Park Place Transitional Care and Rehabilitation
1500 32nd St S · Great Falls, MT · 59405 · 4067614300
189 certified beds For profit - Limited Liability company Chain: Sweetwater Care
Why this verdict
- Federal penalties on record: $42,770 in fines in the last 24 months.
- 6 citations involved actual harm to residents.
Red flags
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.
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: 3 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.47 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.81 | 0.55–0.75 |
| Weekend hours / resident-day | 2.88 | ≈ weekday level |
| Nursing turnover / year | 31% | median 45% |
| Fines (3-yr window) | 4 · $104,142 |
Inspection citations (44 in the current record)
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Potential for harm · F April 9, 2026 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 28, 2026 · Nutrition and Dietary
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Potential for harm · E August 6, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 3, 2025 · Quality of Life and Care
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Potential for harm · E August 6, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected September 3, 2025 · Infection Control
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Actual harm · G April 24, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected May 19, 2025 · Quality of Life and Care
-
Potential for harm · D April 24, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected May 19, 2025 · Resident Rights
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Potential for harm · E April 24, 2025
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 May 19, 2025 · Resident Rights
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Potential for harm · D April 24, 2025
Assist a resident in gaining access to vision and hearing services.
Corrected May 19, 2025 · Quality of Life and Care
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Potential for harm · D April 24, 2025
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 May 19, 2025 · Quality of Life and Care
-
Potential for harm · D April 24, 2025
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected May 19, 2025 · Quality of Life and Care
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Potential for harm · F April 24, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 19, 2025 · Nutrition and Dietary
-
Potential for harm · E April 24, 2025
Provide and implement an infection prevention and control program.
Corrected May 19, 2025 · Infection Control
-
Potential for harm · D November 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 November 19, 2024 · Resident Assessment and Care Planning
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Potential for harm · D November 6, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 19, 2024 · Quality of Life and Care
-
Actual harm · G April 25, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected May 9, 2024 · Quality of Life and Care
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Potential for harm · D April 25, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 9, 2024 · Quality of Life and Care
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Potential for harm · D April 25, 2024
Ensure that residents are free from significant medication errors.
Corrected May 9, 2024 · Pharmacy Service
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Potential for harm · D April 25, 2024
Provide and implement an infection prevention and control program.
Corrected May 9, 2024 · Infection Control
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Potential for harm · D March 28, 2024 · found via complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected April 22, 2024 · Resident Rights
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Potential for harm · D March 28, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected April 22, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 28, 2024 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected April 22, 2024 · Resident Assessment and Care Planning
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Potential for harm · D March 28, 2024 · found via complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected April 22, 2024 · Resident Assessment and Care Planning
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Potential for harm · D March 28, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 22, 2024 · Resident Assessment and Care Planning
-
Actual harm · G December 4, 2023 · 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, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 4, 2023 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 19, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 4, 2023 · found via complaint
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Corrected December 19, 2023 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| April 24, 2025 | Fine | $42,770 |
| March 28, 2024 | Fine | $21,133 |
| December 4, 2023 | Fine | $17,014 |
| October 25, 2023 | Fine | $23,225 |
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 275030 · certified since January 1, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.