Based on interview and record review, the facility failed to ensure the medical director was active in his role for QAPI and review, development, and revision of the facility policies and procedures. Findings include:During an interview on 3/26/26 at 10:50 a.m., staff member A stated the medical director was not always at their QAPI meetings. Staff member A stated staff member N did not always participate in reviewing and revising the policies and procedures for the facility but did sometimes. Staff member A stated there was a new medical director starting with the facility (in the near future). During an interview on 3/26/26 at 12:03 p.m., staff member N stated he was not the medical director but was the medical provider. …
F841 citations in Montana
Nursing and Physician Services Deficiencies
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Montana cites F841 more often than its own record predicts
4.71 times the share F841 takes of citations nationally.
Of every deficiency written in Montana in 2025, this is the portion that was F841.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Montana surveyors wrote
F841 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.
What else Montana surveyors cite →
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