10 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
1 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Great Falls, MT
3-star overall rating with 2-star inspections with $185,087 in total fines with 10 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
1500 32nd St S, Great Falls, MT
(406) 761-4300
Overall
3 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
189
Certified beds
Average residents
139
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Sweetwater Care
Operator or chain grouping
Approved since
1967-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
9 facilities
Chain averages 3 overall / 2 health / 2 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.80
Registered nurse staffing · state 0.94 · national 0.68
LPN hours / resident day
0.91
Licensed practical nurse staffing · state 0.51 · national 0.87
Aide hours / resident day
1.84
Nurse aide staffing · state 2.53 · national 2.35
Total nurse hours
3.55
All reported nurse hours · state 3.97 · national 3.89
Licensed hours
1.71
RN + LPN hours · state 1.44 · national 1.54
Weekend hours
2.98
Weekend nurse staffing · state 3.48 · national 3.43
Weekend RN hours
0.60
Weekend registered nurse coverage · state 0.69 · national 0.47
Physical therapist
0.10
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.87
CMS adjusted RN staffing hours
Adjusted total hours
3.88
CMS adjusted total nurse staffing hours
Case-mix index
1.25
Higher values indicate more complex resident acuity
RN turnover
6%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
31%
Annual nurse turnover · state 56% · national 46%
SNF VBP
Program rank
3,879
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
42.31
Composite VBP score used to determine payment impact.
Payment multiplier
0.9952
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
7.66
Baseline 18.06% · Performance 17.88% · Measure score 7.66 · Achievement 7.66 · Improvement 1.21
Healthcare-associated infections
0
Baseline 4.70% · Performance 8.24% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
7.29
Baseline 95.65% · Performance 40.51% · Measure score 7.29 · Achievement 5.67 · Improvement 7.29
Adjusted total nurse staffing
1.97
Baseline 2.74 hours · Performance 3.49 hours · Measure score 1.97 · Achievement 1.46 · Improvement 1.97
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.8% |
10.72%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 184 · Observed rate 9.24% · Lower 95% interval 7.55% |
| Discharge to community | 48.86% |
50.57%
1.7 pts worse
|
No Different than the National Rate · Eligible stays 184 · Observed rate 46.2% · Lower 95% interval 42.28% |
| Medicare spending per beneficiary | 1.21 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 95.14% |
95.27%
0.1 pts worse
|
Numerator 137 · Denominator 144 |
| Falls with major injury | 0.69% |
0.77%
0.1 pts better
|
Numerator 1 · Denominator 144 |
| Discharge self-care score | 60.61% |
53.69%
6.9 pts better
|
Numerator 60 · Denominator 99 |
| Discharge mobility score | 62.63% |
50.94%
11.7 pts better
|
Numerator 62 · Denominator 99 |
| Pressure ulcers or injuries, new or worsened | 3.5% |
2.29%
1.2 pts worse
|
Numerator 5 · Denominator 143 · Adjusted rate 4.72% |
| Healthcare-associated infections requiring hospitalization | 8.24% |
7.12%
1.1 pts worse
|
No Different than the National Rate · Eligible stays 108 · Observed rate 8.33% · Lower 95% interval 5.4% |
| Staff COVID-19 vaccination coverage | 11.44% |
8.2%
3.2 pts better
|
Numerator 23 · Denominator 201 |
| Staff flu vaccination coverage | 58.12% |
42%
16.1 pts better
|
Numerator 68 · Denominator 117 |
| Discharge function score | 73.74% |
56.45%
17.3 pts better
|
Numerator 73 · Denominator 99 |
| Transfer of health information to provider | 93.55% |
95.95%
2.4 pts worse
|
Numerator 29 · Denominator 31 |
| Transfer of health information to patient | 86.36% |
96.28%
9.9 pts worse
|
Numerator 57 · Denominator 66 |
| Resident COVID-19 vaccinations up to date | 31.58% |
25.2%
6.4 pts better
|
Numerator 24 · Denominator 76 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.4 |
1.3
0.1 pts worse
|
1.9
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 2.0 · Expected 2.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.5 |
2.2
1.7 pts better
|
1.8
1.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.5 · Observed 0.6 · Expected 2.1 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.3% |
94.4%
4.9 pts better
|
93.4%
5.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 97.2% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
93.7%
6.3 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.8% |
4.2%
2.4 pts better
|
3.3%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 0.9% · Q3 0.8% · Q4 4.4% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 9.7% |
4.7%
5 pts worse
|
11.4%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.0% · Q2 9.0% · Q3 7.0% · Q4 12.3% · 4Q avg 9.7% |
| Percentage of long-stay residents who lose too much weight | 7.1% |
5.9%
1.2 pts worse
|
5.4%
1.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 5.0% · Q3 9.6% · Q4 6.1% · 4Q avg 7.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 16.0% |
17.4%
1.4 pts better
|
19.6%
3.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.7% · Q2 17.3% · Q3 12.6% · Q4 18.8% · 4Q avg 16.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 25.8% |
20.6%
5.2 pts worse
|
16.7%
9.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.1% · Q2 28.2% · Q3 27.1% · Q4 21.0% · 4Q avg 25.8% · 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 | 6.8% |
19.7%
12.9 pts better
|
16.3%
9.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.0% · Q2 5.4% · Q3 2.1% · Q4 7.6% · 4Q avg 6.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 6.1% |
19.8%
13.7 pts better
|
14.9%
8.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 6.5% · Q3 4.5% · Q4 10.6% · 4Q avg 6.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.9% |
2.6%
1.7 pts better
|
1.0%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 0.9% · Q3 0.0% · Q4 1.0% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.2% |
2.9%
2.7 pts better
|
1.7%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.9% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 17.3% |
25.4%
8.1 pts better
|
19.8%
2.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.4% · Q2 23.7% · Q3 14.4% · Q4 14.4% · 4Q avg 17.3% |
| Percentage of long-stay residents with pressure ulcers | 7.6% |
6.4%
1.2 pts worse
|
5.1%
2.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.3% · Q2 10.1% · Q3 5.4% · Q4 6.0% · 4Q avg 7.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 93.8% |
78.7%
15.1 pts better
|
81.7%
12.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 95.1% · Q2 95.9% · Q3 92.0% · Q4 92.8% · 4Q avg 93.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.3% |
15.0%
5.7 pts better
|
12.0%
2.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.3% · Observed 8.8% · Expected 10.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.3% |
1.6%
0.3 pts better
|
1.6%
0.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 3.2% · Q3 0.0% · Q4 0.0% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 76.8% |
73.8%
3 pts better
|
79.7%
2.9 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 76.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.4% |
19.4%
1 pts worse
|
23.9%
3.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 20.4% · Observed 19.1% · Expected 22.3% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (5 deficiencies)
1 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Top issue: Resident Assessment and Care Planning (4 deficiencies)
2 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Top issue: Resident Assessment and Care Planning (6 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Conduct testing and exercise requirements.
Corrected 2025-05-16
Fire Safety
Establish policies and procedures for medical documentation.
Corrected 2024-05-15
Fire Safety
Establish methods for sharing information.
Corrected 2024-05-15
Inspection history
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-09-03
Health
Provide and implement an infection prevention and control program.
Corrected 2025-09-03
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-05-19
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-05-19
Health
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.
Corrected 2025-05-19
Health
Provide and implement an infection prevention and control program.
Corrected 2025-05-19
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-05-19
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2025-05-19
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2025-05-19
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2025-05-19
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 2024-11-19
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-11-19
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-05-09
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-05-09
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-05-09
Health
Provide and implement an infection prevention and control program.
Corrected 2024-05-09
Health
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2024-04-22
Health
Respond appropriately to all alleged violations.
Corrected 2024-04-22
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-04-22
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-04-22
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-04-22
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-12-19
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-12-19
Health
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Corrected 2023-12-19
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-11-10
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-05-19
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-05-19
Health
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.
Corrected 2023-05-19
Health
Provide and implement an infection prevention and control program.
Corrected 2023-05-19
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-05-19
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 2023-05-19
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 2023-05-19
Health
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2023-05-19
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2023-05-19
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-05-19
Health
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.
Corrected 2023-05-18
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2023-05-19
Health
Assess the resident when there is a significant change in condition
Corrected 2023-05-19
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2023-05-19
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-05-19
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 2023-05-19
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-05-19
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2023-06-05
Penalties and ownership
Fine · fine $42,770
Fine
Fine · fine $21,133
Fine
Fine · fine $17,014
Fine
Fine · fine $23,225
Fine
Fine · fine $80,945
Fine
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
5% Or Greater Indirect Ownership Interest · Individual
W-2 Managing Employee · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Great Falls, MT
2-star overall rating with 2-star inspections with abuse icon flag with $81,927 in total fines with 18 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
Great Falls, MT
5-star overall rating with 4-star inspections with 9 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
Great Falls, MT
1-star overall rating with 2-star inspections with abuse icon flag with $13,865 in total fines with 13 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
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