Cycle 1
Health 2025-12-04 · Fire 2025-12-04
10 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Sidney, MT
Sidney Health Center Extended Care
1-star overall rating with 1-star inspections with $92,925 in total fines with 10 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
104 14th Ave Nw, Sidney, MT
(406) 488-2300
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
93
Certified beds
Average residents
43
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1988-11-01
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
Staffing
Hours and turnover
RN hours / resident day
0.78
Registered nurse staffing · state 0.94 · national 0.68
LPN hours / resident day
0.62
Licensed practical nurse staffing · state 0.51 · national 0.87
Aide hours / resident day
2.83
Nurse aide staffing · state 2.53 · national 2.35
Total nurse hours
4.24
All reported nurse hours · state 3.97 · national 3.89
Licensed hours
1.41
RN + LPN hours · state 1.44 · national 1.54
Weekend hours
3.87
Weekend nurse staffing · state 3.48 · national 3.43
Weekend RN hours
0.51
Weekend registered nurse coverage · state 0.69 · national 0.47
Physical therapist
0.01
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.92
CMS adjusted RN staffing hours
Adjusted total hours
5.00
CMS adjusted total nurse staffing hours
Case-mix index
1.16
Higher values indicate more complex resident acuity
RN turnover
50%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
50%
Annual nurse turnover · state 56% · national 46%
SNF VBP
Value-based purchasing
Program rank
819
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
63.34
Composite VBP score used to determine payment impact.
Payment multiplier
1.0181
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
5.90
Baseline 60.94% · Performance 39.58% · Measure score 5.90 · Achievement 5.90 · Improvement 5.42
Adjusted total nurse staffing
6.77
Baseline 4.97 hours · Performance 5 hours · Measure score 6.77 · Achievement 6.77 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.41% |
10.72%
0.7 pts worse
|
No Different than the National Rate · Eligible stays 37 · Observed rate 16.22% · Lower 95% interval 7.26% |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays 10 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Medicare spending per beneficiary | 0.41 |
1.02
0.6 pts better
|
|
| Drug regimen review with follow-up | Not Available |
95.27%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
| Falls with major injury | Not Available |
0.77%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | Not Available |
2.29%
|
Numerator Not Available · Denominator 18 · Adjusted rate Not Available · Too few residents or stays to report publicly. |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 15 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 7.5% |
8.2%
0.7 pts worse
|
Numerator 6 · Denominator 80 |
| Staff flu vaccination coverage | 84.35% |
42%
42.3 pts better
|
Numerator 97 · Denominator 115 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly. |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.8 |
1.3
0.5 pts worse
|
1.9
0.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.4 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 4.3 |
2.2
2.1 pts worse
|
1.8
2.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 4.3 · Observed 3.7 · Expected 1.5 · 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 | 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 | 9.7% |
4.2%
5.5 pts worse
|
3.3%
6.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.7% · Q2 7.1% · Q3 7.0% · Q4 9.1% · 4Q avg 9.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 3.8% |
4.7%
0.9 pts better
|
11.4%
7.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 0.0% · Q3 2.5% · Q4 9.3% · 4Q avg 3.8% |
| Percentage of long-stay residents who lose too much weight | 5.2% |
5.9%
0.7 pts better
|
5.4%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 7.5% · Q3 7.3% · Q4 2.5% · 4Q avg 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 18.0% |
17.4%
0.6 pts worse
|
19.6%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.8% · Q2 17.1% · Q3 20.9% · Q4 23.3% · 4Q avg 18.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 19.7% |
20.6%
0.9 pts better
|
16.7%
3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.9% · Q2 19.4% · Q3 20.6% · Q4 25.0% · 4Q avg 19.7% · 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 | 28.4% |
19.7%
8.7 pts worse
|
16.3%
12.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 34.1% · Q4 13.0% · 4Q avg 28.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 26.7% |
19.8%
6.9 pts worse
|
14.9%
11.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 34.5% · Q2 31.6% · Q3 20.5% · Q4 22.5% · 4Q avg 26.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.2% |
2.6%
1.4 pts better
|
1.0%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 0.0% · Q3 0.0% · Q4 1.9% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 5.1% |
2.9%
2.2 pts worse
|
1.7%
3.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.4% · Q2 2.4% · Q3 2.4% · Q4 5.0% · 4Q avg 5.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 33.5% |
25.4%
8.1 pts worse
|
19.8%
13.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.3% · Q2 36.0% · Q3 31.7% · Q4 35.5% · 4Q avg 33.5% |
| Percentage of long-stay residents with pressure ulcers | 3.8% |
6.4%
2.6 pts better
|
5.1%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 2.5% · Q3 4.9% · Q4 5.2% · 4Q avg 3.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 72.1% |
78.7%
6.6 pts worse
|
81.7%
9.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 72.1% |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-08-29 · Fire 2024-08-29
12 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Cycle 3
Health 2023-08-30 · Fire 2023-08-30
0 health deficiencies
No concentrated health issue counts in this cycle.
9 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-12-04
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2026-01-15
E · Potential for more than minimal harm
2025-12-04
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 2025-12-29
E · Potential for more than minimal harm
2025-12-04
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2026-01-21
D · Potential for more than minimal harm
2025-12-04
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-12-29
D · Potential for more than minimal harm
2025-12-04
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-12-29
D · Potential for more than minimal harm
2025-12-04
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2026-01-15
D · Potential for more than minimal harm
2025-12-04
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2026-01-15
D · Potential for more than minimal harm
2025-12-04
K754 · Miscellaneous Deficiencies
Fire Safety
Provide properly sized and located linen or trash receptacles.
Corrected 2026-01-15
F · Potential for more than minimal harm
2024-08-29
E37 · Emergency Preparedness Deficiencies
Fire Safety
Establish staff and initial training requirements.
Corrected 2024-10-18
E · Potential for more than minimal harm
2024-08-29
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-10-18
E · Potential for more than minimal harm
2024-08-29
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 2024-10-18
E · Potential for more than minimal harm
2024-08-29
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-10-18
E · Potential for more than minimal harm
2024-08-29
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-10-18
E · Potential for more than minimal harm
2024-08-29
K911 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2024-10-18
D · Potential for more than minimal harm
2024-08-29
K325 · Smoke Deficiencies
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2024-10-18
D · Potential for more than minimal harm
2024-08-29
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-10-18
F · Potential for more than minimal harm
2023-08-30
E33 · Emergency Preparedness Deficiencies
Fire Safety
Establish methods for sharing information.
Corrected 2023-10-04
F · Potential for more than minimal harm
2023-08-30
E39 · Emergency Preparedness Deficiencies
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-11-15
F · Potential for more than minimal harm
2023-08-30
K771 · Miscellaneous Deficiencies
Fire Safety
Ensure that smoke control systems are tested and documented in accordance with established engineering principles.
Corrected 2023-11-15
F · Potential for more than minimal harm
2023-08-30
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2023-11-15
E · Potential for more than minimal harm
2023-08-30
K300 · Egress Deficiencies
Fire Safety
Meet other general requirements that are deficient.
Corrected 2023-11-15
E · Potential for more than minimal harm
2023-08-30
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 2023-11-15
E · Potential for more than minimal harm
2023-08-30
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-11-15
D · Potential for more than minimal harm
2023-08-30
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-11-15
D · Potential for more than minimal harm
2023-08-30
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-11-15
Inspection history
Recent health citations
K · Immediate jeopardy
2025-12-04
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-01-09
F · Potential for more than minimal harm
2025-12-04
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 2026-01-09
F · Potential for more than minimal harm
2025-12-04
F868 · Administration Deficiencies
Health
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2026-01-09
F · Potential for more than minimal harm
2025-12-04
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2026-01-09
E · Potential for more than minimal harm
2025-12-04
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 2026-01-09
E · Potential for more than minimal harm
2025-12-04
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2026-01-09
E · Potential for more than minimal harm
2025-12-04
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 2026-01-09
D · Potential for more than minimal harm
2025-12-04
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-02-10
D · Potential for more than minimal harm
2025-12-04
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2026-01-09
D · Potential for more than minimal harm
2025-12-04
F887 · Infection Control Deficiencies
Health
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected 2026-01-09
G · Actual harm
2024-10-10
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-11-22
F · Potential for more than minimal harm
2024-10-10
F727 · Nursing and Physician Services Deficiencies
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 2024-11-22
D · Potential for more than minimal harm
2024-10-10
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2024-11-22
D · Potential for more than minimal harm
2024-10-10
F655 · Resident Assessment and Care Planning Deficiencies
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-11-22
F · Potential for more than minimal harm
2024-08-29
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-10-10
E · Potential for more than minimal harm
2024-08-29
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 2024-10-10
E · Potential for more than minimal harm
2024-08-29
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 2024-10-10
D · Potential for more than minimal harm
2024-08-29
F578 · Resident Rights Deficiencies
Health
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.
Corrected 2024-10-10
D · Potential for more than minimal harm
2024-08-29
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 2024-10-10
D · Potential for more than minimal harm
2024-08-29
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 2024-10-10
D · Potential for more than minimal harm
2024-08-29
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 2024-10-10
D · Potential for more than minimal harm
2024-08-29
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-10-10
Penalties and ownership
What sits behind the stars
$92,925
2025-12-04
Fine
Fine · fine $92,925
Fine
$0
2025-12-04
Payment Denial
Payment Denial · denial start 2026-01-06 · 15 days
15 day denial
Ownership
Sidney Health Center
5% Or Greater Direct Ownership Interest · Organization
Beeken, Eric
Corporate Director · Individual
Breuer, Robert
Corporate Director · Individual
Burnison, Robert
Corporate Director · Individual
Cassidy, Rebecca
Operational/Managerial Control · Individual
Chapman, Jeri
Operational/Managerial Control · Individual
Doty, Jennifer
Operational/Managerial Control · Individual
Doty, Jennifer
Corporate Officer · Individual
Duffey, Susan
Corporate Director · Individual
Harris, Deborah
Corporate Director · Individual
Johnson, Randall
Corporate Director · Individual
Karanjai, Rajohn
Operational/Managerial Control · Individual
Karanjai, Rajohn
Corporate Officer · Individual
Kavanagh, Sean
Operational/Managerial Control · Individual
Keysor, Nicole
Operational/Managerial Control · Individual
Livers, Stephanie
Corporate Director · Individual
Mcglothlin, Pamela
Operational/Managerial Control · Individual
Mercer, Jennifer
Operational/Managerial Control · Individual
Montgomery, Tina
Operational/Managerial Control · Individual
Montgomery, Tina
Corporate Officer · Individual
Reitz, Kerry
Operational/Managerial Control · Individual
Roberts, Lisa
Operational/Managerial Control · Individual
Ross, Lisa
Corporate Director · Individual
Roth, Jennifer
Operational/Managerial Control · Individual
Seitzinger, Amber
Operational/Managerial Control · Individual
Seitzinger, Amber
Corporate Officer · Individual
Sidney Health Center
Operational/Managerial Control · Organization
Vanevery, Cheryl
Corporate Director · Individual
Weber, Matthew
Operational/Managerial Control · Individual
Weber, Mike
Corporate Director · Individual
Wilkinson, Kelly
Operational/Managerial Control · Individual
Wolff, Kelley
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Bethel Lutheran Nursing & Rehabilitation Center
Williston, ND
4-star overall rating with 4-star inspections with 2 recent health deficiencies
#2
Mckenzie County Healthcare Systems Long Term Care
Watford City, ND
4-star overall rating with 3-star inspections with $6,300 in total fines with 4 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#3
Eastern Montana Veterans Home
Glendive, MT
2-star overall rating with 2-star inspections with abuse icon flag with $57,502 in total fines with 15 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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