Based on interview and record review, the facility failed to have an updated written agreement with a hospice, which was signed by an authorized representative of both the hospice and the facility, before hospice care was furnished at the facility to ensure coordination and communication of care was provided as ordered for 2 (#s 29 and 65) of 3 residents sampled for hospice services. This deficient practice increased the risk to any resident receiving hospice services. Findings include:Review of the facility's hospice agreements provided during the Entrance Conference, showed an agreement signed and dated on 6/24/00, for Coordination of Services Agreement Between [NF7] and [NF8]. …
F849 citations in Montana
Administration Deficiencies
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Montana cites F849 more often than its own record predicts
1.15 times the share F849 takes of citations nationally.
Of every deficiency written in Montana in 2025, this is the portion that was F849.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Montana surveyors wrote
F849 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% | 0.90× |
| 2024 | 0.17% | 0.57× |
| 2025 | 0.31% | 1.15× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Montana surveyors cite →
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