Forsyth, MT

Rosebud Health Care Center

5-star overall rating with 5-star inspections with 3 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

383 N 17th Ave, Forsyth, MT

(406) 346-4243

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

31

Certified beds

Average residents

14

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1977-11-01

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

2.59

Registered nurse staffing · state 0.94 · national 0.68

LPN hours / resident day

0.24

Licensed practical nurse staffing · state 0.51 · national 0.87

Aide hours / resident day

3.15

Nurse aide staffing · state 2.53 · national 2.35

Total nurse hours

5.98

All reported nurse hours · state 3.97 · national 3.89

Licensed hours

2.83

RN + LPN hours · state 1.44 · national 1.54

Weekend hours

5.35

Weekend nurse staffing · state 3.48 · national 3.43

Weekend RN hours

2.03

Weekend registered nurse coverage · state 0.69 · national 0.47

Physical therapist

0.00

Reported PT staffing

Adjusted RN hours

3.25

CMS adjusted RN staffing hours

Adjusted total hours

7.51

CMS adjusted total nurse staffing hours

Case-mix index

1.09

Higher values indicate more complex resident acuity

RN turnover

11%

Annual RN turnover · state 46% · national 45%

Total nurse turnover

54%

Annual nurse turnover · state 56% · national 46%

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 14.81%
8.2%
6.6 pts better
Numerator 4 · Denominator 27
Staff flu vaccination coverage 54.76%
42%
12.8 pts better
Numerator 23 · Denominator 42
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
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.1%
94.4%
3.7 pts better
93.4%
4.7 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 98.1%
Percentage of long-stay residents experiencing one or more falls with major injury 5.7%
4.2%
1.5 pts worse
3.3%
2.4 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 5.7% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 0.0%
4.7%
4.7 pts better
11.4%
11.4 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0%
Percentage of long-stay residents who lose too much weight 1.9%
5.9%
4 pts better
5.4%
3.5 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 1.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 13.2%
17.4%
4.2 pts better
19.6%
6.4 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 13.2%
Percentage of long-stay residents who received an antipsychotic medication 20.8%
20.6%
0.2 pts worse
16.7%
4.1 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 20.8% · 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 · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 2.9%
19.7%
16.8 pts better
16.3%
13.4 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 2.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 15.6%
19.8%
4.2 pts better
14.9%
0.7 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 15.6% · Used in QM five-star
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 · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 5.7%
2.9%
2.8 pts worse
1.7%
4 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 5.7% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 29.9%
25.4%
4.5 pts worse
19.8%
10.1 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 29.9%
Percentage of long-stay residents with pressure ulcers 2.3%
6.4%
4.1 pts better
5.1%
2.8 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 2.3% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-12-18 · Fire 2025-12-18

3 health deficiencies

Top issue: Administration (1 deficiency)

1 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 2 Health 2024-10-10 · Fire 2024-10-10

0 health deficiencies

No concentrated health issue counts in this cycle.

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 3 Health 2023-11-08 · Fire 2023-11-08

5 health deficiencies

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

3 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-12-18

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2026-01-22

D · Potential for more than minimal harm 2024-10-10

K355 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-11-15

D · Potential for more than minimal harm 2024-10-10

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-11-15

F · Potential for more than minimal harm 2023-11-08

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2023-12-21

D · Potential for more than minimal harm 2023-11-08

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 2023-12-21

D · Potential for more than minimal harm 2023-11-08

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-12-21

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-12-18

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 2026-01-22

F · Potential for more than minimal harm 2025-12-18

F868 · Administration Deficiencies

Health

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2026-01-22

D · Potential for more than minimal harm 2025-12-18

F883 · Infection Control Deficiencies

Health

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

Corrected 2026-01-22

D · Potential for more than minimal harm 2023-11-08

F585 · Resident Rights Deficiencies

Health

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2023-12-21

D · Potential for more than minimal harm 2023-11-08

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2023-12-21

D · Potential for more than minimal harm 2023-11-08

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2023-12-21

D · Potential for more than minimal harm 2023-11-08

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2023-12-21

D · Potential for more than minimal harm 2023-11-08

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-12-21

Penalties and ownership

What sits behind the stars

Ownership

Crose, Hunter

Operational/Managerial Control · Individual

0% 1 facilities 2022-09-01
Holland, Gayle

Corporate Director · Individual

0% 1 facilities 2007-06-01
Johnstone, Robert

Corporate Director · Individual

0% 1 facilities 2020-11-24
Killen, Gerald

Corporate Director · Individual

0% 1 facilities 2016-06-22
Lee, Robert

Corporate Director · Individual

0% 1 facilities 2008-06-01
Maciag, Jeanne

Corporate Director · Individual

0% 1 facilities 2018-07-26
Nile, Nancy

Corporate Director · Individual

0% 1 facilities 2012-06-01
Price, Mindy

Operational/Managerial Control · Individual

0% 1 facilities 2018-07-01
Schwarzkoph, Cherly

Corporate Director · Individual

0% 1 facilities 2010-06-01
Watson, Dan

Corporate Director · Individual

0% 1 facilities 2024-09-25

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#3

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Health
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Staffing
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Fines
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