Federal inspection record · CMS data as of October 1, 2026
Cooney Healthcare And Rehabilitation
2555 E Broadway, Helena, MT · (406) 447-1651
- Cited for abuse (CMS abuse icon)
- Special Focus Facility
- Certified beds
- 90
- Residents per day
- 68
- Ownership
- For-Profit
- Chain
- Eduro Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- May 1, 1977
1
How this home got 1 star
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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Montana.
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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.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among Montana homes
Cooney Healthcare And Rehabilitation carries 281.75 inspection points. That is fewer than 5% 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
76 health citations on record since 2023. 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 (11)
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Provide safe, appropriate pain management for a resident who requires such services.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
J
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
G
Provide safe and appropriate respiratory care for a resident when needed.
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
G
Provide enough food/fluids to maintain a resident's health.
-
G
Provide safe and appropriate respiratory care for a resident when needed.
Everything else, by area of care
Resident Assessment and Care Planning10F
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- F
Ensure services provided by the nursing facility meet professional standards of quality.
- E
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
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.
- E
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
- D
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.
Resident Rights10F
- F
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- D
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
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.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- E
Allow residents to self-administer drugs if determined clinically appropriate.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Quality of Life and Care9D
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide routine and 24-hour emergency dental care for each resident.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Nursing and Physician Services8F
- F
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- F
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- F
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- E
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
- D
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
- E
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
- F
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- D
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Freedom from Abuse, Neglect, and Exploitation8E
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- E
Respond appropriately to all alleged violations.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Protect each resident from the wrongful use of the resident's belongings or money.
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Pharmacy Service8F
- E
Ensure medication error rates are not 5 percent or greater.
- E
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Ensure medication error rates are not 5 percent or greater.
- F
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- E
Ensure medication error rates are not 5 percent or greater.
- D
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Infection Control7F
- F
Provide and implement an infection prevention and control program.
- F
Implement a program that monitors antibiotic use.
- F
Provide and implement an infection prevention and control program.
- D
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
- E
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Administration2F
- E
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
- F
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Nutrition and Dietary2F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Environmental1D
- D
Make sure that a working call system is available in each resident's bathroom and bathing area.
Inspection history
2025-09-11
29 health deficiencies · 16 fire-safety deficiencies
Top issue: Quality of Life and Care (8 deficiencies)
2024-08-15
20 health deficiencies · 20 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2023-08-17
27 health deficiencies · 4 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 2 h 43 min of nursing staff time a day, 45 min of it from a registered nurse.
This home
2 h 43 min
Montana average
4 h 1 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 71% of nursing staff and 58% of registered nurses left in the past year, along with 1 administrator.
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
$213,136 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-08-06 | Fine | $14,505 |
| 2025-08-06 | Fine | $101,533 |
| 2025-08-06 | Payment Denial · 95 day denial | $0 |
| 2024-08-15 | Fine | $44,363 |
| 2024-05-02 | Fine | $52,735 |
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 days0.6 pts worse | 2.0 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.9 pts better | 1.2 | 2.1 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine11.7 pts worse | 85.0% | 96.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine45.8 pts worse | 48.2% | 94.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.6 pts worse | 6.0% | 4.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms3 pts better | 3.3% | 6.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.2 pts better | 4.2% | 6.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4.5 pts worse | 19.9% | 15.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication13.3 pts worse | 34.0% | 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 worsened2.4 pts worse | 18.5% | 16.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased5.7 pts better | 12.8% | 18.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts worse | 2.3% | 2.0% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.4 pts better | 2.6% | 3.0% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence6.2 pts worse | 28.3% | 22.1% | 18.3% |
| Percentage of long-stay residents with pressure ulcers7.1 pts worse | 13.3% | 6.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine27.9 pts worse | 56.2% | 84.1% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visitAbout the same | 13.1% | 13.1% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.8 pts worse | 2.0% | 1.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine54.4 pts worse | 22.3% | 76.7% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.5 pts worse | 21.7% | 20.2% | 23.4% |
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Who owns and runs it
36 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 |
|---|---|---|---|
| Allred Jackson, P.c. | Operational/Managerial Control · Organization | 0% | 4 facilities |
| Allred Jackson, P.c. | Adp Of The SNF · Organization | 0% | 4 facilities |
| Bewsey Enterprises LLC | Indirect Ownership Interest · Organization | 0% | 3 facilities |
| Bewsey, Michael | Indirect Ownership Interest · Individual | 0% | 26 facilities |
| Bewsey, Michael | Corporate Director · Individual | 0% | 26 facilities |
| Caretrust Gp LLC | Adp Of The SNF · Organization | 0% | 95 facilities |
| Caretrust Reit Inc | Adp Of The SNF · Organization | 0% | 102 facilities |
| Cotton, Christopher | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Cotton, Christopher | Adp Of The SNF · Individual | 0% | 2 facilities |
| Ctr Partnership LP | Adp Of The SNF · Organization | 0% | 104 facilities |
| Dodge, Jenifer | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Dodge, Jenifer | Adp Of The SNF · Individual | 0% | 2 facilities |
| Ecapital Healthcare Corp | 5% Or Greater Security Interest · Organization | 0% | 27 facilities |
| Ecapital Healthcare Corp | Adp Of The SNF · Organization | 0% | 27 facilities |
| Eduro Healthcare LLC | Direct Ownership Interest · Organization | 0% | 10 facilities |
| Eduro Healthcare LLC | Operational/Managerial Control · Organization | 0% | 10 facilities |
| Eduro Healthcare LLC | Adp Of The SNF · Organization | 0% | 10 facilities |
| Forvis Mazars Llp | Operational/Managerial Control · Organization | 0% | 295 facilities |
| Forvis Mazars Llp | Adp Of The SNF · Organization | 0% | 295 facilities |
| Himmel, Roger | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Himmel, Roger | Adp Of The SNF · Individual | 0% | 1 facilities |
| Marsh, James | Corporate Officer · Individual | 0% | 5 facilities |
| Marsh, James | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Marsh, James | Adp Of The SNF · Individual | 0% | 5 facilities |
| Monroe, Dustin | Corporate Officer · Individual | 0% | 9 facilities |
| Monroe, Dustin | Adp Of The SNF · Individual | 0% | 9 facilities |
| Rueb, Cayla | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Rueb, Cayla | Adp Of The SNF · Individual | 0% | 1 facilities |
| Thompson, Christopher | Managing Control - Governing Body · Individual | 0% | 10 facilities |
| Thompson, Christopher | Corporate Officer · Individual | 0% | 10 facilities |
| Thompson, Christopher | Operational/Managerial Control · Individual | 0% | 10 facilities |
| Thompson, Christopher | Adp Of The SNF · Individual | 0% | 10 facilities |
| Williams, Heidi | Managing Control - Governing Body · Individual | 0% | 4 facilities |
| Williams, Heidi | Adp Of The SNF · Individual | 0% | 4 facilities |
| Wsrp, LLC | Operational/Managerial Control · Organization | 0% | 4 facilities |
| Wsrp, LLC | Adp Of The SNF · Organization | 0% | 4 facilities |
·
Fire safety
40 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke18F
- F
Install an approved automatic sprinkler system.
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Provide properly protected cooking facilities.
- D
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F
Install a fire alarm system that can be heard throughout the facility.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Provide properly protected cooking facilities.
- D
Have properly installed hallway dispensers for alcohol-based hand rub.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- D
Install corridor and hallway doors that block smoke.
- E
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Gas, Vacuum, and Electrical Systems8F
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- 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.
- F
Have proper medical gas storage and administration areas.
- D
Have power receptacles that are properly grounded.
- E
Meet requirements for the installation and maintenance of electrical systems.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- D
Have proper medical gas storage and administration areas.
Egress7F
- F
Install emergency lighting that can last at least 1 1/2 hours.
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D
Have properly located and lighted "Exit" signs.
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
Have exits that are accessible at all times.
- D
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Miscellaneous5F
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- 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.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Emergency Preparedness2F
- F
Address subsistence needs for staff and patients.
- F
Address subsistence needs for staff and patients.
·
Other homes nearby
-
Mount Ascension Transitional Care Of Cascadia
Helena, MT · Cascadia Healthcare
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 20 min
- Fines
- $80,366
-
Elkhorn Healthcare And Rehabilitation
Clancy, MT · Eduro Healthcare
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 2 h 48 min
- Fines
- $0
-
Ivy At Deer Lodge
Deer Lodge, MT · Ivy Healthcare Group
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 29 min
- Fines
- $93,969