Federal inspection record · CMS data as of October 1, 2026

Northern Montana Care Center

24 13th St, Havre, MT · (406) 262-1900

  • CMS high-performer trophy

CMS overall rating

5 of 5

Compare with a nearby home →
Certified beds
135
Residents per day
72
Ownership
Non-Profit
Chain
No chain reported
Medicare / Medicaid
Medicare + Medicaid
Certified since
August 22, 1985

1

How this home got 5 stars

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.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Montana.

  2. Staffing

    no change (already 5)

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    5 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Montana homes

Northern Montana Care Center carries 19.5 inspection points. That is fewer than 97% of Montana's 59 rated homes.

5★4★3★2★1★+2 homes above 383.7505102550100200inspection points → fewer is better on the leftThis home · 19.5 pts · 5★

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

9 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 8 4 pts
E 1 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

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.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Resident Assessment and Care Planning3D
  1. D

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    July 16, 2026 · Standard · F636 · Corrected August 7, 2026

  2. D

    PASARR screening for Mental disorders or Intellectual Disabilities

    June 30, 2025 · Standard · F645 · Corrected July 25, 2025

  3. D

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

    June 30, 2025 · Standard · F656 · Corrected July 25, 2025

Resident Rights2D
  1. D

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    July 16, 2026 · Standard · F628 · Corrected August 13, 2026

  2. D

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

    March 26, 2024 · Complaint · F557 · Corrected April 18, 2024

Infection Control2D
  1. D

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    July 16, 2026 · Standard · F883 · Corrected August 7, 2026

  2. D

    Provide and implement an infection prevention and control program.

    August 1, 2024 · Standard · F880 · Corrected August 22, 2024

Quality of Life and Care1E
  1. E

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    June 30, 2025 · Standard · F689 · Corrected July 25, 2025

Freedom from Abuse, Neglect, and Exploitation1D
  1. D

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    June 30, 2025 · Standard · F604 · Corrected July 25, 2025

Inspection history

  1. 2026-07-16

    3 health deficiencies · 3 fire-safety deficiencies

    Top issue: Infection Control (1 deficiency)

  2. 2025-06-30

    4 health deficiencies · 2 fire-safety deficiencies

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

  3. 2024-08-01

    2 health deficiencies · 5 fire-safety deficiencies

    Top issue: Infection Control (1 deficiency)

4

Nursing time per resident, per day

Each resident here gets about 4 h 33 min of nursing staff time a day, 1 h 10 min of it from a registered nurse.

This home

4 h 33 min

Montana average

4 h 1 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 44% of nursing staff and 11% 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

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.3 pts better1.11.41.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.4 pts worse2.52.11.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.3 pts better100.0%96.7%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6 pts better100.0%94.0%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury3.5 pts worse7.9%4.4%3.2%
Percentage of long-stay residents who have depressive symptoms1.4 pts better4.9%6.3%13.5%
Percentage of long-stay residents who lose too much weight0.6 pts worse7.0%6.4%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication6.2 pts worse21.6%15.4%19.5%
Percentage of long-stay residents who received an antipsychotic medication2.3 pts better18.4%20.7%15.4%
Percentage of long-stay residents who were physically restrained0.6 pts better0.0%0.6%0.1%
Percentage of long-stay residents whose ability to walk independently worsenedAbout the same16.1%16.1%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased1.9 pts better16.6%18.5%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder2.6 pts worse4.6%2.0%0.7%
Percentage of long-stay residents with a urinary tract infectionAbout the same3.0%3.0%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence7.6 pts better14.5%22.1%18.3%
Percentage of long-stay residents with pressure ulcers4.2 pts worse10.4%6.2%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine15.9 pts better100.0%84.1%82.3%
Percentage of short-stay residents who newly received an antipsychotic medication1.2 pts better0.0%1.2%1.5%

·

Who owns and runs it

23 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Carlson, AndrewCorporate Director · Individual0%1 facilities
Derby, AdamOperational/Managerial Control · Individual0%1 facilities
Derby, AdamAdp Of The SNF · Individual0%1 facilities
Hamilton, MilesCorporate Director · Individual0%1 facilities
Harada, KevinCorporate Director · Individual0%1 facilities
Harada, KevinOperational/Managerial Control · Individual0%1 facilities
Harada, KevinAdp Of The SNF · Individual0%1 facilities
Healy, DebraCorporate Director · Individual0%1 facilities
Henry, DavidCorporate Officer · Individual0%1 facilities
Henry, DavidOperational/Managerial Control · Individual0%1 facilities
Kammerzell, KirstenCorporate Director · Individual0%1 facilities
Leeds, DavidCorporate Officer · Individual0%1 facilities
Lien, KarenCorporate Director · Individual0%1 facilities
Northern Montana Care Center Inc5% Or Greater Direct Ownership Interest · Organization0%1 facilities
Northern Montana Health Care Inc5% Or Greater Direct Ownership Interest · Organization0%1 facilities
Northern Montana Health Care Inc5% Or Greater Mortgage Interest · Organization0%1 facilities
Northern Montana Health Care IncOperational/Managerial Control · Organization0%1 facilities
Northern Montana Health Care IncAdp Of The SNF · Organization0%1 facilities
Obresley, ChristenCorporate Officer · Individual0%1 facilities
Obresley, ChristenOperational/Managerial Control · Individual0%1 facilities
Patrick, JenniferCorporate Director · Individual0%2 facilities
Stevens, RichardCorporate Director · Individual0%1 facilities
Tuss, PaulCorporate Director · Individual0%1 facilities

·

Fire safety

10 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke7F
  1. D

    Install an approved automatic sprinkler system.

    July 16, 2026 · K351 · Corrected September 4, 2026

  2. D

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

    July 16, 2026 · K355 · Corrected September 4, 2026

  3. D

    Install corridor and hallway doors that block smoke.

    July 16, 2026 · K363 · Corrected September 4, 2026

  4. F

    Inspect, test, and maintain automatic sprinkler systems.

    June 30, 2025 · K353 · Corrected August 15, 2025

  5. E

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    August 1, 2024 · K321 · Corrected September 15, 2024

  6. E

    Install corridor and hallway doors that block smoke.

    August 1, 2024 · K363 · Corrected September 15, 2024

  7. D

    Inspect, test, and maintain automatic sprinkler systems.

    August 1, 2024 · K353 · Corrected September 15, 2024

Egress3E
  1. 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.

    June 30, 2025 · K222 · Corrected August 15, 2025

  2. E

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    August 1, 2024 · K211 · Corrected August 22, 2024

  3. 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.

    August 1, 2024 · K222 · Corrected September 15, 2024

·

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