Latest reports, citations, and penalties from CMS data
The November 4 incident at Montana Mental Health Nursing Home involved a resident who requires full assistance to walk and change his brief....
Facilities are required by federal regulation to inform residents of their right to create these documents and to follow them once established....
The bugs were mostly concentrated on their roommate's bed, Resident 11, in their shared room....
The violation surfaced during a complaint inspection completed November 20, 2025....
The deficiency fell under the category of Resident Assessment and Care Planning â a foundational component of skilled nursing facility operations....
His care plan specifically directed staff to make sure he had the oxygen on and was using it correctly....
The November inspection revealed actual harm to residents from what inspectors classified as preventable incidents....
The facility, which received **six total deficiencies** during the inspection, has not submitted a correction plan for any of the cited violations....
The injured resident was treating facial wounds with ice and taking Tylenol for pain when investigators arrived....
Resident #1 weighed 273.81 pounds during a September 23 hospital stay....
The medication delays occurred on October 12 when Resident #5 arrived at the facility with discharge paperwork ordering specific antibiotics....
The aide claimed she was short on funds and needed money to pay bills, promising to pay him back....
The resident, identified as R2 in inspection records, has an undated dietary card documenting his dislike of fish, chicken, beets, and squash....
The distinction between "no actual harm" and "potential for harm" is important in regulatory context....
The resident, identified in records as R2, had been admitted to Watertown Health Care Center earlier this year....
The citation indicates that the facility's medication error rate met or exceeded that federal benchmark during the inspection period....
The facility has not submitted a plan of correction....
The facility's own Director of Nursing confirmed the lapse....
Resident 9 needed oxygen at 2 liters per minute to keep blood oxygen levels above 90 percent, according to February physician orders....
When this coordination breaks down, several risks emerge....