Ivy at Deer Lodge
1100 Texas Ave · Deer Lodge, MT · 59722 · 4068461655
60 certified beds For profit - Limited Liability company Chain: Ivy Healthcare Group
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $103,309 in fines in the last 24 months.
- 3 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
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
3 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$103,309 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
69% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.25 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.53 | 0.55–0.75 |
| Weekend hours / resident-day | 3.12 | ≈ weekday level |
| Nursing turnover / year | 69% | median 45% |
| Fines (3-yr window) | 3 · $112,620 |
Inspection citations (38 in the current record)
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Actual harm · G December 3, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 23, 2025 · Quality of Life and Care
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Actual harm · G December 3, 2025 · found via complaint
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected December 23, 2025 · Quality of Life and Care
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Potential for harm · D December 3, 2025
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected December 23, 2025 · Resident Rights
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Potential for harm · D December 3, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected December 23, 2025 · Resident Assessment and Care Planning
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Potential for harm · F December 3, 2025
Provide and implement an infection prevention and control program.
Corrected December 23, 2025 · Infection Control
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Potential for harm · D December 3, 2025 · 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 December 23, 2025 · Resident Assessment and Care Planning
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Immediate jeopardy · J November 25, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected December 19, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · K November 25, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected December 19, 2024 · Quality of Life and Care
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Immediate jeopardy · J November 25, 2024 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected December 19, 2024 · Quality of Life and Care
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Potential for harm · D October 10, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected November 6, 2024 · Resident Rights
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Potential for harm · E October 10, 2024
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 November 6, 2024 · Pharmacy Service
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Potential for harm · F October 10, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 6, 2024 · Nutrition and Dietary
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No harm found · B October 10, 2024
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected November 6, 2024 · Resident Rights
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No harm found · B October 10, 2024
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 November 6, 2024 · Resident Rights
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Potential for harm · E September 19, 2024 · found via complaint
Honor the resident's right to choose his or her attending physician.
Corrected October 16, 2024 · Resident Rights
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Potential for harm · D September 19, 2024 · found via complaint
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Corrected October 16, 2024 · Resident Rights
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Potential for harm · E September 19, 2024 · found via complaint
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 October 16, 2024 · Resident Rights
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Potential for harm · D September 19, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 16, 2024 · Quality of Life and Care
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Potential for harm · D September 19, 2024 · found via complaint
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected October 16, 2024 · Administration
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Potential for harm · E July 17, 2024 · found via complaint
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected August 2, 2024 · Resident Rights
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Potential for harm · E July 17, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected August 2, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E July 17, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected August 2, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E July 17, 2024 · found via complaint
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 August 2, 2024 · Nursing and Physician Services
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Potential for harm · E November 8, 2023
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 December 10, 2023 · Resident Rights
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Potential for harm · E November 8, 2023
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 December 10, 2023 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 3, 2025 | Fine | $26,685 |
| November 25, 2024 | Fine | $76,624 |
| August 2, 2023 | Fine | $9,311 |
Better-scoring options nearby
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 275134 · certified since October 1, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.