Ronan, MT

St Luke Community Nursing Home

3-star overall rating with 2-star inspections with $44,252 in total fines with 6 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

107 6th Ave S W, Ronan, MT

(406) 676-4441

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

2 / 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

75

Certified beds

Average residents

32

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1978-12-04

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

1.61

Registered nurse staffing

LPN hours / resident day

0.52

Licensed practical nurse staffing

Aide hours / resident day

3.08

Nurse aide staffing

Weekend hours

4.37

Weekend nurse staffing

RN turnover

17%

Annual RN turnover

Total nurse turnover

36%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.0
1.3
0.3 pts better
1.9
0.9 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 3.0
2.2
0.8 pts worse
1.8
1.2 pts worse
Long Stay · 20240701-20250630
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
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
Percentage of long-stay residents experiencing one or more falls with major injury 3.7%
4.2%
0.5 pts better
3.3%
0.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 5.0%
4.7%
0.3 pts worse
11.4%
6.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 2.9%
5.9%
3 pts better
5.4%
2.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 8.1%
17.4%
9.3 pts better
19.6%
11.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 14.8%
20.6%
5.8 pts better
16.7%
1.9 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened 12.5%
19.7%
7.2 pts better
16.3%
3.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 7.9%
19.8%
11.9 pts better
14.9%
7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.8%
2.6%
0.8 pts better
1.0%
0.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 5.9%
2.9%
3 pts worse
1.7%
4.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 23.1%
25.4%
2.3 pts better
19.8%
3.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 1.4%
6.4%
5 pts better
5.1%
3.7 pts better
Long Stay · 2024Q4-2025Q3

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-27 · Fire 2025-03-27

6 health deficiencies

Top issue: Administration (1 deficiency)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2024-03-14 · Fire 2024-03-14

2 health deficiencies

Top issue: Environmental (1 deficiency)

5 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 3 Health 2023-03-16 · Fire 2023-03-16

10 health deficiencies

Top issue: Administration (4 deficiencies)

8 fire-safety deficiencies

Top issue: Emergency Preparedness (5 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-03-27

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2025-05-01

D · Potential for more than minimal harm 2025-03-27

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-05-01

F · Potential for more than minimal harm 2024-03-14

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2024-06-01

D · Potential for more than minimal harm 2024-03-14

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 2024-06-01

D · Potential for more than minimal harm 2024-03-14

K325 · Smoke Deficiencies

Fire Safety

Have properly installed hallway dispensers for alcohol-based hand rub.

Corrected 2024-06-01

D · Potential for more than minimal harm 2024-03-14

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-06-01

D · Potential for more than minimal harm 2024-03-14

K355 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-06-01

F · Potential for more than minimal harm 2023-03-16

E24 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures for volunteers.

Corrected 2023-03-03

F · Potential for more than minimal harm 2023-03-16

E30 · Emergency Preparedness Deficiencies

Fire Safety

List the names and contact information of those in the facility.

Corrected 2023-03-03

F · Potential for more than minimal harm 2023-03-16

E31 · Emergency Preparedness Deficiencies

Fire Safety

Provide emergency officials' contact information.

Corrected 2023-03-02

F · Potential for more than minimal harm 2023-03-16

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2023-03-03

F · Potential for more than minimal harm 2023-03-16

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2023-03-03

F · Potential for more than minimal harm 2023-03-16

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-03-10

D · Potential for more than minimal harm 2023-03-16

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 2023-02-16

D · Potential for more than minimal harm 2023-03-16

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2023-03-10

Inspection history

Recent health citations

G · Actual harm 2025-03-27

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 2025-04-28

F · Potential for more than minimal harm 2025-03-27

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 2025-06-06

F · Potential for more than minimal harm 2025-03-27

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2025-06-06

F · Potential for more than minimal harm 2025-03-27

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-04-28

E · Potential for more than minimal harm 2025-03-27

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-04-28

D · Potential for more than minimal harm 2025-03-27

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2025-04-28

D · Potential for more than minimal harm 2024-03-14

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2024-04-25

D · Potential for more than minimal harm 2024-03-14

F919 · Environmental Deficiencies

Health

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2024-04-25

J · Immediate jeopardy 2023-03-16

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 2023-04-21

F · Potential for more than minimal harm 2023-03-16

F835 · Administration Deficiencies

Health

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Corrected 2023-04-21

F · Potential for more than minimal harm 2023-03-16

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2023-04-21

F · Potential for more than minimal harm 2023-03-16

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2023-04-21

F · Potential for more than minimal harm 2023-03-16

F940 · Administration Deficiencies

Health

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

Corrected 2023-04-21

E · Potential for more than minimal harm 2023-03-16

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 2023-04-21

E · Potential for more than minimal harm 2023-03-16

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-03-23

D · Potential for more than minimal harm 2023-03-16

F625 · Resident Rights Deficiencies

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 2023-04-21

D · Potential for more than minimal harm 2023-03-16

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 2023-04-21

D · Potential for more than minimal harm 2023-03-16

F851 · Administration Deficiencies

Health

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Corrected 2023-04-14

Penalties and ownership

What sits behind the stars

$44,252 2025-03-27

Fine

Fine · fine $44,252

Fine

Ownership

Castor, Holly

Corporate Director · Individual

0% 1 facilities 1992-01-01
Emerson, Leah

Corporate Director · Individual

0% 1 facilities 2022-01-01
Grainey, Philip

Corporate Director · Individual

0% 1 facilities 1986-01-01
Mcginnis, Jennifer

Corporate Director · Individual

0% 1 facilities 2011-01-01
Nelson, Robin

Corporate Director · Individual

0% 1 facilities 1999-08-01
Olsson, Martin

Corporate Director · Individual

0% 1 facilities 1989-01-01
Pavlock, August

Corporate Director · Individual

0% 1 facilities 2012-07-01
Todd, Steven

Corporate Director · Individual

0% 1 facilities 2013-09-01
Todd, Steven

W-2 Managing Employee · Individual

0% 1 facilities 1998-04-01

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4-star overall rating with 4-star inspections with $17,404 in total fines with 3 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

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Health
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Staffing
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Fines
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#2

Hot Springs Health & Rehabilitation Center

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2-star overall rating with 2-star inspections with $22,614 in total fines with 11 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle

Overall
2 / 5
Health
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Staffing
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Fines
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#3

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4-star overall rating with 3-star inspections with $62,871 in total fines with 16 recent health deficiencies

Overall
4 / 5
Health
3 / 5
Staffing
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Fines
$62,871

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