Based on observation, interview, and record review, the facility failed to implement measures to mitigate the spread of COVID-19 within the facility. The facility had 38 out of 73 residents contract COVID-19, and 4 (#s 1, 4, 5, and 7) of 17 sampled residents were sent to the hospital, and after evaluation were diagnosed with COVID-19 related illnesses. Staff were observed going in/out of at least 12 resident rooms without following proper infection control prevention measures. …
F880 citations in Montana
Infection prevention and control · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Montana cites F880 less often than its own record predicts
0.96 times the national share — cited less often here than elsewhere.
Of every deficiency written in Montana in 2025, this is the portion that was F880.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Montana surveyors wrote
F880 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 implement and maintain a water management program for the prevention of waterborne pathogens in accordance with CDC guidance for 1 (#6) of 20 sampled and supplemental residents. Environmental testing identified Legionella bacteria within the facility's water system after resident #6 was diagnosed with Legionnaires' disease. The facility's failure to implement and maintain its water management program placed all residents at increased risk for exposure to waterborne pathogens. During the survey, it was found that the facility had previously identified, investigated, and corrected the non-compliance for the water management system, resulting in findings of Past Non-Compliance. …
Based on observations, interviews, and record reviews, the facility failed to ensure staff maintained a clean environment for a resident who used a urinal, for 1 (#80) of 1 resident observed for urinal use; failed to ensure staff adhered to enhanced barrier precautions (EBP) for 3 (#s 30, 33, and 56) of 3 residents observed; failed to ensure a clean environment, for 1 (#49) of 1 resident observed; failed to ensure staff maintained a clean environment in the laundry facilities; and failed to ensure proper handling of medications due to non-compliance with PPE protocols for 1 (#40) of 33 sampled and supplemental residents. These deficient practices increased the risk of cross-contamination and the spread of infections for residents and staff. Findings include: 1. …
The short window
Recent years
| Year | Share of Montana citations | vs expected |
|---|---|---|
| 2023 | 5.37% | 1.04× |
| 2024 | 5.24% | 0.93× |
| 2025 | 5.95% | 0.96× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Montana surveyors cite →
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