Based on interview and record review, the facility failed to ensure new staff, existing staff, and contracted staff were trained on the facility's infection prevention and control program standards, policies, and procedures. This deficient practice increased the risk of a negative outcome for all residents in the facility. Findings include: During an interview on 1/22/25 at 8:58 a.m., staff member P stated she had just started working at the facility. Staff member P stated she was not provided any education on infection prevention or hand hygiene policies and procedures, and she was just doing what I know. …
F945 citations in Montana
Infection Control Deficiencies
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Montana cites F945 more often than its own record predicts
2.83 times the share F945 takes of citations nationally.
Of every deficiency written in Montana in 2025, this is the portion that was F945.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Montana surveyors wrote
F945 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 |
|---|---|---|
| 2024 | 0.17% | 3.73× |
| 2025 | 0.16% | 2.83× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Montana surveyors cite →
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