F867 in Montana. Pick another state for the same tag.
Against expectation — 2025
Montana cites F867 less often than its own record predicts
Versus expected share0.95×
0.95 times the national share — cited less often here than elsewhere.
Share of Montana citations0.31%
Of every deficiency written in Montana in 2025, this is the portion that was F867.
Montana0.31%
National0.33%
Share of all citations that were F867.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Montana surveyors wrote
F867 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.
I · Actual harm, widespreadApril 6, 2018
Based on interview and record review, the facility failed to collect measurable data, to be used during the QAPI process to identify quality deficient areas and practices, and to ensure interventions that were used to prevent falls were effective; and, failed to identify the facility staff and IDT were not identifying direct root causes for falls, for the future prevention of falls, for 5 (#s 25, 75, 98, 146, and 164) of 50 sampled and supplemental residents. Findings include:
During the QAPI interview on 4/5/18 at 11:38 a.m., staff member B and D were asked for the facility process for identifying concerns, collecting data, formulating interventions, and monitoring for compliance, in regards to resident falls in the past year. …
F · No harm, potential for more than minimal, widespreadMarch 24, 2026
Based on interview and record review, the facility failed to develop and implement an effective, comprehensive, data-driven Quality Assurance and Performance Improvement (QAPI) program. The facility identified multiple Performance Improvement Projects (PIPs); however, failed to implement, monitor, and sustain effective corrective actions. The failure resulted in ongoing quality of care and service concerns without resolution and placed all residents at risk for continued substandard care and negative outcomes. …
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