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Complaint Investigation

Faith Lutheran Home

November 19, 2025 · Wolf Point, MT · 1000 6th Ave N
Citations 1
CMS Rating 4/5
Beds 60
Provider ID 275073
Healthcare Facility
Faith Lutheran Home
Wolf Point, MT  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

FAITH LUTHERAN HOME in WOLF POINT, MT — inspection on November 19, 2025.

Found 1 citation. Severity: Standard violations.

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

Inspection Findings

FF0627
Resident Rights Deficiencies
Potential for More Than Minimal Harm

Based on interview and record review, the facility failed to ensure a resident was discharged in a safe condition after previously accepting admission and responsibility for the resident from out of town for 1 (#1) of 1 resident sampled for inappropriate discharge.

This deficient practice was corrected on 6/4/25 and determined to be past non-compliance.

Findings include: Review of a facility incident report, dated 6/3/25, showed resident #1 had been refused admission to [Facility Name]. Resident #1 had arrived from several hours away via contracted ambulance, and her local family had met her at the facility.

Staff determined the family members were too intoxicated to sign admission paperwork, and the staff present would not accept resident #1.

The resident left with family and staff did not contact the administrator or other management.

There was no safe discharge plan in place.

During an interview on 11/19/25 at 8:50 a.m., staff member A stated they had not been aware of the situation with the resident being denied admission until the very next day.

Staff member A contacted the State Survey Agency for guidance.

Staff member B immediately contacted the resident to ensure safety and to discuss a potential admission.

The resident had been living with family before her hospitalization and had not wanted to be admitted to long-term care.

She decided to stay with her family rather than be admitted .

She had no immediate medical concerns [i.e. IV antibiotics or rehab orders].

Staff member A stated the employee who refused admission was suspended and later resigned.

Staff education was completed, and the facility held an emergency QAPI meeting on 6/4/25, and addressed the incident with a plan of correction. No other residents have since been refused admission.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE

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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 WOLF POINT, 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 FAITH LUTHERAN HOME or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.