Glendive Medical Center NH: Care Plan Failures - MT
Federal health inspectors cited the facility in September 2025 for failing to develop complete care plans within seven days of comprehensive resident assessments, and for failures in how those plans were prepared, reviewed, and revised by the health care team. The deficiency, tagged under resident assessment and care planning requirements, was one of eight violations documented during the September 11 inspection.
The citation was classified as an isolated deficiency with no actual harm documented. Inspectors determined, however, that the potential for more than minimal harm existed.
That distinction matters. A care plan is not paperwork. It is the mechanism by which a facility translates what it knows about a resident, their diagnoses, their medications, their mobility, their behavioral patterns, their personal preferences, into specific instructions for the staff who touch that person's life every day. When it is late or incomplete, staff work without a full picture. A fall risk that hasn't been formally documented doesn't trigger the precautions that prevent a fall. A swallowing difficulty that hasn't been incorporated into a revised plan doesn't reach the aide who delivers the meal tray.
Glendive Medical Center is a nursing home attached to the regional medical center serving a large stretch of eastern Montana. The area is remote. For many residents, this facility is not a choice among options. It is the option.
The seven-day requirement exists precisely because the period immediately following a comprehensive assessment is when a resident's needs are most clearly understood and when care decisions carry the most weight. A plan that arrives ten days late, or two weeks late, or that was assembled without the full participation of the health care team, means days of care delivered without that coordination in place.
Inspectors did not document how many residents were affected, how late the plans were, or which members of the care team were absent from the process. The scope was characterized as isolated, meaning the problem did not appear systemic across the facility's entire population. But isolated does not mean inconsequential. One resident without a complete care plan is one resident whose needs may not be fully communicated to every person responsible for their care.
The facility was cited for eight deficiencies in total during the September inspection. The care planning failure was among them. The others are not detailed in this report, but eight citations in a single complaint inspection is a significant finding for any facility, and for a small regional nursing home serving a community with limited alternatives, the accumulation carries weight.
Glendive Medical Center NH reported a correction date of October 3, 2025, roughly three weeks after the inspection. Whether that correction involved completing the outstanding care plans, revising the facility's internal process for assembling the care team, or both, is not specified in the inspection record.
What the record does show is a gap between what the facility was required to do and what it did, in an area of care where the gap has real consequences. The resident on the other end of a late care plan does not know the plan is late. They do not know that the document coordinating their care is incomplete, or that the team responsible for reviewing and revising it did not fully convene. They know only what they experience: whether the aide who comes in the morning knows what they need, whether the nurse adjusts the approach when something changes, whether the care feels coordinated or improvised.
In a facility where the inspection record now shows eight deficiencies in a single visit, that question is not abstract.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Glendive Medical Center N H from 2025-09-11 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 21, 2026 · Our methodology
GLENDIVE MEDICAL CENTER N H in GLENDIVE, MT was cited for violations during a health inspection on September 11, 2025.
The deficiency, tagged under resident assessment and care planning requirements, was one of eight violations documented during the September 11 inspection.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.