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F0656
D

Failure to Address Sexual Behaviors and Consent in Care Plans

Columbia Falls, Montana Survey Completed on 08-19-2025

Penalty

Fine: $123,000
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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 ensure that care plans for two residents addressed sexual behaviors and interactions, including the ability to consent and interventions to protect other residents. One resident had a documented history of sexual behaviors toward others, but the care plan lacked information on whether the resident posed a risk to themselves or others, did not specify measurable goals, and omitted interventions related to the safety of other residents or the resident's capacity to consent to sexual activity. The care plan only stated a goal of fewer episodes without defining what constituted an episode or how progress would be measured. For another resident, staff confirmed the individual was able to consent to sexual activity, but the care plan did not include any information or interventions regarding sexual behaviors or consent, aside from a preference for female caregivers under ADLs. The facility did not update care plans to address these issues until after an Immediate Jeopardy situation was identified, and only after a plan was developed to remove the immediacy of the situation.

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