13 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
8 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
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
500 15th Ave S, Great Falls, MT
(406) 455-5902
Overall
1 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Beds
34
Certified beds
Average residents
32
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
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.69
Registered nurse staffing · state 0.94 · national 0.68
LPN hours / resident day
0.67
Licensed practical nurse staffing · state 0.51 · national 0.87
Aide hours / resident day
1.72
Nurse aide staffing · state 2.53 · national 2.35
Total nurse hours
3.08
All reported nurse hours · state 3.97 · national 3.89
Licensed hours
1.36
RN + LPN hours · state 1.44 · national 1.54
Weekend hours
2.96
Weekend nurse staffing · state 3.48 · national 3.43
Weekend RN hours
0.62
Weekend registered nurse coverage · state 0.69 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.83
CMS adjusted RN staffing hours
Adjusted total hours
3.69
CMS adjusted total nurse staffing hours
Case-mix index
1.14
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF QRP
| 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 | Not Available |
95.27%
|
Numerator Not Available · Denominator 1 · Footnote 9,13 |
| Falls with major injury | Not Available |
0.77%
|
Numerator Not Available · Denominator 1 · Footnote 9,13 |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 1 · Footnote 9,13 |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 1 · Footnote 9,13 |
| Pressure ulcers or injuries, new or worsened | Not Available |
2.29%
|
Numerator Not Available · Denominator 1 · Adjusted rate Not Available · Footnote 9,13 |
| 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 | 4.07% |
8.2%
4.1 pts worse
|
Numerator 5 · Denominator 123 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 1 · Footnote 9,13 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 1 · Footnote 9,13 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator Not Available · Footnote 1,13 |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.5% |
94.4%
4.1 pts better
|
93.4%
5.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q3 100.0% · Q4 96.7% · 4Q avg 98.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.0% |
4.2%
1.2 pts better
|
3.3%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q3 3.6% · Q4 0.0% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 4.0% |
4.7%
0.7 pts better
|
11.4%
7.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q3 4.8% · Q4 4.2% · 4Q avg 4.0% |
| Percentage of long-stay residents who lose too much weight | 6.2% |
5.9%
0.3 pts worse
|
5.4%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q3 7.4% · Q4 6.9% · 4Q avg 6.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 13.8% |
17.4%
3.6 pts better
|
19.6%
5.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q3 14.3% · Q4 13.8% · 4Q avg 13.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 14.3% |
20.6%
6.3 pts better
|
16.7%
2.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q3 21.7% · 4Q avg 14.3% · 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 · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose need for help with daily activities has increased | 48.6% |
19.8%
28.8 pts worse
|
14.9%
33.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q4 48.1% · 4Q avg 48.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 7.0% |
2.6%
4.4 pts worse
|
1.0%
6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q3 0.0% · Q4 15.4% · 4Q avg 7.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 10.8% |
2.9%
7.9 pts worse
|
1.7%
9.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q3 14.8% · Q4 6.7% · 4Q avg 10.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 36.6% |
25.4%
11.2 pts worse
|
19.8%
16.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 36.6% |
| Percentage of long-stay residents with pressure ulcers | 15.4% |
6.4%
9 pts worse
|
5.1%
10.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q3 10.3% · Q4 16.7% · 4Q avg 15.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 90.6% |
78.7%
11.9 pts better
|
81.7%
8.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q3 85.7% · Q4 92.0% · 4Q avg 90.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 90.9% |
73.8%
17.1 pts better
|
79.7%
11.2 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 90.9% |
Survey summary
Top issue: Quality of Life and Care (5 deficiencies)
8 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Top issue: Quality of Life and Care (2 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Fire safety
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-06-13
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-06-13
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-06-13
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-06-13
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-06-13
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-06-13
Fire Safety
Have restrictions on the use of highly flammable decorations.
Corrected 2025-06-13
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-06-13
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-07-09
Inspection history
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-06-06
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-06-06
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-06-06
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-06-06
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2025-06-06
Health
Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges.
Corrected 2025-06-06
Health
Keep residents' personal and medical records private and confidential.
Corrected 2025-06-06
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2025-06-06
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-06-06
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2025-06-06
Health
Provide 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.
Corrected 2025-06-06
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-06-06
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-06-06
Health
Provide 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.
Corrected 2025-02-19
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-07-03
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2024-07-03
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-07-03
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-07-03
Penalties and ownership
Fine · fine $13,865
Fine
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Director · Individual
Operational/Managerial Control · Organization
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Nearby options
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
Great Falls, MT
5-star overall rating with 4-star inspections with 9 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
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
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