17 health deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
6 fire-safety deficiencies
Top issue: Egress (3 deficiencies)
Chinook, MT
2-star overall rating with 2-star inspections with abuse icon flag with 17 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
125 Airport Rd, Chinook, MT
(406) 357-2549
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
42
Certified beds
Average residents
37
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1989-09-01
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
RN hours / resident day
0.84
Registered nurse staffing · state 0.94 · national 0.68
LPN hours / resident day
0.23
Licensed practical nurse staffing · state 0.51 · national 0.87
Aide hours / resident day
2.81
Nurse aide staffing · state 2.53 · national 2.35
Total nurse hours
3.88
All reported nurse hours · state 3.97 · national 3.89
Licensed hours
1.07
RN + LPN hours · state 1.44 · national 1.54
Weekend hours
3.38
Weekend nurse staffing · state 3.48 · national 3.43
Weekend RN hours
0.64
Weekend registered nurse coverage · state 0.69 · national 0.47
Physical therapist
0.00
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.91
CMS adjusted RN staffing hours
Adjusted total hours
4.20
CMS adjusted total nurse staffing hours
Case-mix index
1.26
Higher values indicate more complex resident acuity
RN turnover
60%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
50%
Annual nurse turnover · state 56% · national 46%
SNF VBP
Program rank
4,743
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
38.76
Composite VBP score used to determine payment impact.
Payment multiplier
0.9918
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
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
5.51
Baseline 51.43% · Performance 41.18% · Measure score 5.51 · Achievement 5.51 · Improvement 3.36
Adjusted total nurse staffing
2.25
Baseline 4.30 hours · Performance 3.72 hours · Measure score 2.25 · Achievement 2.25 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | Not Available |
10.72%
|
Not Available · Eligible stays 13 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays 11 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Medicare spending per beneficiary | Not Available |
1.02
|
Too few residents or stays to report publicly. |
| Drug regimen review with follow-up | Not Available |
95.27%
|
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly. |
| Falls with major injury | Not Available |
0.77%
|
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly. |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | Not Available |
2.29%
|
Numerator Not Available · Denominator 5 · 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 8 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 63 |
| Staff flu vaccination coverage | 30.3% |
42%
11.7 pts worse
|
Numerator 20 · Denominator 66 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 4 · 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 2 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.9 |
1.3
0.4 pts better
|
1.9
1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.7 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.0 |
2.2
1.2 pts better
|
1.8
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 0.8 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 79.4% |
94.4%
15 pts worse
|
93.4%
14 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 77.8% · Q2 65.6% · Q3 90.9% · Q4 82.9% · 4Q avg 79.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 88.9% |
93.7%
4.8 pts worse
|
95.5%
6.6 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 88.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 8.8% |
4.2%
4.6 pts worse
|
3.3%
5.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 9.4% · Q3 6.1% · Q4 8.6% · 4Q avg 8.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 6.8% |
4.7%
2.1 pts worse
|
11.4%
4.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.8% · Q2 6.2% · Q3 3.1% · Q4 8.8% · 4Q avg 6.8% |
| Percentage of long-stay residents who lose too much weight | 12.7% |
5.9%
6.8 pts worse
|
5.4%
7.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 18.8% · Q3 12.1% · Q4 5.9% · 4Q avg 12.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 27.9% |
17.4%
10.5 pts worse
|
19.6%
8.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.8% · Q2 25.0% · Q3 33.3% · Q4 25.7% · 4Q avg 27.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 11.7% |
20.6%
8.9 pts better
|
16.7%
5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 13.8% · Q3 6.5% · Q4 6.7% · 4Q avg 11.7% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 2.9% |
0.4%
2.5 pts worse
|
0.1%
2.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 3.1% · Q3 0.0% · Q4 5.7% · 4Q avg 2.9% |
| Percentage of long-stay residents whose ability to walk independently worsened | 26.0% |
19.7%
6.3 pts worse
|
16.3%
9.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 26.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 18.9% |
19.8%
0.9 pts better
|
14.9%
4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.6% · Q2 28.1% · Q3 21.2% · Q4 9.1% · 4Q avg 18.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.7% |
2.6%
0.9 pts better
|
1.0%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 0.0% · Q3 0.0% · Q4 3.0% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 8.9% |
2.9%
6 pts worse
|
1.7%
7.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.4% · Q2 9.4% · Q3 0.0% · Q4 5.9% · 4Q avg 8.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 27.9% |
25.4%
2.5 pts worse
|
19.8%
8.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 35.8% · Q2 37.3% · Q3 21.2% · Q4 18.1% · 4Q avg 27.9% |
| Percentage of long-stay residents with pressure ulcers | 5.2% |
6.4%
1.2 pts better
|
5.1%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 2.5% · Q3 5.4% · Q4 9.0% · 4Q avg 5.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 20.0% |
78.7%
58.7 pts worse
|
81.7%
61.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 20.0% |
Survey summary
Top issue: Resident Assessment and Care Planning (4 deficiencies)
6 fire-safety deficiencies
Top issue: Egress (3 deficiencies)
Top issue: Resident Assessment and Care Planning (4 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Resident Assessment and Care Planning (4 deficiencies)
11 fire-safety deficiencies
Top issue: Smoke (7 deficiencies)
Fire safety
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-12-24
Fire Safety
Have power receptacles that are properly grounded.
Corrected 2024-12-30
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 2024-12-24
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2024-12-24
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-12-24
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2025-01-10
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2024-01-26
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-12-27
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 2023-12-27
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-12-27
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-12-27
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2023-12-27
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-01-21
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2022-12-28
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-01-21
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-12-28
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-01-21
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2022-12-28
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2022-12-28
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 2023-01-21
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2022-12-28
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-12-28
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-12-30
Inspection history
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-09-05
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-09-05
Health
Respond appropriately to all alleged violations.
Corrected 2025-09-05
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 2025-09-11
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-09-04
Health
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2025-08-28
Health
Respond appropriately to all alleged violations.
Corrected 2024-12-24
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 2025-01-10
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-01-06
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2024-12-24
Health
Provide and implement an infection prevention and control program.
Corrected 2024-12-24
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-12-31
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-12-30
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-01-10
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-01-10
Health
Provide appropriate foot care.
Corrected 2025-01-10
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 2024-12-24
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-12-24
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-12-24
Health
Provide and implement an infection prevention and control program.
Corrected 2023-12-27
Health
Implement a program that monitors antibiotic use.
Corrected 2023-12-27
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2024-01-05
Health
Respond appropriately to all alleged violations.
Corrected 2024-01-05
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2023-12-27
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-12-27
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 2023-12-27
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-12-27
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-12-27
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-12-27
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 2023-12-27
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2023-12-27
Health
Provide and implement an infection prevention and control program.
Corrected 2023-01-04
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-01-21
Health
Keep residents' personal and medical records private and confidential.
Corrected 2023-01-21
Health
Assess the resident when there is a significant change in condition
Corrected 2023-01-21
Health
Ensure each resident receives an accurate assessment.
Corrected 2022-12-28
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-01-21
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 2023-01-21
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-01-21
Penalties and ownership
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
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