Federal inspection record · CMS data as of October 1, 2026
Ivy At Deer Lodge
1100 Texas Ave, Deer Lodge, MT · (406) 846-1655
- Certified beds
- 60
- Residents per day
- 39
- Ownership
- For-Profit
- Chain
- Ivy Healthcare Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 1, 1989
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.
-
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
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Montana homes
Ivy At Deer Lodge carries 141.75 inspection points. That is fewer than 17% 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
33 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 (5)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Provide medically-related social services to help each resident achieve the highest possible quality of life.
-
K
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
J
Provide safe, appropriate pain management for a resident who requires such services.
Everything else, by area of care
Resident Rights11E
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- B
Honor the resident's right to organize and participate in resident/family groups in the facility.
- B
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
- E
Honor the resident's right to choose his or her attending physician.
- E
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
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
- E
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- 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.
- E
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.
- B
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Assessment and Care Planning4E
- 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
Ensure services provided by the nursing facility meet professional standards of quality.
- E
Plan the resident's discharge to meet the resident's goals and needs.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Nutrition and Dietary3F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
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.
- E
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Quality of Life and Care3D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide enough food/fluids to maintain a resident's health.
- B
Provide safe and appropriate respiratory care for a resident when needed.
Administration2F
- D
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
- F
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Freedom from Abuse, Neglect, and Exploitation2E
- E
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- E
Respond appropriately to all alleged violations.
Infection Control1F
- F
Provide and implement an infection prevention and control program.
Pharmacy Service1E
- 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.
Nursing and Physician Services1E
- 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.
Inspection history
2025-12-03
6 health deficiencies · 4 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2024-10-10
8 health deficiencies · 7 fire-safety deficiencies
Top issue: Resident Rights (3 deficiencies)
2023-11-08
19 health deficiencies · 12 fire-safety deficiencies
Top issue: Resident Rights (7 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 29 min of nursing staff time a day, 32 min of it from a registered nurse.
This home
3 h 29 min
Montana average
4 h 1 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 56% of nursing staff and 40% 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
$93,969 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-12-03 | Fine | $17,345 |
| 2024-11-25 | Fine | $76,624 |
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 better | 1.2 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.5 pts worse | 2.6 | 2.1 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.7 pts better | 97.4% | 96.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.7 pts better | 97.7% | 94.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.1 pts better | 3.3% | 4.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms4.9 pts better | 1.4% | 6.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.9 pts better | 3.5% | 6.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4.2 pts better | 11.2% | 15.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication2.2 pts worse | 22.9% | 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 worsened8.6 pts better | 7.5% | 16.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.2 pts better | 18.3% | 18.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.1 pts better | 0.9% | 2.0% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.7 pts better | 1.3% | 3.0% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.4 pts worse | 22.5% | 22.1% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.9 pts better | 5.3% | 6.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine5.9 pts worse | 78.2% | 84.1% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.2 pts better | 0.0% | 1.2% | 1.5% |
·
Who owns and runs it
2 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 |
|---|---|---|---|
| Coane, Ryan | 5% Or Greater Direct Ownership Interest · Individual | 45% | 1 facilities |
| Coane, Ryan | Operational/Managerial Control · Individual | 0% | 1 facilities |
·
Fire safety
23 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems8F
- 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 generator or other power source capable of supplying service within 10 seconds.
- E
Meet requirements for the installation and maintenance of electrical systems.
- F
Have a battery powered remote alarm panel in a location accessible by operating personnel.
- F
Have a battery powered remote alarm panel in a location accessible by operating personnel.
- F
Meet requirements for the use of electrical equipment.
- F
Ensure that testing and maintenance of electrical equipment is performed.
Smoke6F
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Install an approved automatic sprinkler system.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
Emergency Preparedness5F
- F
Create arrangements with other facilities to receive patients.
- F
Establish staff and initial training requirements.
- F
Develop and maintain an Emergency Preparedness Program (EP).
- F
Address subsistence needs for staff and patients.
- F
Establish emergency prep training and testing.
Egress4E
- E
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.
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
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.
- E
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
·
Other homes nearby
-
Community Nursing Home Of Anaconda
Anaconda, MT
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 5 h 2 min
- Fines
- $0
-
Copper Ridge Health And Rehabilitation Center
Butte, MT · Eduro Healthcare
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 20 min
- Fines
- $0
-
Continental Care And Rehabilitation
Butte, MT · Sweetwater Care
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 15 min
- Fines
- $27,405