Federal inspection record · CMS data as of October 1, 2026

Benefis Senior Services - Grandview

3015 18th Ave S, Great Falls, MT · (406) 771-6200

CMS overall rating

3 of 5

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Certified beds
48
Residents per day
24
Ownership
Non-Profit
Chain
No chain reported
Medicare / Medicaid
Medicare + Medicaid
Certified since
July 10, 2024

1

How this home got 3 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Montana.

  2. Staffing

    +1 star

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    −1 star

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    3 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Montana homes

Benefis Senior Services - Grandview carries 82.25 inspection points. That is fewer than 46% of Montana's 59 rated homes.

5★4★3★2★1★+2 homes above 383.7505102550100200inspection points → fewer is better on the leftThis home · 82.25 pts · 3★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Montana: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–31.5 pts
  • 4★ 31.5–49.25 pts
  • 3★ 49.25–84.75 pts
  • 2★ 84.75–135.38 pts
  • 1★ over 135.38 pts

Bars show every rated home in Montana by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

26 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 1 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 17 4 pts
E 7 8 pts
F 1 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (1)

  1. J

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    June 8, 2026 · Complaint inspection · Quality of Life and Care · F686 · Corrected June 8, 2026

Everything else, by area of care

Resident Assessment and Care Planning7E
  1. D

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    June 8, 2026 · Standard · F655 · Corrected June 24, 2026

  2. E

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    May 20, 2025 · Standard · F655 · Corrected June 11, 2025

  3. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    May 20, 2025 · Standard · F656 · Corrected June 11, 2025

  4. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    May 20, 2025 · Standard · F657 · Corrected June 11, 2025

  5. E

    Ensure services provided by the nursing facility meet professional standards of quality.

    June 20, 2024 · Standard · F658 · Corrected July 3, 2024

  6. D

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    June 20, 2024 · Standard · F655 · Corrected July 3, 2024

  7. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    June 20, 2024 · Standard · F657 · Corrected July 3, 2024

Resident Rights5E
  1. D

    Ensure that residents are fully informed and understand their health status, care and treatments.

    June 8, 2026 · Standard · F552 · Corrected June 24, 2026

  2. D

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    May 20, 2025 · Standard · F582 · Corrected June 11, 2025

  3. D

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    May 20, 2025 · Standard · F628 · Corrected June 11, 2025

  4. D

    Prepare residents for a safe transfer or discharge from the nursing home.

    October 2, 2024 · Complaint · F624 · Corrected October 21, 2024

  5. E

    Allow residents to self-administer drugs if determined clinically appropriate.

    June 20, 2024 · Standard · F554 · Corrected July 3, 2024

Infection Control4E
  1. D

    Provide and implement an infection prevention and control program.

    June 8, 2026 · Complaint · F880 · Corrected June 24, 2026

  2. D

    Provide and implement an infection prevention and control program.

    August 12, 2025 · Complaint · F880 · Corrected August 21, 2025

  3. E

    Provide and implement an infection prevention and control program.

    June 20, 2024 · Standard · F880 · Corrected July 3, 2024

  4. D

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    June 20, 2024 · Standard · F883 · Corrected July 3, 2024

Quality of Life and Care3E
  1. E

    Provide safe and appropriate respiratory care for a resident when needed.

    May 20, 2025 · Standard · F695 · Corrected June 11, 2025

  2. E

    Honor each resident's preferences, choices, values and beliefs.

    October 2, 2024 · Complaint · F675 · Corrected October 21, 2024

  3. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    June 20, 2024 · Standard · F689 · Corrected July 3, 2024

Freedom from Abuse, Neglect, and Exploitation2D
  1. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    June 8, 2026 · Complaint · F609 · Corrected June 24, 2026

  2. D

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    May 20, 2025 · Standard · F605 · Corrected June 11, 2025

Nutrition and Dietary2F
  1. D

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    May 20, 2025 · Standard · F812 · Corrected June 11, 2025

  2. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    June 20, 2024 · Standard · F812 · Corrected July 3, 2024

Pharmacy Service2E
  1. E

    Ensure medication error rates are not 5 percent or greater.

    June 20, 2024 · Standard · F759 · Corrected July 3, 2024

  2. D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    June 20, 2024 · Standard · F755 · Corrected July 3, 2024

Inspection history

  1. 2026-06-08

    5 health deficiencies · 1 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

  2. 2025-05-20

    11 health deficiencies · 5 fire-safety deficiencies

    Top issue: Resident Assessment and Care Planning (3 deficiencies)

  3. 2024-06-20

    10 health deficiencies · 2 fire-safety deficiencies

    Top issue: Resident Assessment and Care Planning (3 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 4 h 51 min of nursing staff time a day, 2 h 5 min of it from a registered nurse.

This home

4 h 51 min

Montana average

4 h 1 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 41% of nursing staff and 36% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$31,410 in federal fines on record over the past three years.

DatePenaltyAmount
2026-06-08Fine$31,410

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.4 pts worse92.3%96.7%93.7%
Percentage of long-stay residents experiencing one or more falls with major injury7.1 pts worse11.5%4.4%3.2%
Percentage of long-stay residents who lose too much weight2.4 pts better4.0%6.4%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication15.4 pts better0.0%15.4%19.5%
Percentage of long-stay residents who received an antipsychotic medication7.1 pts better13.6%20.7%15.4%
Percentage of long-stay residents who were physically restrained0.6 pts better0.0%0.6%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased41.5 pts worse60.0%18.5%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts worse2.6%2.0%0.7%
Percentage of long-stay residents with a urinary tract infection4.7 pts worse7.7%3.0%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence6.3 pts worse28.4%22.1%18.3%
Percentage of long-stay residents with pressure ulcers14.7 pts worse20.9%6.2%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine9.4 pts better93.5%84.1%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit2.2 pts better10.9%13.1%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.1 pts better1.1%1.2%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine2.9 pts better79.6%76.7%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission3.8 pts worse24.0%20.2%23.4%

·

Who owns and runs it

20 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Baker, JeffreyCorporate Director · Individual0%4 facilities
Benefis Health System, Inc.Operational/Managerial Control · Organization0%3 facilities
Borland, JudyCorporate Director · Individual0%3 facilities
Ehlinger, ForrestW-2 Managing Employee · Individual0%1 facilities
Ehlinger, ForrestCorporate Officer · Individual0%1 facilities
Ferrin, WilliamCorporate Director · Individual0%3 facilities
Goodnow, JohnW-2 Managing Employee · Individual0%3 facilities
Goodnow, JohnCorporate Officer · Individual0%3 facilities
Harris, PatriciaW-2 Managing Employee · Individual0%1 facilities
Hill, KathyW-2 Managing Employee · Individual0%1 facilities
Houlihan, BruceW-2 Managing Employee · Individual0%3 facilities
Houlihan, BruceCorporate Officer · Individual0%3 facilities
Jones, LlewelynCorporate Director · Individual0%3 facilities
Lacey, TammyCorporate Director · Individual0%1 facilities
Loucks, BrianCorporate Director · Individual0%3 facilities
Margaris, MelchisedekCorporate Director · Individual0%3 facilities
Richards, PhillipCorporate Director · Individual0%3 facilities
Rose, MarilynCorporate Director · Individual0%1 facilities
Tierney, GregoryW-2 Managing Employee · Individual0%3 facilities
Tierney, GregoryCorporate Officer · Individual0%3 facilities

·

Fire safety

8 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Miscellaneous2F
  1. F

    Have simulated fire drills held at unexpected times.

    June 8, 2026 · K712 · Corrected June 24, 2026

  2. F

    Have simulated fire drills held at unexpected times.

    May 20, 2025 · K712 · Corrected June 13, 2025

Egress2F
  1. F

    Install emergency lighting that can last at least 1 1/2 hours.

    May 20, 2025 · K291 · Corrected June 13, 2025

  2. D

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    May 20, 2025 · K211 · Corrected June 13, 2025

Smoke2F
  1. F

    Inspect, test, and maintain automatic sprinkler systems.

    May 20, 2025 · K353 · Corrected June 13, 2025

  2. E

    Inspect, test, and maintain automatic sprinkler systems.

    June 20, 2024 · K353 · Corrected July 8, 2024

Gas, Vacuum, and Electrical Systems2F
  1. F

    Ensure that testing and maintenance of electrical equipment is performed.

    May 20, 2025 · K921 · Corrected June 13, 2025

  2. D

    Have proper medical gas storage and administration areas.

    June 20, 2024 · K923 · Corrected July 12, 2024

·

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