Based on interview, observation, and record review, the facility failed to identify a swallowing issue, hear the resident's concerns, notify the speech language pathologist, and properly address swallowing concerns for 1 (#11) of 27 sampled residents. This deficient practice has the potential to result in weight loss or choking if not identified and addressed timely. Findings include:During an interview on 2/8/26 at 8:27 a.m., resident #11 stated the food was not the best. He stated he was unable to eat the food or swallow many of the foods because he did not have any teeth. He stated he was afraid he would swallow it and choke. …
F808 citations in Montana
Nutrition and Dietary Deficiencies
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Montana cites F808 more often than its own record predicts
3.22 times the share F808 takes of citations nationally.
Of every deficiency written in Montana in 2025, this is the portion that was F808.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Montana surveyors wrote
F808 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.
The short window
Recent years
| Year | Share of Montana citations | vs expected |
|---|---|---|
| 2023 | 0.28% | 1.42× |
| 2024 | 0.70% | 4.15× |
| 2025 | 0.47% | 3.22× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Montana surveyors cite →
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