Cycle 1
Health 2025-05-20 · Fire 2025-05-20
9 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
5 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Great Falls, MT
Benefis Senior Services - Grandview
5-star overall rating with 4-star inspections with 9 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
3015 18th Ave S, Great Falls, MT
(406) 771-6200
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
48
Certified beds
Average residents
20
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2024-07-10
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
2.14
Registered nurse staffing · state 0.94 · national 0.68
LPN hours / resident day
0.32
Licensed practical nurse staffing · state 0.51 · national 0.87
Aide hours / resident day
2.27
Nurse aide staffing · state 2.53 · national 2.35
Total nurse hours
4.73
All reported nurse hours · state 3.97 · national 3.89
Licensed hours
2.46
RN + LPN hours · state 1.44 · national 1.54
Weekend hours
4.39
Weekend nurse staffing · state 3.48 · national 3.43
Weekend RN hours
2.03
Weekend registered nurse coverage · state 0.69 · national 0.47
Physical therapist
0.32
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
2.34
CMS adjusted RN staffing hours
Adjusted total hours
5.16
CMS adjusted total nurse staffing hours
Case-mix index
1.25
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | Not Available |
10.72%
|
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure. |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure. |
| Medicare spending per beneficiary | Not Available |
1.02
|
No data were submitted for this measure. |
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 71 · Denominator 71 · Based on a shorter reporting period than usual. |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 71 · Based on a shorter reporting period than usual. |
| Discharge self-care score | 58.93% |
53.69%
5.2 pts better
|
Numerator 33 · Denominator 56 · Based on a shorter reporting period than usual. |
| Discharge mobility score | 71.43% |
50.94%
20.5 pts better
|
Numerator 40 · Denominator 56 · Based on a shorter reporting period than usual. |
| Pressure ulcers or injuries, new or worsened | 8.45% |
2.29%
6.2 pts worse
|
Numerator 6 · Denominator 71 · Adjusted rate 10.36% · Based on a shorter reporting period than usual. |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure. |
| Staff COVID-19 vaccination coverage | 52.27% |
8.2%
44.1 pts better
|
Numerator 23 · Denominator 44 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 67.86% |
56.45%
11.4 pts better
|
Numerator 38 · Denominator 56 · Based on a shorter reporting period than usual. |
| Transfer of health information to provider | 96.92% |
95.95%
1 pts better
|
Numerator 63 · Denominator 65 · Based on a shorter reporting period than usual. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 5 · Footnote 9,13 |
| Resident COVID-19 vaccinations up to date | 8.22% |
25.2%
17 pts worse
|
Numerator 6 · Denominator 73 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 88.9% |
94.4%
5.5 pts worse
|
93.4%
4.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 88.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.0% |
4.2%
4.2 pts better
|
3.3%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
4.7%
4.7 pts better
|
11.4%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 0.0% |
5.9%
5.9 pts better
|
5.4%
5.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 11.1% |
17.4%
6.3 pts better
|
19.6%
8.5 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 11.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 4.5% |
20.6%
16.1 pts better
|
16.7%
12.2 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 4.5% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.4%
0.4 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% |
| Percentage of long-stay residents whose need for help with daily activities has increased | 40.0% |
19.8%
20.2 pts worse
|
14.9%
25.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 40.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
2.6%
2.6 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.7% |
2.9%
0.8 pts worse
|
1.7%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 3.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.7% |
25.4%
3.3 pts worse
|
19.8%
8.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 28.7% |
| Percentage of long-stay residents with pressure ulcers | 23.3% |
6.4%
16.9 pts worse
|
5.1%
18.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 23.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 90.9% |
78.7%
12.2 pts better
|
81.7%
9.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 83.9% · Q2 88.1% · Q3 93.2% · Q4 96.1% · 4Q avg 90.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 3.8% |
15.0%
11.2 pts better
|
12.0%
8.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 3.8% · Observed 3.9% · Expected 11.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.9% |
1.6%
0.3 pts worse
|
1.6%
0.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 2.2% · Q3 1.1% · Q4 1.2% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 80.8% |
73.8%
7 pts better
|
79.7%
1.1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 80.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 16.1% |
19.4%
3.3 pts better
|
23.9%
7.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 16.1% · Observed 16.5% · Expected 24.4% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-06-20 · Fire 2024-06-20
12 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-05-20
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-06-13
F · Potential for more than minimal harm
2025-05-20
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-06-13
F · Potential for more than minimal harm
2025-05-20
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-06-13
F · Potential for more than minimal harm
2025-05-20
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-06-13
D · Potential for more than minimal harm
2025-05-20
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-06-13
E · Potential for more than minimal harm
2024-06-20
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-07-08
D · Potential for more than minimal harm
2024-06-20
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-07-12
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-08-12
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-08-21
E · Potential for more than minimal harm
2025-05-20
F655 · Resident Assessment and Care Planning Deficiencies
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2025-06-11
E · Potential for more than minimal harm
2025-05-20
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-06-11
D · Potential for more than minimal harm
2025-05-20
F582 · Resident Rights Deficiencies
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2025-06-11
D · Potential for more than minimal harm
2025-05-20
F605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2025-06-11
D · Potential for more than minimal harm
2025-05-20
F628 · Resident Rights Deficiencies
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-06-11
D · Potential for more than minimal harm
2025-05-20
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-06-11
D · Potential for more than minimal harm
2025-05-20
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-06-11
D · Potential for more than minimal harm
2025-05-20
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-06-11
E · Potential for more than minimal harm
2024-10-02
F675 · Quality of Life and Care Deficiencies
Health
Honor each resident's preferences, choices, values and beliefs.
Corrected 2024-10-21
D · Potential for more than minimal harm
2024-10-02
F624 · Resident Rights Deficiencies
Health
Prepare residents for a safe transfer or discharge from the nursing home.
Corrected 2024-10-21
F · Potential for more than minimal harm
2024-06-20
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-07-03
E · Potential for more than minimal harm
2024-06-20
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2024-07-03
E · Potential for more than minimal harm
2024-06-20
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-07-03
E · Potential for more than minimal harm
2024-06-20
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-07-03
E · Potential for more than minimal harm
2024-06-20
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-07-03
D · Potential for more than minimal harm
2024-06-20
F655 · Resident Assessment and Care Planning Deficiencies
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-07-03
D · Potential for more than minimal harm
2024-06-20
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-07-03
D · Potential for more than minimal harm
2024-06-20
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-07-03
D · Potential for more than minimal harm
2024-06-20
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-07-03
D · Potential for more than minimal harm
2024-06-20
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-07-03
Penalties and ownership
What sits behind the stars
Ownership
Baker, Jeffrey
Corporate Director · Individual
Benefis Health System, Inc.
Operational/Managerial Control · Organization
Borland, Judy
Corporate Director · Individual
Ehlinger, Forrest
Corporate Officer · Individual
Ehlinger, Forrest
W-2 Managing Employee · Individual
Ferrin, William
Corporate Director · Individual
Goodnow, John
Corporate Officer · Individual
Goodnow, John
W-2 Managing Employee · Individual
Harris, Patricia
W-2 Managing Employee · Individual
Hill, Kathy
W-2 Managing Employee · Individual
Houlihan, Bruce
Corporate Officer · Individual
Houlihan, Bruce
W-2 Managing Employee · Individual
Jones, Llewelyn
Corporate Director · Individual
Lacey, Tammy
Corporate Director · Individual
Loucks, Brian
Corporate Director · Individual
Margaris, Melchisedek
Corporate Director · Individual
Richards, Phillip
Corporate Director · Individual
Rose, Marilyn
Corporate Director · Individual
Tierney, Gregory
Corporate Officer · Individual
Tierney, Gregory
W-2 Managing Employee · Individual
Nearby options
Other facilities in reach
#1
Benefis Senior Services - Eastview
Great Falls, MT
2-star overall rating with 2-star inspections with abuse icon flag with $81,927 in total fines with 18 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#2
Park Place Transitional Care And Rehabilitation
Great Falls, MT
3-star overall rating with 2-star inspections with $185,087 in total fines with 10 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#3
Benefis Senior Services - Westview
Great Falls, MT
1-star overall rating with 2-star inspections with abuse icon flag with $13,865 in total fines with 13 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
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