Independent · Federal inspection records, searchable
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Facility profile · CCN 235600

Medilodge Of Montrose Inc

83 federal citations on record , including 1 at the Immediate Jeopardy level, and 5 federal enforcement actions totaling $135,954.

Abuse Icon 1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
83
Total citations
67
Last 3 years
7
Actual harm+
5
Federal penalties
$135,954
Total fines
2
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

83 on record
SurveyF-TagViolationSeveritySource
Dec 12, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Nov 21, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
Nov 21, 2025F627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.DComplaint
Nov 21, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Aug 14, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
Aug 14, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint
Aug 1, 2025F790Provide routine and 24-hour emergency dental care for each resident.DComplaint
Aug 1, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Aug 1, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Jul 9, 2025F919Make sure that a working call system is available in each resident's bathroom and bathing area.EComplaint
Jul 9, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint
Jul 9, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint
Jul 9, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Jul 9, 2025F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.EComplaint
Jul 9, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EComplaint
Jun 11, 2025F695Provide safe and appropriate respiratory care for a resident when needed.EComplaint
Jun 11, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Jun 11, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.EComplaint
Apr 8, 2025F732Post nurse staffing information every day.CComplaint
Apr 8, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Apr 8, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EComplaint
Feb 27, 2025F919Make sure that a working call system is available in each resident's bathroom and bathing area.EComplaint
Feb 27, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Feb 27, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint
Dec 5, 2024F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DComplaint
Dec 5, 2024F881Implement a program that monitors antibiotic use.DStandard
Dec 5, 2024F880Provide and implement an infection prevention and control program.DStandard
Dec 5, 2024F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.EStandard
Dec 5, 2024F758Implement 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.DStandard
Dec 5, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Dec 5, 2024F732Post nurse staffing information every day.EStandard
Dec 5, 2024F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EStandard
Dec 5, 2024F695Provide safe and appropriate respiratory care for a resident when needed.EStandard
Dec 5, 2024F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.EStandard
Dec 5, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Dec 5, 2024F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DStandard
Dec 5, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Dec 5, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Dec 5, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Dec 5, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Sep 26, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Sep 26, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Jul 29, 2024F880Provide and implement an infection prevention and control program.KComplaint
Jul 29, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Jul 29, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jul 3, 2024F880Provide and implement an infection prevention and control program.DComplaint
Jul 3, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Jul 3, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Jul 3, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.EComplaint
Jul 3, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Jan 29, 2024F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DComplaint
Nov 9, 2023F880Provide and implement an infection prevention and control program.FStandard
Nov 9, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Nov 9, 2023F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.EStandard
Nov 9, 2023F760Ensure that residents are free from significant medication errors.DStandard
Nov 9, 2023F759Ensure medication error rates are not 5 percent or greater.DStandard
Nov 9, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Nov 9, 2023F695Provide safe and appropriate respiratory care for a resident when needed.EStandard
Nov 9, 2023F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DStandard
Nov 9, 2023F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.GStandard
Nov 9, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GStandard
Nov 9, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Nov 9, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Nov 9, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard
Nov 9, 2023F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
Nov 9, 2023F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DStandard
Nov 9, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard
Aug 11, 2022F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.DStandard
Aug 11, 2022F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Aug 11, 2022F810Provide special eating equipment and utensils for residents who need them and appropriate assistance.DStandard
Aug 11, 2022F809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.EStandard
Aug 11, 2022F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.EStandard
Aug 11, 2022F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Aug 11, 2022F695Provide safe and appropriate respiratory care for a resident when needed.EStandard
Aug 11, 2022F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.DStandard
Aug 11, 2022F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GStandard
Aug 11, 2022F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DStandard
Aug 11, 2022F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Aug 11, 2022F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Aug 11, 2022F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Aug 11, 2022F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Aug 11, 2022F637Assess the resident when there is a significant change in conditionDStandard
Aug 11, 2022F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard

Federal enforcement history

Federal regulators have imposed 5 enforcement actions against this facility, including 3 civil money penalties totaling $135,954 and 2 payment-denial actions spanning 9 days.

DateTypeFinePayment denial
Jun 11, 2025Fine$46,620
Jun 11, 2025Payment DenialAug 13, 2025 · 2 days
Jul 3, 2024Fine$36,648
Nov 9, 2023Fine$52,686
Nov 9, 2023Payment DenialDec 13, 2023 · 7 days
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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