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F0585
E

Grievance Box Inaccessible to Wheelchair Users

Billings, Montana Survey Completed on 08-28-2025

Penalty

Fine: $133,87547 days payment denial
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to provide a wheelchair-accessible grievance box, preventing residents who use wheelchairs from independently or anonymously submitting grievances. During observation, the grievance box was found placed on top of a counter in the main lobby, with a trash can on the floor in front of it, creating a physical barrier. The box required the lid to be pulled down to deposit a form, further complicating access for those with limited mobility. Staff confirmed that they sometimes had to assist residents in wheelchairs to submit grievances, and a resident who relies solely on a wheelchair reported being unable to reach the box and therefore had to hand grievances directly to staff, compromising anonymity. The resident also expressed a desire for the box to be more accessible and discreet.

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