Lack of Licensed Nursing Home Administrator
Summary
The facility failed to comply with the participation requirements for long-term care facilities by not appointing a licensed Nursing Home Administrator with an active license for the State of Montana. This deficiency arose after the interim Director of Nursing Services, who was expected to renew her contract and assume the administrator role, did not proceed with the contract due to failed negotiations. Her last day of employment was on December 27, 2024, leaving the facility without a licensed Nursing Home Administrator since that time. The report highlights that the facility considered having the interim Chief Executive Officer and another staff member share the roles of Nursing Home Administrator and Director of Nursing, or each filling one of the roles. However, both staff members expressed their unwillingness to work the additional hours required to fulfill both roles simultaneously. The State Operations Manual, Appendix PP, specifies that the Director of Nursing must be full-time, and fulfilling both roles would necessitate working beyond full-time hours. This lack of a licensed administrator may negatively affect all residents at the facility.
Penalty
Resources
Below are regulatory guidelines relevant to this citation:
Trusted data from CMS and state health departments
Every citation, penalty and Plan of Correction is sourced from public CMS records (latest release May 27, 2026) and official state health department websites — never guesswork.
Trusted by long-term care providers and associations.
