Montana Mental Health Nursing Home
800 Casino Creek Dr · Lewistown, MT · 59457 · 4065387451
117 certified beds Government - State
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- 3 citations involved actual harm to residents.
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
Cited under the freedom-from-abuse rule
Cited 2 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
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: 2 of 5 Staffing: not rated Quality measures: 5 of 5
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 1 · $7,163 |
Inspection citations (37 in the current record)
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Potential for harm · E November 19, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected January 12, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 19, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected January 12, 2026 · Quality of Life and Care
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Potential for harm · E November 19, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected January 12, 2026 · Pharmacy Service
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Potential for harm · E November 19, 2025 · found via complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected January 12, 2026 · Administration
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Actual harm · G July 30, 2025 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected August 29, 2025 · Quality of Life and Care
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Potential for harm · E July 30, 2025 · found via complaint
Ensure residents have reasonable access to and privacy in their use of communication methods.
Past Non-Compliance · Resident Rights
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Potential for harm · D July 30, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected August 29, 2025 · Resident Rights
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Potential for harm · E October 24, 2024
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 November 29, 2024 · Resident Rights
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Potential for harm · D October 24, 2024
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected November 29, 2024 · Resident Rights
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Potential for harm · D October 24, 2024
Plan the resident's discharge to meet the resident's goals and needs.
Corrected November 29, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 24, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected November 29, 2024 · Quality of Life and Care
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Potential for harm · E October 24, 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 29, 2024 · Pharmacy Service
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Potential for harm · E October 24, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 29, 2024 · Nutrition and Dietary
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Potential for harm · E October 24, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected November 29, 2024 · Resident Assessment and Care Planning
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Potential for harm · E October 24, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected November 29, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 9, 2024 · found via complaint
Keep residents' personal and medical records private and confidential.
Corrected June 20, 2024 · Resident Rights
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Potential for harm · D April 9, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected June 20, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 9, 2024 · found via complaint
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected June 20, 2024 · Quality of Life and Care
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Potential for harm · D November 8, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected January 5, 2024 · Resident Assessment and Care Planning
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Potential for harm · D November 8, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 5, 2024 · Quality of Life and Care
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Potential for harm · D November 8, 2023
Provide enough food/fluids to maintain a resident's health.
Corrected January 5, 2024 · Quality of Life and Care
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Potential for harm · D November 8, 2023
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 January 5, 2024 · Nursing and Physician Services
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Potential for harm · D November 8, 2023
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected January 5, 2024 · Infection Control
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Potential for harm · D November 8, 2023 · found via complaint
Provide or obtain dental services for each resident.
Corrected January 5, 2024 · Quality of Life and Care
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Actual harm · G August 16, 2023 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected January 6, 2023 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| October 23, 2024 | Payment Denial | 33 days |
| August 16, 2023 | Fine | $7,163 |
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 27A052 · certified since June 1, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.