Based on interview and record review, the facility failed to maintain complete and accurate medical records by failing to ensure the resident's medical record accurately reflected the presence, characteristics, and changes in a scalp lesion/wound for 1 (#3) of 7 sampled residents. This deficient practice resulted in an incomplete medical record that did not accurately reflect the resident's condition or provide a complete picture of the wound status, or care provided.Review of resident #3's weekly skin assessments dated 6/2/25- 6/29/25 and 11/2/25-11/16/25, showed no documentation of the resident's chronic scalp lesion/wound.Review of resident #3's weekly skin assessments dated 7/6/25-9/28/25 and 12/14/25-6/14/26, showed documentation of the presence of a scalp lesion/wound, but the record… …
F842 citations in Montana
Medical records · Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Montana cites F842 less often than its own record predicts
0.49 times the national share — cited less often here than elsewhere.
Of every deficiency written in Montana in 2025, this is the portion that was F842.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Montana surveyors wrote
F842 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 observation, interview, and record review, the facility failed to safeguard medical records against unauthorized use on the F-Wing, G-Wing, and E2-Wing, which had the potential to affect any resident who had information put into the unsecured shredding containers. Findings include: During an observation on 4/16/19 at 9:26 a.m., the nurses' station on the F-Wing had an open and unlocked cardboard box, which was half-full with PHI, that was waiting to be shredded. There was visible identifiable patient information on the top. During an interview on 4/18/19 at 8:00 a.m., staff member C stated there was no locked shred bin on the F-Wing nurses' station. She stated the PHI information, which needed to be shredded, was placed in the open cardboard box at the nurses' station. …
The short window
Recent years
| Year | Share of Montana citations | vs expected |
|---|---|---|
| 2023 | 0.56% | 0.35× |
| 2024 | 0.35% | 0.19× |
| 2025 | 1.10% | 0.49× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Montana surveyors cite →
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