Based on interview and record review, the facility failed to implement an effective antibiotic stewardship program, including monitoring of antibiotic use within the facility. The failure placed residents at increased risk for inappropriate antibiotic use, adverse drug reactions, and development of antibiotic-resistant organisms. Findings include:During an interview on 4/9/26 at 9:13 a.m., staff member B stated she started in November 2025 and was responsible for the infection prevention and control program, including oversight of antibiotic use. Staff member B stated providers were good about obtaining cultures and changing or discontinuing antibiotics based on culture and sensitivity reports; however, she was not currently tracking the information. …
F881 citations in Montana
Antibiotic stewardship · Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Montana cites F881 more often than its own record predicts
1.30 times the share F881 takes of citations nationally.
Of every deficiency written in Montana in 2025, this is the portion that was F881.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Montana surveyors wrote
F881 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 | 1.69% | 3.66× |
| 2024 | 0.70% | 1.56× |
| 2025 | 0.63% | 1.30× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Montana surveyors cite →
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