Missoula, MT
3-star overall rating with 3-star inspections with $27,846 in total fines with 8 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
2651 South Ave W, Missoula, MT
(406) 728-9162
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
193
Certified beds
Average residents
153
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
The Goodman Group
Operator or chain grouping
Approved since
1975-02-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
10 facilities
Chain averages 3 overall / 3 health / 4 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
1.04
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
2.67
Nurse aide staffing · state 2.53 · national 2.35
Total nurse hours
3.94
All reported nurse hours · state 3.97 · national 3.89
Licensed hours
1.27
RN + LPN hours · state 1.44 · national 1.54
Weekend hours
3.41
Weekend nurse staffing · state 3.48 · national 3.43
Weekend RN hours
0.76
Weekend registered nurse coverage · state 0.69 · national 0.47
Physical therapist
0.09
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
1.11
CMS adjusted RN staffing hours
Adjusted total hours
4.21
CMS adjusted total nurse staffing hours
Case-mix index
1.28
Higher values indicate more complex resident acuity
RN turnover
43%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
55%
Annual nurse turnover · state 56% · national 46%
SNF VBP
Program rank
4,592
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
39.35
Composite VBP score used to determine payment impact.
Payment multiplier
0.9923
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
5.36
Baseline 17.71% · Performance 18.95% · Measure score 5.36 · Achievement 5.36 · Improvement 0
Healthcare-associated infections
6.44
Baseline 5.73% · Performance 5.91% · Measure score 6.44 · Achievement 6.44 · Improvement 0
Total nurse turnover
1.01
Baseline 62.89% · Performance 59.56% · Measure score 1.01 · Achievement 1.01 · Improvement 0.37
Adjusted total nurse staffing
2.94
Baseline 3.96 hours · Performance 3.91 hours · Measure score 2.94 · Achievement 2.94 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.81% |
10.72%
0.9 pts better
|
No Different than the National Rate · Eligible stays 420 · Observed rate 8.57% · Lower 95% interval 7.27% |
| Discharge to community | 57.73% |
50.57%
7.2 pts better
|
Better than the National Rate · Eligible stays 414 · Observed rate 52.17% · Lower 95% interval 52.62% |
| Medicare spending per beneficiary | 1.04 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 96.27% |
95.27%
1 pts better
|
Numerator 310 · Denominator 322 |
| Falls with major injury | 0.62% |
0.77%
0.2 pts better
|
Numerator 2 · Denominator 322 |
| Discharge self-care score | 37.34% |
53.69%
16.3 pts worse
|
Numerator 90 · Denominator 241 |
| Discharge mobility score | 43.98% |
50.94%
7 pts worse
|
Numerator 106 · Denominator 241 |
| Pressure ulcers or injuries, new or worsened | 1.86% |
2.29%
0.4 pts better
|
Numerator 6 · Denominator 322 · Adjusted rate 2.31% |
| Healthcare-associated infections requiring hospitalization | 5.91% |
7.12%
1.2 pts better
|
No Different than the National Rate · Eligible stays 298 · Observed rate 5.03% · Lower 95% interval 4.03% |
| Staff COVID-19 vaccination coverage | 3.14% |
8.2%
5.1 pts worse
|
Numerator 6 · Denominator 191 |
| Staff flu vaccination coverage | 44.07% |
42%
2.1 pts better
|
Numerator 119 · Denominator 270 |
| Discharge function score | 51.04% |
56.45%
5.4 pts worse
|
Numerator 123 · Denominator 241 |
| Transfer of health information to provider | 96.88% |
95.95%
0.9 pts better
|
Numerator 93 · Denominator 96 |
| Transfer of health information to patient | 98.19% |
96.28%
1.9 pts better
|
Numerator 163 · Denominator 166 |
| Resident COVID-19 vaccinations up to date | 53.7% |
25.2%
28.5 pts better
|
Numerator 87 · Denominator 162 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.3 |
1.3
About the same
|
1.9
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.5 · Expected 2.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.9 |
2.2
0.3 pts better
|
1.8
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 2.0 · Expected 1.8 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.7% |
94.4%
4.3 pts better
|
93.4%
5.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 99.1% · Q2 99.2% · Q3 97.3% · Q4 99.2% · 4Q avg 98.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 99.2% |
93.7%
5.5 pts better
|
95.5%
3.7 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 99.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.5% |
4.2%
2.7 pts better
|
3.3%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 0.8% · Q3 0.9% · Q4 1.7% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 5.4% |
4.7%
0.7 pts worse
|
11.4%
6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 5.3% · Q3 5.6% · Q4 2.7% · 4Q avg 5.4% |
| Percentage of long-stay residents who lose too much weight | 9.1% |
5.9%
3.2 pts worse
|
5.4%
3.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.9% · Q2 7.2% · Q3 11.7% · Q4 10.7% · 4Q avg 9.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.5% |
17.4%
0.1 pts worse
|
19.6%
2.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 19.5% · Q2 15.3% · Q3 14.5% · Q4 20.7% · 4Q avg 17.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 25.1% |
20.6%
4.5 pts worse
|
16.7%
8.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.3% · Q2 26.4% · Q3 23.8% · Q4 22.6% · 4Q avg 25.1% · 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 | 16.7% |
19.7%
3 pts better
|
16.3%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.5% · Q2 17.7% · Q3 16.1% · Q4 7.8% · 4Q avg 16.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 15.9% |
19.8%
3.9 pts better
|
14.9%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.1% · Q2 18.9% · Q3 14.7% · Q4 11.9% · 4Q avg 15.9% · Used in QM five-star |
| 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 · Q1 1.5% · Q2 3.5% · Q3 0.8% · Q4 1.3% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.7% |
2.9%
2.2 pts better
|
1.7%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 0.9% · Q3 0.0% · Q4 0.8% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 27.3% |
25.4%
1.9 pts worse
|
19.8%
7.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 31.6% · Q2 34.2% · Q3 34.3% · Q4 9.9% · 4Q avg 27.3% |
| Percentage of long-stay residents with pressure ulcers | 7.4% |
6.4%
1 pts worse
|
5.1%
2.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.8% · Q2 8.2% · Q3 7.7% · Q4 4.9% · 4Q avg 7.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.2% |
78.7%
19.5 pts better
|
81.7%
16.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 97.2% · Q2 98.6% · Q3 97.9% · Q4 99.1% · 4Q avg 98.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 16.8% |
15.0%
1.8 pts worse
|
12.0%
4.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 16.8% · Observed 16.1% · Expected 10.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.2% |
1.6%
1.4 pts better
|
1.6%
1.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.6% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 93.8% |
73.8%
20 pts better
|
79.7%
14.1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 93.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 18.2% |
19.4%
1.2 pts better
|
23.9%
5.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 18.2% · Observed 16.8% · Expected 22.0% · Used in QM five-star |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
7 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Top issue: Resident Assessment and Care Planning (5 deficiencies)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Freedom from Abuse and Neglect and Exploitation (5 deficiencies)
6 fire-safety deficiencies
Top issue: Egress (3 deficiencies)
Fire safety
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-09-23
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-09-23
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-09-23
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2025-09-23
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-09-23
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 2025-09-23
Fire Safety
Have power receptacles that are properly grounded.
Corrected 2025-09-23
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 2024-08-16
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-08-16
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-08-17
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 2023-08-17
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 2023-08-17
Fire Safety
Have exits that are accessible at all times.
Corrected 2023-08-17
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-08-17
Fire Safety
Provide properly sized and located linen or trash receptacles.
Corrected 2023-08-17
Inspection history
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-12-09
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-09-23
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-09-23
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-09-23
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-09-23
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 2025-09-23
Health
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected 2025-09-23
Health
Provide and implement an infection prevention and control program.
Corrected 2025-04-29
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 2024-12-19
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 2024-12-19
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-12-19
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 2024-12-19
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-08-23
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-08-16
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-08-23
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-08-23
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 2024-08-23
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 2024-08-16
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-08-16
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2024-08-23
Health
Provide and implement an infection prevention and control program.
Corrected 2024-08-23
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-08-17
Health
Respond appropriately to all alleged violations.
Corrected 2023-08-17
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-08-17
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-08-17
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-04-20
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-04-20
Health
Respond appropriately to all alleged violations.
Corrected 2023-04-20
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-04-20
Penalties and ownership
Fine · fine $11,190
Fine
Fine · fine $16,656
Fine
5% Or Greater Direct Ownership Interest · Individual
Corporate Officer · Individual
5% Or Greater Direct Ownership Interest · Organization
Corporate Officer · Individual
5% Or Greater Direct Ownership Interest · Organization
Corporate Officer · Individual
Corporate Officer · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Organization
W-2 Managing Employee · Individual
5% Or Greater Direct Ownership Interest · Individual
Corporate Director · Individual
5% Or Greater Direct Ownership Interest · Individual
Nearby options
Missoula, MT
4-star overall rating with 3-star inspections with $11,027 in total fines with 16 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
Missoula, MT
3-star overall rating with 3-star inspections with 12 recent health deficiencies
Stevensville, MT
5-star overall rating with 4-star inspections with $37,525 in total fines with 2 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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