Federal inspection record · CMS data as of October 1, 2026
Continental Care And Rehabilitation
2400 Continental Dr, Butte, MT · (406) 723-6556
- Certified beds
- 100
- Residents per day
- 87
- Ownership
- For-Profit
- Chain
- Sweetwater Care
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- December 1, 1984
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.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Montana.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Montana homes
Continental Care And Rehabilitation carries 63 inspection points. That is fewer than 54% of Montana's 59 rated homes.
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
32 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
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)
-
G
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Everything else, by area of care
Nutrition and Dietary8F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
- E
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- D
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
- D
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
- D
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Resident Assessment and Care Planning8E
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- E
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- C
Ensure each resident receives an accurate assessment.
Resident Rights5E
- D
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- D
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- E
Allow residents to self-administer drugs if determined clinically appropriate.
- E
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Quality of Life and Care5E
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Assist a resident in gaining access to vision and hearing services.
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
- E
Provide safe and appropriate respiratory care for a resident when needed.
Freedom from Abuse, Neglect, and Exploitation2E
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- E
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Infection Control2E
- E
Provide and implement an infection prevention and control program.
- E
Implement a program that monitors antibiotic use.
Nursing and Physician Services1D
- D
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspection history
2026-06-04
6 health deficiencies · 4 fire-safety deficiencies
Top issue: Resident Rights (3 deficiencies)
2025-05-19
13 health deficiencies · 9 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2024-05-20
13 health deficiencies · 5 fire-safety deficiencies
Top issue: Nutrition and Dietary (5 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 15 min of nursing staff time a day, 59 min of it from a registered nurse.
This home
4 h 15 min
Montana average
4 h 1 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 65% of nursing staff and 33% 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
$27,405 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-06-04 | Fine | $27,405 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.2 pts worse | 1.6 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts worse | 2.3 | 2.1 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.1 pts better | 98.8% | 96.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6 pts better | 100.0% | 94.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.2 pts better | 4.2% | 4.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms9.5 pts worse | 15.8% | 6.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.9 pts worse | 10.3% | 6.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1 pts better | 14.4% | 15.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication4.3 pts worse | 25.0% | 20.7% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.6 pts better | 0.0% | 0.6% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened12.5 pts better | 3.6% | 16.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased12.2 pts better | 6.3% | 18.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.8 pts better | 0.2% | 2.0% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.4 pts better | 1.6% | 3.0% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.4 pts worse | 23.5% | 22.1% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.9 pts better | 3.3% | 6.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine4.4 pts better | 88.5% | 84.1% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit10.9 pts worse | 24.0% | 13.1% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.1 pts worse | 1.3% | 1.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine13.5 pts better | 90.2% | 76.7% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission5.4 pts better | 14.8% | 20.2% | 23.4% |
·
Who owns and runs it
3 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Sweetwater Care Opco LLC | 5% Or Greater Indirect Ownership Interest · Organization | 100% | 6 facilities |
| Gamett, James | Corporate Officer · Individual | 0% | 20 facilities |
| Plasschaert, Gary | W-2 Managing Employee · Individual | 0% | 2 facilities |
·
Fire safety
18 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke7F
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D
Install corridor and hallway doors that block smoke.
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Have properly installed hallway dispensers for alcohol-based hand rub.
Egress5E
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
Have exits that are accessible at all times.
- D
Have properly located and lighted "Exit" signs.
- D
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- D
Install emergency lighting that can last at least 1 1/2 hours.
Miscellaneous3F
- F
Have simulated fire drills held at unexpected times.
- F
Ensure that smoke control systems are tested and documented in accordance with established engineering principles.
- F
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems3F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- D
Meet requirements for the installation and maintenance of electrical systems.
·
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Copper Ridge Health And Rehabilitation Center
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★★★★★- Worst citation, 3 yrs
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-
Southwest Montana Veterans Home
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