Montana Mental Health NH: Admin Deficiencies - MT
That's what inspectors found during a November 2025 complaint investigation at Montana Mental Health Nursing Home on Casino Creek Drive.
The facility's medication administration records contained what staff called "holes" — doses with no documentation of whether they were given, refused, or missed. When a nurse was asked who reviewed those records to catch missing entries, the answer was that she wasn't sure.
Staff member I explained the process as it was supposed to work: if a resident declined a medication or it wasn't given for any reason, the nurse was supposed to circle the box on the medication record, initial it, and write a progress note on the back of the administration record explaining the missed dose. Whether anyone was doing that consistently, or checking to make sure it happened, was unclear.
The returned medications added a separate layer of concern. Drugs sent back to the pharmacy weren't accounted for in the records, leaving no clear trail of what happened between the time a medication was dispensed and the time it left the building.
The facility's own written policies described the requirements plainly. One policy listed medication omission as a medication error. Another required nurses to document on the medication administration record immediately after giving each dose, and to record refusals and the reasons for them.
The gap between what the policies said and what the records showed was the finding.
The deficiency was cited at a level of minimal harm or potential for actual harm, with some residents affected. No immediate jeopardy was declared. But for residents whose medications weren't documented, there was no way to know from the record alone whether a dose had been given, forgotten, or refused — and no clear system to find out.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Montana Mental Health Nursing Home from 2025-11-19 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 4, 2026 · Our methodology
MONTANA MENTAL HEALTH NURSING HOME in LEWISTOWN, MT was cited for violations during a health inspection on November 19, 2025.
That's what inspectors found during a November 2025 complaint investigation at Montana Mental Health Nursing Home on Casino Creek Drive.
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.