Butte, MT

Crest Nursing Home

5-star overall rating with 5-star inspections with 4 recent health deficiencies

3131 Amherst Ave, Butte, MT

(406) 494-7035

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

103

Certified beds

Average residents

44

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Real Property Health Facilities

Operator or chain grouping

Approved since

1988-04-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.55

Registered nurse staffing

LPN hours / resident day

0.72

Licensed practical nurse staffing

Aide hours / resident day

2.09

Nurse aide staffing

Weekend hours

3.12

Weekend nurse staffing

RN turnover

56%

Annual RN turnover

Total nurse turnover

68%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 0.9
1.3
0.4 pts better
1.9
1 pts better
Long Stay · 20240701-20250630
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
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
94.4%
5.6 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.8%
93.7%
4.1 pts better
95.5%
2.3 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 3.1%
4.2%
1.1 pts better
3.3%
0.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 1.3%
4.7%
3.4 pts better
11.4%
10.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 0.7%
5.9%
5.2 pts better
5.4%
4.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 10.1%
17.4%
7.3 pts better
19.6%
9.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 21.4%
20.6%
0.8 pts worse
16.7%
4.7 pts worse
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened 12.8%
19.7%
6.9 pts better
16.3%
3.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 13.0%
19.8%
6.8 pts better
14.9%
1.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
2.6%
2.6 pts better
1.0%
1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 2.5%
2.9%
0.4 pts better
1.7%
0.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 6.3%
25.4%
19.1 pts better
19.8%
13.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 9.8%
6.4%
3.4 pts worse
5.1%
4.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 97.7%
78.7%
19 pts better
81.7%
16 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 4.2%
15.0%
10.8 pts better
12.0%
7.8 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 0.9%
1.6%
0.7 pts better
1.6%
0.7 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 91.1%
73.8%
17.3 pts better
79.7%
11.4 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 11.1%
19.4%
8.3 pts better
23.9%
12.8 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-10 · Fire 2025-04-10

4 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-03-28 · Fire 2024-03-28

2 health deficiencies

Top issue: Pharmacy Service (1 deficiency)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2023-04-12 · Fire 2023-04-12

0 health deficiencies

No concentrated health issue counts in this cycle.

5 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-03-28

K241 · Egress Deficiencies

Fire Safety

Have correct number of accessible exits for each story.

Corrected 2024-04-25

F · Potential for more than minimal harm 2024-03-28

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-04-25

F · Potential for more than minimal harm 2023-11-13

K916 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have a battery powered remote alarm panel in a location accessible by operating personnel.

Corrected 2023-12-21

F · Potential for more than minimal harm 2023-04-12

K916 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have a battery powered remote alarm panel in a location accessible by operating personnel.

Corrected 2023-04-27

E · Potential for more than minimal harm 2023-04-12

K241 · Egress Deficiencies

Fire Safety

Have correct number of accessible exits for each story.

Corrected 2023-04-27

E · Potential for more than minimal harm 2023-04-12

K321 · Smoke Deficiencies

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 2023-04-27

E · Potential for more than minimal harm 2023-04-12

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-04-27

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-04-10

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-04-29

D · Potential for more than minimal harm 2025-04-10

F847 · Administration Deficiencies

Health

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Corrected 2025-04-29

E · Potential for more than minimal harm 2025-03-25

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-04-09

E · Potential for more than minimal harm 2025-03-25

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-04-09

E · Potential for more than minimal harm 2024-03-28

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-04-10

D · Potential for more than minimal harm 2024-03-28

F758 · Pharmacy Service Deficiencies

Health

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.

Corrected 2024-04-10

Penalties and ownership

What sits behind the stars

Ownership

Christina Jayne Penn Management Trust

5% Or Greater Direct Ownership Interest · Organization

100% 6 facilities 2010-11-01
Penn, Christina

5% Or Greater Indirect Ownership Interest · Individual

100% 8 facilities 2015-06-01
Bercier, Stacy

W-2 Managing Employee · Individual

0% 1 facilities 2017-12-15
Green, Patricia

Corporate Officer · Individual

0% 3 facilities 2007-10-16
Marsh, Dawn

Corporate Officer · Individual

0% 9 facilities 1994-04-15
Real Property Health Facilities Corp

Operational/Managerial Control · Organization

0% 9 facilities 1986-07-30
Stevens Dye, Eileene

W-2 Managing Employee · Individual

0% 1 facilities 2013-03-12

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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

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Health
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Staffing
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Fines
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#2

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4-star overall rating with 4-star inspections with $19,464 in total fines with 4 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

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Health
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Staffing
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Fines
$19,464
#3

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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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Health
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Staffing
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Fines
$9,126

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