Based on observations, interviews, and record review, the facility failed to provide meals at regularly scheduled times, causing a resident to become frustrated for 1 (#31) of 22 sampled residents. Findings include:During an observation and interview on 1/25/26 at 12:56 p.m., resident #31's meal tray was delivered to his room on the Birch Hall. NF1, who was in the resident's room, said lunch meals are often served late. NF1 stated, You get used to it over time. During an observation on 1/26/26 at 12:35 p.m., NF1 came down the hall and asked staff member A where the lunch meal was. NF1 stated, Resident #31 is really wanting to lie down, and he was told he can't lie down until after lunch. He is not happy lunch is so late. …
F809 citations in Montana
Nutrition and Dietary Deficiencies
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Montana cites F809 less often than its own record predicts
0.82 times the national share — cited less often here than elsewhere.
Of every deficiency written in Montana in 2025, this is the portion that was F809.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Montana surveyors wrote
F809 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 |
|---|---|---|
| 2024 | 0.17% | 0.82× |
| 2025 | 0.16% | 0.82× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Montana surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction