All citations for Southwest Montana Veterans Home

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Southwest Montana Veterans Home

Last standard health inspection on record

June 19, 2025

Showing 1 to 18 of 18 citations

  1. Harm to a resident

    Provide safe, appropriate pain management for a resident who requires such services.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0697, Quality of Life and Care Deficiencies. Inspection of May 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 1, 2023).

  2. No harm, with potential for more than minimal harm

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0605, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of June 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 21, 2025).

  3. No harm, with potential for more than minimal harm

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0644, Resident Assessment and Care Planning Deficiencies. Inspection of June 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 21, 2025).

  4. No harm, with potential for more than minimal harm

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0700, Quality of Life and Care Deficiencies. Inspection of June 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 21, 2025).

  5. No harm, with potential for more than minimal harm

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of May 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 1, 2023).

  6. No harm, with potential for more than minimal harm

    Provide activities to meet all resident's needs.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0679, Quality of Life and Care Deficiencies. Inspection of May 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 1, 2023).

  7. No harm, with potential for more than minimal harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of June 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 21, 2025).

  8. No harm, with potential for more than minimal harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of June 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 21, 2025).

  9. No harm, with potential for more than minimal harm

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of June 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 21, 2025).

  10. No harm, with potential for more than minimal harm

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0742, Quality of Life and Care Deficiencies. Inspection of June 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 21, 2025).

  11. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0880, Infection Control Deficiencies. Inspection of June 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 21, 2025).

  12. No harm, with potential for more than minimal harm

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0921, Environmental Deficiencies. Inspection of June 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 21, 2025).

  13. No harm, with potential for more than minimal harm

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0550, Resident Rights Deficiencies. Inspection of June 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 9, 2024).

  14. No harm, with potential for more than minimal harm

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0644, Resident Assessment and Care Planning Deficiencies. Inspection of June 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 9, 2024).

  15. No harm, with potential for more than minimal harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of June 6, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (July 9, 2024).

  16. No harm, with potential for more than minimal harm

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of May 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 1, 2023).

  17. No harm, with potential for more than minimal harm

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of May 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 1, 2023).

  18. No harm, with potential for more than minimal harm

    Have a policy regarding use and storage of foods brought to residents by family and other visitors.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0813, Nutrition and Dietary Deficiencies. Inspection of May 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 1, 2023).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.