Nursing Homes in Montana- Monthly Analysis & Key Metrics

Data as of February 11, 2024

Reviewed by Richard Saunders

The State Level Skilled Nursing Home Analysis Report

Recently, the Biden administration announced a goal of improving nursing home care, as highlighted in several important announcements (see the initial announcement and a subsequent announcement). While this is a commendable goal, it is not entirely clear what the best approach is for achieving it. Proposing minimum staffing levels for all nursing homes simplifies a complicated issue. Nursing Homes address a wide range of resident needs, from short-term rehabilitation to long-term care to dementia and memory issues, that require different levels of care. It also fails to address a national staffing shortage that will likely only worsen.

At NursingHomeDatabase.com, we believe that one critical element of any improvement effort is to have access to good, clear data and analysis that can help everyone understand the current state of affairs, identify trends, and track progress over time. To this end, we have built this series of reports that will try to illuminate the key metrics of nursing home performance for each state. Our reports are designed to provide valuable insights and inform policymakers, healthcare providers, and families who are interested in nursing home care.

The analysis for the state level report cards of nursing home care is primarily derived from data that the Centers for Medicare and Medicaid ("CMS") provides. CMS publishes weekly data about nursing home occupancy and COVID-19 infections and publishes monthly reports with ratings, staffing levels, and deficiencies.

Summary Analysis of Nursing Homes in Montana- The 10,000 foot view

Updated on February 11, 2024

According to the latest data compiled by NursingHomeDatabase.com, Montana has a total of 60 active skilled nursing facilities and 4,899 beds. Based on the US Census estimates for the population of 1,122,867, the current total bed count represents one bed for every 229.20 persons in Montana. There were 3,143 residents as February 11, 2024 for a state wide occupancy level of 64.16 percent. (Note that the home count is based on monthly data provided by CMS and the number of beds and the occupancy numbers are based on weekly data. There is a minor number of homes that do not report their data weekly.)

According to the monthly data, Montana has added 0 new beds and lost 759 existing beds over the past year.

The Biden Administration has announced that it wants to regulate minimum nursing home staffing levels. They have proposed minimums of .55 hours of care per resident per day from registered nurses (RNs) and 2.45 hours of care per resident per day certified nursing aids (CNAs). These are the current level amount of hours per resident per day of care for Montana and a comparison to national averages.

Staffing Levels State National
Registered Nurse (RN) 0.77 0.65
Certified Nursing Assistants (CNA) 2.21 2.26
Licensed Practical Nurse (LPN) 0.54 0.88
All Staff 3.52 3.79

Detailed analysis pages for the largest cities in Montana:

COVID-19 Infections in Montana Nursing Homes

While COVID-19 infections and deaths are down significantly from late 2020 and 2021, the number of infections and deaths continues to be monitored. For nursing homes in Montana there were a total of 20 new cases and 20 new deaths among residents for the week ending February 11, 2024. The chart below shows COVID-19 activity for the past year.

New and Lost Nursing Homes in Montana

No new homes were reported by CMS over the past twelve months.

Montana lost 10 skilled nursing facilities and 759 beds over the past year. Below is list of the lost facilities:

Facility Number of Beds
Hillside Health and Rehabilitation 95
Cedar Wood Villa 76
Friendship Villa 107
Beartooth Manor 82
Lake View Care Center 83
Rocky Mountain Care Center 101
Bridger Rehab and Care Center 103
Big Horn Senior Living 36
Hi-Line Retirement Center 56
Mountain View Care Center 20

This data is based on homes reported by CMS. Additional homes may have opened or closed but are not yet in the dataset.

Occupancy Percentages for Montana Nursing Homes

The chart below shows the overall occupancy for nursing home beds in Montana. Occupancies levels for individual facilities will differ and can be found on the detail page for the specific nursing home.

Best and Worst Nursing Homes in Montana

The list below shows the best skilled nursing facilities in Montana based on their most recent weighted average inspection score. Some nursing homes may have higher overall 5-star ratings than the homes on this list. We feel that the health inspection score is the best indicator of current operations. It changes quicker than the overall rating.

Facility Rating
Crest Nursing Home
3131 AMHERST AVE
BUTTE, MT
6.67
Hot Springs Health and Rehabilitation Center
600 1ST AVE N
HOT SPRINGS, MT
8.67
Clark Fork Valley Nursing Home
10 KRUGER RD
PLAINS, MT
10.00
Madison Valley Manor
211 N MAIN ST
ENNIS, MT
13.33
The Living Centre
57 MAIN ST
STEVENSVILLE, MT
14.00
Polson Health and Rehabilitation Center
9 14TH AVE W
POLSON, MT
14.67
Northern Montana Care Center
24 13TH ST
HAVRE, MT
15.33
Sidney Health Center Extended Care
104 14TH AVE NW
SIDNEY, MT
16.67
Discovery Care Centre Ltd
601 N 10TH ST
HAMILTON, MT
20.00
Holy Rosary Extended Care Unit
2600 WILSON ST
MILES CITY, MT
20.00

The list below shows the worst skilled nursing facilities in Montana based on their most recent weighted average inspection score.

Facility Rating
Bella Terra of Billings
1807 24TH ST W
BILLINGS, MT
311.50
/
Ivy at Great Falls
1130 17TH AVE S
GREAT FALLS, MT
290.33
Rating Not Available
Parkview Care Center
600 S 27TH ST
BILLINGS, MT
289.67
/
Continental Care and Rehabilitation
2400 CONTINENTAL DR
BUTTE, MT
275.67
Montana Mental Health Nursing Home
800 CASINO CREEK DR
LEWISTOWN, MT
209.83
Whitefish Care and Rehabilitation
1305 E 7TH ST
WHITEFISH, MT
203.67
Park Place Transitional Care and Rehabilitation
1500 32ND ST S
GREAT FALLS, MT
182.67
Mount Ascension Transitional Care of Cascadia
2475 WINNE AVE
HELENA, MT
163.83
Ivy at Deer Lodge
1100 TEXAS AVE
DEER LODGE, MT
145.50
Cooney Healthcare and Rehabilitation
2555 E BROADWAY
HELENA, MT
141.67
/

Nursing Homes with the warning icon () have been flagged by CMS for abuse.

Skilled Nursing Homes in Montana Compared to Nationwide

We have compared Montana nursing homes to the nationwide average on several metrics. Montana performed better than the national average on several metrics and worse on other metrics.

Cycle 1 Total Number Of Health Deficiencies 9.50 Higher
Cycle 1 Total Number Of Fire Safety Deficiencies 6.40 Higher
Cycle 2 Total Number Of Health Deficiencies 7.80 Lower
Cycle 2 Total Number Of Fire Safety Deficiencies 7.90 Higher
Cycle 3 Total Number Of Health Deficiencies 6.70 Lower
Cycle 3 Total Number Of Fire Safety Deficiencies 9.70 Higher
Average Number Of Residents Per Day 54.30 Lower
Reported Nurse Aide Staffing Hours Per Resident Per Day 2.21 Lower
Reported Lpn Staffing Hours Per Resident Per Day 0.54 Lower
Reported Rn Staffing Hours Per Resident Per Day 0.77 Higher
Reported Licensed Staffing Hours Per Resident Per Day 1.31 Lower
Reported Total Nurse Staffing Hours Per Resident Per Day 3.52 Lower
Total Number Of Nurse Staff Hours Per Resident Per Day On The Weekend 3.09 Lower
Registered Nurse Hours Per Resident Per Day On The Weekend 0.57 Higher
Reported Physical Therapist Staffing Hours Per Resident Per Day 0.05 Lower
Total Nursing Staff Turnover 65.90 Higher
Registered Nurse Turnover 57.60 Higher
Number Of Administrators Who Have Left The Nursing Home 0.90 Higher
Case-mix Rn Staffing Hours Per Resident Per Day 0.29 Lower
Case-mix Total Nurse Staffing Hours Per Resident Per Day 2.83 Lower
Number Of Fines 4.70 Higher
Fine Amount In Dollars 76,295.00 Higher
Percentage Of Long Stay Residents Whose Need For Help With Daily Activities Has Increased 17.36 Higher
Percentage Of Long Stay Residents Who Lose Too Much Weight 7.76 Higher
Percentage Of Low Risk Long Stay Residents Who Lose Control Of Their Bowels Or Bladder 42.09 Lower
Percentage Of Long Stay Residents With A Catheter Inserted And Left In Their Bladder 2.26 Higher
Percentage Of Long Stay Residents With A Urinary Tract Infection 3.43 Higher
Percentage Of Long Stay Residents Who Have Depressive Symptoms 5.90 Lower
Percentage Of Long Stay Residents Who Were Physically Restrained 0.22 Higher
Percentage Of Long Stay Residents Experiencing One Or More Falls With Major Injury 4.13 Higher
Percentage Of Long Stay Residents Assessed And Appropriately Given The Pneumococcal Vaccine 93.09 Higher
Percentage Of Long Stay Residents Who Received An Antipsychotic Medication 18.50 Higher
Percentage Of Short Stay Residents Assessed And Appropriately Given The Pneumococcal Vaccine 74.45 Lower
Percentage Of Short Stay Residents Who Newly Received An Antipsychotic Medication 1.68 Lower
Percentage Of Long Stay Residents Whose Ability To Move Independently Worsened 18.15 Higher
Percentage Of Long Stay Residents Who Received An Antianxiety Or Hypnotic Medication 16.06 Lower
Percentage Of High Risk Long Stay Residents With Pressure Ulcers 8.09 Higher
Percentage Of Long Stay Residents Assessed And Appropriately Given The Seasonal Influenza Vaccine 94.99 Higher
Percentage Of Short Stay Residents Who Made Improvements In Function 74.44 Lower
Percentage Of Short Stay Residents Who Were Assessed And Appropriately Given The Seasonal Influenza Vaccine 68.21 Lower
Percentage Of Short Stay Residents Who Were Rehospitalized After A Nursing Home Admission 18.60 Lower
Percentage Of Short Stay Residents Who Had An Outpatient Emergency Department Visit 12.96 Higher
Number Of Hospitalizations Per 1000 Long-stay Resident Days 1.31 Lower
Number Of Outpatient Emergency Department Visits Per 1000 Long-stay Resident Days 1.41 Higher