferences · Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Montana cites F806 less often than its own record predicts
0.40 times the national share — cited less often here than elsewhere.
Of every deficiency written in Montana in 2025, this is the portion that was F806.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Montana surveyors wrote
F806 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 interviews, observations, and record review, the facility failed to ensure the food served accommodated the resident's preferences and the options were of similar nutritive value for 1 (#11) of 7 sampled residents. The failure to provide adequate nutrition may contribute to a resident's weight loss and deterioration in wound status. Finding include:During an interview and observation on 8/17/26 at 2:18 p.m., resident #11 discussed his thoughts and beliefs about nutrition and diets, and how they affect the body and his cancer. Resident #11 said he had completed research and found that eating lots of sugar in his diet would negatively affect his cancer, causing the cancer to feed off the sugar, and the cancer would grow. …
Based on observation, interview, and record review, the facility failed to address a food allergy, identified on the resident's chart, in a manner to ensure all staff had awareness of the allergy, for 1 (#37) of 13 sampled residents. Findings include: During an observation on 10/31/18 at 4:57 p.m., an allergy sticker was observed on the front of resident #37's medical record. Next to the heading, the letters NKA were observed with three lines going through the letters and underneath, the word, shellfish was written. During an interview and observation, on 10/31/18 at 4:59 p.m., staff member E stated resident meal cards identify each resident's physician prescribed diets and all cards list resident allergies [REDACTED]. …
The short window
Recent years
| Year | Share of Montana citations | vs expected |
|---|---|---|
| 2023 | 0.56% | 1.40× |
| 2024 | 0.17% | 0.45× |
| 2025 | 0.16% | 0.40× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Montana surveyors cite →
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