Based on interview and record review, the facility failed to submit complete and accurate Payroll Based Journal information quarterly, for licensed nursing coverage 24 hours each day to the Centers for Medicare and Medicaid Services (CMS). The failure resulted in inaccurate staffing information being reported to the Centers for Medicare and Medicaid Services (CMS) and placed the facility at risk for inaccurate staffing data being used to evaluate the facility, which could impact all residents. Findings include:Review of the Centers for Medicare and Medicaid Services report titled, PBJ Staffing Data Report, for second quarter fiscal year 2026 (1/1/26 through 3/31/26), showed the facility . …
F851 citations in Montana
Staffing data submission · Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Montana cites F851 less often than its own record predicts
0.72 times the national share — cited less often here than elsewhere.
Of every deficiency written in Montana in 2025, this is the portion that was F851.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Montana surveyors wrote
F851 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 interview and record review, the facility failed to electronically submit accurate and complete direct care staffing information to CMS. This practice had the potential to affect all residents. Findings include: Review of the CMS [NAME] Payroll-based Journal for the facility found the facility triggered concerns for licensed nurse staff on 66 days, between 10/7/23 and 12/31/23. The facility also triggered for not having RN coverage for eight consecutive hours each day on 39 days between 10/8/23 and 12/31/23. Refer to F727 for the RN staffing. Review of the facility's nursing schedules, dated 10/8/23 - 12/31/23, reflected the facility did have licensed staff 24 hours a day on the dates in question, and did have RN coverage for eight consecutive hours each day except on 10/29/23. …
The short window
Recent years
| Year | Share of Montana citations | vs expected |
|---|---|---|
| 2023 | 0.56% | 2.45× |
| 2024 | 0.70% | 2.39× |
| 2025 | 0.16% | 0.72× |
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