9 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
9 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Butte, MT
4-star overall rating with 3-star inspections with $59,589 in total fines with 9 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
2400 Continental Dr, Butte, MT
(406) 723-6556
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
100
Certified beds
Average residents
90
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Sweetwater Care
Operator or chain grouping
Approved since
1984-12-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
9 facilities
Chain averages 3 overall / 2 health / 2 staffing / 4 quality stars
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
RN hours / resident day
0.68
Registered nurse staffing · state 0.94 · national 0.68
LPN hours / resident day
0.59
Licensed practical nurse staffing · state 0.51 · national 0.87
Aide hours / resident day
1.86
Nurse aide staffing · state 2.53 · national 2.35
Total nurse hours
3.14
All reported nurse hours · state 3.97 · national 3.89
Licensed hours
1.28
RN + LPN hours · state 1.44 · national 1.54
Weekend hours
2.60
Weekend nurse staffing · state 3.48 · national 3.43
Weekend RN hours
0.29
Weekend registered nurse coverage · state 0.69 · national 0.47
Physical therapist
0.16
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.77
CMS adjusted RN staffing hours
Adjusted total hours
3.55
CMS adjusted total nurse staffing hours
Case-mix index
1.21
Higher values indicate more complex resident acuity
RN turnover
39%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
64%
Annual nurse turnover · state 56% · national 46%
SNF VBP
Program rank
7,799
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
28.73
Composite VBP score used to determine payment impact.
Payment multiplier
0.9851
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
6.57
Baseline 20.12% · Performance 18.39% · Measure score 6.57 · Achievement 6.57 · Improvement 5.11
Healthcare-associated infections
0.18
Baseline 8.18% · Performance 7.97% · Measure score 0.18 · Achievement 0 · Improvement 0.18
Total nurse turnover
4.74
Baseline 95.83% · Performance 58.62% · Measure score 4.74 · Achievement 1.24 · Improvement 4.74
Adjusted total nurse staffing
0
Baseline 2.91 hours · Performance 2.77 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.5% |
10.72%
1.2 pts better
|
No Different than the National Rate · Eligible stays 64 · Observed rate 6.25% · Lower 95% interval 6.99% |
| Discharge to community | 35.05% |
50.57%
15.5 pts worse
|
Worse than the National Rate · Eligible stays 59 · Observed rate 23.73% · Lower 95% interval 23.74% |
| Medicare spending per beneficiary | 1.44 |
1.02
0.4 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 70 · Denominator 70 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 70 |
| Discharge self-care score | 52.73% |
53.69%
1 pts worse
|
Numerator 29 · Denominator 55 |
| Discharge mobility score | 52.73% |
50.94%
1.8 pts better
|
Numerator 29 · Denominator 55 |
| Pressure ulcers or injuries, new or worsened | 2.86% |
2.29%
0.6 pts worse
|
Numerator 2 · Denominator 70 · Adjusted rate 2.93% |
| Healthcare-associated infections requiring hospitalization | 7.97% |
7.12%
0.8 pts worse
|
No Different than the National Rate · Eligible stays 43 · Observed rate 11.63% · Lower 95% interval 4.31% |
| Staff COVID-19 vaccination coverage | 10.99% |
8.2%
2.8 pts better
|
Numerator 10 · Denominator 91 |
| Staff flu vaccination coverage | 16.49% |
42%
25.5 pts worse
|
Numerator 16 · Denominator 97 |
| Discharge function score | 61.82% |
56.45%
5.4 pts better
|
Numerator 34 · Denominator 55 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 54.05% |
25.2%
28.8 pts better
|
Numerator 20 · Denominator 37 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.2 |
1.3
0.1 pts better
|
1.9
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.4 · Expected 2.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.4 |
2.2
0.8 pts better
|
1.8
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.5 · Expected 1.8 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.3% |
94.4%
4.9 pts better
|
93.4%
5.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 97.5% · 4Q avg 99.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.8% |
93.7%
5.1 pts better
|
95.5%
3.3 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.0% |
4.2%
0.2 pts better
|
3.3%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 4.1% · Q3 4.0% · Q4 4.9% · 4Q avg 4.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 15.9% |
4.7%
11.2 pts worse
|
11.4%
4.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.0% · Q2 15.6% · Q3 15.5% · Q4 13.9% · 4Q avg 15.9% |
| Percentage of long-stay residents who lose too much weight | 9.8% |
5.9%
3.9 pts worse
|
5.4%
4.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 7.1% · Q3 6.9% · Q4 16.7% · 4Q avg 9.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.7% |
17.4%
0.3 pts worse
|
19.6%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 25.8% · Q2 20.8% · Q3 16.0% · Q4 9.9% · 4Q avg 17.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 28.1% |
20.6%
7.5 pts worse
|
16.7%
11.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.8% · Q2 27.8% · Q3 32.2% · Q4 24.2% · 4Q avg 28.1% · 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 6.5% |
19.7%
13.2 pts better
|
16.3%
9.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 20.2% · Q3 2.7% · Q4 2.2% · 4Q avg 6.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 6.6% |
19.8%
13.2 pts better
|
14.9%
8.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 10.1% · Q3 6.8% · Q4 3.8% · 4Q avg 6.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.4% |
2.6%
2.2 pts better
|
1.0%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.6% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.7% |
2.9%
2.2 pts better
|
1.7%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.6% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 23.8% |
25.4%
1.6 pts better
|
19.8%
4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.7% · Q2 26.1% · Q3 24.9% · Q4 27.6% · 4Q avg 23.8% |
| Percentage of long-stay residents with pressure ulcers | 3.9% |
6.4%
2.5 pts better
|
5.1%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.0% · Q2 4.4% · Q3 3.1% · Q4 1.4% · 4Q avg 3.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 85.2% |
78.7%
6.5 pts better
|
81.7%
3.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 94.8% · Q2 85.1% · Q3 78.4% · Q4 80.0% · 4Q avg 85.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 18.0% |
15.0%
3 pts worse
|
12.0%
6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 18.0% · Observed 21.1% · Expected 13.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.6%
1.6 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 73.5% |
73.8%
0.3 pts worse
|
79.7%
6.2 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 73.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 12.6% |
19.4%
6.8 pts better
|
23.9%
11.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 12.6% · Observed 13.2% · Expected 25.0% · Used in QM five-star |
Survey summary
Top issue: Resident Assessment and Care Planning (3 deficiencies)
9 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Resident Assessment and Care Planning (5 deficiencies)
5 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Top issue: Quality of Life and Care (7 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-06-26
Fire Safety
Ensure that smoke control systems are tested and documented in accordance with established engineering principles.
Corrected 2025-06-26
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-06-26
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-06-26
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-06-26
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2025-06-26
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-06-26
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-06-26
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2025-06-26
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-06-18
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-06-18
Fire Safety
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.
Corrected 2024-06-18
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-06-18
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2024-06-18
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-08-16
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-08-16
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-08-16
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-08-16
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-08-16
Inspection history
Health
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.
Corrected 2025-06-26
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2025-06-26
Health
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.
Corrected 2025-06-26
Health
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2025-06-26
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-06-26
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-06-26
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-06-26
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2025-06-26
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-06-26
Health
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.
Corrected 2024-11-26
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2024-11-26
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 2024-11-26
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2024-11-26
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-09-05
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-06-25
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-06-25
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-06-25
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-06-25
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-06-25
Health
Provide and implement an infection prevention and control program.
Corrected 2024-06-25
Health
Implement a program that monitors antibiotic use.
Corrected 2024-06-25
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 2024-06-25
Health
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.
Corrected 2024-06-25
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-06-25
Health
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.
Corrected 2024-03-27
Health
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected 2024-03-27
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-08-24
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2023-08-24
Health
Provide and implement an infection prevention and control program.
Corrected 2023-08-24
Health
Implement a program that monitors antibiotic use.
Corrected 2023-08-24
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-08-24
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-08-24
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 2023-08-24
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-08-24
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2023-08-24
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-08-24
Health
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2023-08-24
Health
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.
Corrected 2023-08-24
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-08-24
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 2023-08-24
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-08-24
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-08-24
Health
Provide activities to meet all resident's needs.
Corrected 2023-08-24
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-08-24
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2023-08-24
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2023-08-24
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-08-24
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-08-24
Health
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.
Corrected 2023-08-24
Penalties and ownership
Fine · fine $59,589
Fine
5% Or Greater Indirect Ownership Interest · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
5% Or Greater Indirect Ownership Interest · Organization
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5-star overall rating with 4-star inspections with $9,126 in total fines with 9 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
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