Intermountain Health Holy Rosary Hospital
2600 Wilson St · Miles City, MT · 59301 · 4062332789
84 certified beds Non profit - Corporation Hospital-based
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 73 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 3 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.28 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.09 | 0.55–0.75 |
| Weekend hours / resident-day | 2.83 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | none |
Inspection citations (21 in the current record)
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Potential for harm · E April 23, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected June 2, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E April 23, 2026 · found via complaint
Respond appropriately to all alleged violations.
Corrected June 2, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E April 23, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 2, 2026 · Quality of Life and Care
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Potential for harm · D February 27, 2025
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected April 4, 2025 · Resident Rights
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Potential for harm · D February 27, 2025
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected April 4, 2025 · Quality of Life and Care
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Potential for harm · F February 27, 2025
Implement a program that monitors antibiotic use.
Corrected April 4, 2025 · Infection Control
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Potential for harm · E February 27, 2025
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 April 4, 2025 · Infection Control
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Potential for harm · E February 27, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 4, 2025 · Quality of Life and Care
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No harm found · B February 27, 2025
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 April 4, 2025 · Resident Rights
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Potential for harm · E June 6, 2024 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected July 11, 2024 · Resident Assessment and Care Planning
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Potential for harm · D February 15, 2024
Ensure each resident receives an accurate assessment.
Corrected March 31, 2024 · Resident Assessment and Care Planning
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Potential for harm · E February 15, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 31, 2024 · Resident Assessment and Care Planning
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Potential for harm · D February 15, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 31, 2024 · Quality of Life and Care
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Potential for harm · D February 15, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected March 31, 2024 · Quality of Life and Care
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Potential for harm · D February 15, 2024
Provide care or services that was trauma informed and/or culturally competent.
Corrected March 31, 2024 · Quality of Life and Care
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Potential for harm · E February 15, 2024
Provide and implement an infection prevention and control program.
Corrected March 31, 2024 · Infection Control
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Potential for harm · D February 15, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 31, 2024 · Quality of Life and Care
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Actual harm · G February 16, 2023
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected March 31, 2023 · Quality of Life and Care
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Potential for harm · D February 16, 2023
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 31, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 16, 2023
Provide and implement an infection prevention and control program.
Corrected March 31, 2023 · Infection Control
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No harm found · C February 16, 2023
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected March 31, 2023 · Administration
Better-scoring options nearby
No better-scoring facility within 25 miles in the current data. See the whole state.
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 275106 · certified since January 1, 1985. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.