Glendive, MT

Glendive Medical Center N H

3-star overall rating with 3-star inspections with 8 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

202 Prospect Dr, Glendive, MT

(406) 345-3320

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

36

Certified beds

Average residents

35

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1977-08-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Hospital-based

Yes

CMS reports the provider resides in a hospital

Staffing

Hours and turnover

RN hours / resident day

1.03

Registered nurse staffing · state 0.94 · national 0.68

LPN hours / resident day

0.40

Licensed practical nurse staffing · state 0.51 · national 0.87

Aide hours / resident day

3.57

Nurse aide staffing · state 2.53 · national 2.35

Total nurse hours

4.99

All reported nurse hours · state 3.97 · national 3.89

Licensed hours

1.43

RN + LPN hours · state 1.44 · national 1.54

Weekend hours

4.00

Weekend nurse staffing · state 3.48 · national 3.43

Weekend RN hours

0.59

Weekend registered nurse coverage · state 0.69 · national 0.47

Physical therapist

0.00

Reported PT staffing

Adjusted RN hours

1.21

CMS adjusted RN staffing hours

Adjusted total hours

5.86

CMS adjusted total nurse staffing hours

Case-mix index

1.17

Higher values indicate more complex resident acuity

RN turnover

50%

Annual RN turnover · state 46% · national 45%

Total nurse turnover

71%

Annual nurse turnover · state 56% · national 46%

SNF VBP

Value-based purchasing

Program rank

4,057

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

41.48

Composite VBP score used to determine payment impact.

Payment multiplier

0.9944

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

1.12

Performance 59.09% · Measure score 1.12 · Achievement 1.12 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

7.17

Baseline 6.13 hours · Performance 5.12 hours · Measure score 7.17 · Achievement 7.17 · Improvement 0

SNF QRP

Medicare quality reporting measures

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 Not Available · No data were submitted for this measure.
Falls with major injury Not Available
0.77%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Pressure ulcers or injuries, new or worsened Not Available
2.29%
Numerator Not Available · Denominator Not Available · Adjusted rate Not Available · No data were submitted for this measure.
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 7.14%
8.2%
1.1 pts worse
Numerator 3 · Denominator 42
Staff flu vaccination coverage 48.65%
42%
6.6 pts better
Numerator 18 · Denominator 37
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.7
1.3
0.4 pts worse
1.9
0.2 pts better
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.1 · Expected 1.2 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 3.6
2.2
1.4 pts worse
1.8
1.8 pts worse
Long Stay · 20240701-20250630 · Adjusted 3.6 · Observed 2.7 · Expected 1.2 · Used in QM five-star
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 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 94.3%
93.7%
0.6 pts better
95.5%
1.2 pts worse
Long Stay · 2024Q3-2025Q2 · 4Q avg 94.3%
Percentage of long-stay residents experiencing one or more falls with major injury 4.4%
4.2%
0.2 pts worse
3.3%
1.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 6.1% · Q3 2.8% · Q4 2.9% · 4Q avg 4.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 14.8%
4.7%
10.1 pts worse
11.4%
3.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 13.3% · Q2 16.1% · Q3 13.9% · Q4 16.1% · 4Q avg 14.8%
Percentage of long-stay residents who lose too much weight 5.5%
5.9%
0.4 pts better
5.4%
0.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 8.6% · Q4 12.1% · 4Q avg 5.5%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 20.3%
17.4%
2.9 pts worse
19.6%
0.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 24.1% · Q2 19.4% · Q3 20.0% · Q4 18.2% · 4Q avg 20.3%
Percentage of long-stay residents who received an antipsychotic medication 18.2%
20.6%
2.4 pts better
16.7%
1.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 13.0% · Q2 18.5% · Q3 16.7% · Q4 23.3% · 4Q avg 18.2% · 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 16.2%
19.7%
3.5 pts better
16.3%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 24.1% · Q2 15.5% · Q3 12.3% · Q4 12.8% · 4Q avg 16.2% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 20.6%
19.8%
0.8 pts worse
14.9%
5.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 27.6% · Q2 22.6% · Q3 26.5% · Q4 6.2% · 4Q avg 20.6% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 3.8%
2.6%
1.2 pts worse
1.0%
2.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 2.5% · Q3 2.3% · Q4 2.3% · 4Q avg 3.8% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 1.5%
2.9%
1.4 pts better
1.7%
0.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 0.0% · Q3 0.0% · Q4 2.9% · 4Q avg 1.5% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 27.1%
25.4%
1.7 pts worse
19.8%
7.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 21.3% · Q2 18.1% · Q3 41.6% · Q4 25.5% · 4Q avg 27.1%
Percentage of long-stay residents with pressure ulcers 5.9%
6.4%
0.5 pts better
5.1%
0.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 4.4% · Q3 8.3% · Q4 6.8% · 4Q avg 5.9% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-09-11 · Fire 2025-09-11

8 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2024-08-01 · Fire 2024-08-01

5 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

7 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 3 Health 2023-08-16 · Fire 2023-08-16

1 health deficiencies

Top issue: Pharmacy Service (1 deficiency)

8 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-09-11

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2025-10-17

E · Potential for more than minimal harm 2025-09-11

K222 · Egress Deficiencies

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 2025-10-03

D · Potential for more than minimal harm 2025-09-11

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 2025-10-03

D · Potential for more than minimal harm 2025-09-11

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-10-03

D · Potential for more than minimal harm 2025-09-11

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-10-03

D · Potential for more than minimal harm 2025-09-11

K754 · Miscellaneous Deficiencies

Fire Safety

Provide properly sized and located linen or trash receptacles.

Corrected 2025-10-03

F · Potential for more than minimal harm 2024-08-01

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2024-08-28

F · Potential for more than minimal harm 2024-08-01

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2024-08-28

F · Potential for more than minimal harm 2024-08-01

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-08-28

F · Potential for more than minimal harm 2024-08-01

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-08-28

E · Potential for more than minimal harm 2024-08-01

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2024-08-28

D · Potential for more than minimal harm 2024-08-01

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2024-08-28

D · Potential for more than minimal harm 2024-08-01

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 2024-08-28

F · Potential for more than minimal harm 2023-08-16

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-09-27

F · Potential for more than minimal harm 2023-08-16

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2023-09-27

E · Potential for more than minimal harm 2023-08-16

K222 · Egress Deficiencies

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 2023-09-27

E · Potential for more than minimal harm 2023-08-16

K300 · Egress Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2023-09-27

E · Potential for more than minimal harm 2023-08-16

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2023-09-27

E · Potential for more than minimal harm 2023-08-16

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2023-09-27

E · Potential for more than minimal harm 2023-08-16

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2023-09-27

E · Potential for more than minimal harm 2023-08-16

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2023-09-27

Inspection history

Recent health citations

G · Actual harm 2025-09-11

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-10-03

F · Potential for more than minimal harm 2025-09-11

F801 · Nutrition and Dietary Deficiencies

Health

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Corrected 2025-10-03

F · Potential for more than minimal harm 2025-09-11

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-10-03

D · Potential for more than minimal harm 2025-09-11

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-10-03

D · Potential for more than minimal harm 2025-09-11

F637 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident when there is a significant change in condition

Corrected 2025-10-03

D · Potential for more than minimal harm 2025-09-11

F657 · Resident Assessment and Care Planning Deficiencies

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 2025-10-03

D · Potential for more than minimal harm 2025-09-11

F726 · Nursing and Physician Services Deficiencies

Health

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.

Corrected 2025-10-03

D · Potential for more than minimal harm 2025-09-11

F745 · Quality of Life and Care Deficiencies

Health

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Corrected 2025-10-03

F · Potential for more than minimal harm 2024-08-01

F851 · Administration Deficiencies

Health

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Corrected 2024-08-15

E · Potential for more than minimal harm 2024-08-01

F657 · Resident Assessment and Care Planning Deficiencies

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 2024-08-15

E · Potential for more than minimal harm 2024-08-01

F756 · Pharmacy Service Deficiencies

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 2024-08-15

D · Potential for more than minimal harm 2024-08-01

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-08-15

D · Potential for more than minimal harm 2024-08-01

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 2024-08-15

F · Potential for more than minimal harm 2023-08-16

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2023-09-07

Penalties and ownership

What sits behind the stars

$0 2025-09-11

Payment Denial

Payment Denial · denial start 2025-10-10 · 7 days

7 day denial

Ownership

Billings Clinic

Operational/Managerial Control · Organization

0% 1 facilities 2013-09-01
Bogar, Janette

Corporate Director · Individual

0% 1 facilities 2021-02-25
Buniel, Maria

Corporate Officer · Individual

0% 1 facilities 2025-07-24
Domek, Jill

Operational/Managerial Control · Individual

0% 1 facilities 2007-07-01
Gibbs, Lesley

Corporate Director · Individual

0% 1 facilities 2025-02-27
Goplen, Mitchell

Corporate Director · Individual

0% 1 facilities 2016-07-28
Leal, Joseph

Corporate Director · Individual

0% 1 facilities 2021-02-25
Myers, Troy

Corporate Director · Individual

0% 1 facilities 2023-02-23
Potter, Chrystal

Corporate Director · Individual

0% 1 facilities 2016-01-01
Powell, Parker

Operational/Managerial Control · Individual

0% 1 facilities 2013-10-11
Powell, Parker

Corporate Officer · Individual

0% 1 facilities 2013-10-11
Reske, Clifford

Operational/Managerial Control · Individual

0% 1 facilities 2012-05-03
Robinson, William

Corporate Officer · Individual

0% 3 facilities 2015-08-03
Shields, A'lynn

Corporate Director · Individual

0% 1 facilities 2016-05-01
Thompson, Randy

Corporate Director · Individual

0% 1 facilities 2024-07-01

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