On November 17, 2022, the NRC issued a notice of violation to CMSC, LLC, dba Great Falls Clinic Hospital (licensee), for a Severity Level III problem associated with two related violations. The violations involved the licensee’s failure to ensure that written directives contained the required dosage information as required by Title 10 of the Code of Federal Regulations (10 CFR) 35.40(b)(1), and that they were signed and dated by an authorized user as required by 10 CFR 35.40(a).