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Complaint Investigation

Polson Health & Rehabilitation Center

Inspection Date: November 17, 2025
Total Violations 2
Facility ID 275049
Location POLSON, MT
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Inspection Findings

F-Tag F0602

Freedom from Abuse, Neglect, and Exploitation Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0602 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some

FORM CMS-2567 (02/99) Previous Versions Obsolete

crime. He stated he had knowledge of audits being completed on the narcotic books to compare them to

the medication administration record but had not participated in the audits.Review of the Quality Assurance Performance Improvement (QAPI) meeting on 8/26/25 showed the attendance of all leadership staff, including the medical director. The QAPI meeting showed the following:- Identification of the residents affected by the diversion of medications,- Staff member L was taking as needed (PRN) medications from

the identified resident's PRN narcotic medications card and not entering the medication on the medication administration record.- Pain for the residents affected by the diversion was not a concern to those residents,- Other residents in the facility were interviewed and had no medication concerns,- All nurses and CNAs were educated on diversion of medications on 8/27/25,- Physicians and family members were notified of the incidents. Adult Protective Services and the local ombudsman were notified of the incidents.Monitoring audits were completed for two nurses' narcotic medication logs of PRN pain medications to the medication administration record, for two residents per medication cart per shift for one week, then these audits were completed for two residents weekly for three weeks, then these audits will be completed for two residents monthly for three months for accuracy. The director of nursing reviewed these audits for sustained compliance and reported the compliance to the QAPI committee on 9/4/25, and- The results of audits were reported to the QAPI committee on 9/4/25, with the next scheduled meeting on 9/26/25 for sustained compliance.All elements of corrective action for misappropriation of residents' property were completed, and the facility was in substantial compliance upon the recertification survey, with an exit date of 9/25/25.

Review of the facility's policy titled Abuse, Neglect, and Misappropriation of Resident Property Prohibition, last updated September 2017, showed:- Misappropriation of Resident Property: The deliberate misplacement, exploitation, or wrongful, temporary, or permanent use of a resident's belongings or money without the resident's consent.- Examples of resident property include jewelry, clothing, furniture, money, medications .

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Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

11/17/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Polson Health & Rehabilitation Center

9 14th Ave W Polson, MT 59860

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

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F-Tag F0609

Freedom from Abuse, Neglect, and Exploitation Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some

FORM CMS-2567 (02/99) Previous Versions Obsolete

related to staff member L, but did not reach out to her supervisor (staff member N) until early August 2025,Other staff members were interviewed and showed no concern,- Education was provided to all CNAs and nursing staff related to reporting a reasonable suspicion of a crime in a timely manner by 8/30/25,- The Executive Director/Administrator posted who to contact with any suspicions of a crime, and- The facility identified the date of compliance for the misappropriation of medications and corrections carried out, which was on 9/4/25, and monitoring was going to continue to occur. All elements of corrective actions taken for reporting the reasonable suspicion of a crime in a timely manner were completed, to include a thorough investigation and reporting, after facility administration became aware of the events, and the facility was in substantial compliance at the time of the recertification survey, with a completion date of 9/25/25. Review of

the facility's policy titled. Reasonable Suspicion of a Crime, last updated October 2022, showed:a- . 2. Each covered individual shall report to the Executive Director any reasonable suspicion of a crime immediately.

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📋 Inspection Summary

POLSON HEALTH & REHABILITATION CENTER in POLSON, MT inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in POLSON, MT, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from POLSON HEALTH & REHABILITATION CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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