Based on observation, interview, and record review, the facility failed to develop and implement an effective training program for all staff who transported residents in the facility vans to ensure the residents were safe when transported and seat belts and safety harnesses were secured properly. This failure contributed to the Immediate Jeopardy situation(s) identified in F869 - Accidents and Hazards, and if not corrected, this failure may affect any resident not transferred properly by untrained staff. Findings include: During an interview on 7/8/26 at 9:45 a.m., staff member B said resident #1 fell out of her wheelchair because staff member H tethered resident #1's wheelchair to the van but did not place a waist/lap belt on resident #1 for resident safety. …
F940 citations in Montana
Administration Deficiencies
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Montana cites F940 more often than its own record predicts
3.20 times the share F940 takes of citations nationally.
Of every deficiency written in Montana in 2025, this is the portion that was F940.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Montana surveyors wrote
F940 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 | 0.56% | 7.06× |
| 2025 | 0.31% | 3.20× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Montana surveyors cite →
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