Montana › Big Horn County › Crow Agency
Awe Kualawaache Care Center
10131 S Heritage Rd, Crow Agency, MT 59022
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Awe Kualawaache Care Center is a For-profit, individual nursing home in Crow Agency, Montana, certified for 40 beds and caring for about 24 residents a day.
CMS gives it 4 of 5 stars overall, above the Montana median of 3; the health inspection rating is 5, staffing 4 and quality measures 1.
Inspectors recorded 18 health deficiencies across the three most recent survey cycles (5, 5, 8 by cycle, most recent first), none at the actual-harm level. That is 45.0 per 100 beds, about the same as the state median of 40.0.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 4.1 hours per resident per day (1.4 RN), close to the Montana median of 3.9; nursing staff turnover is 61.5%.
Compared with county, state and nation
| Measure | This facility | Big Horn Co. median | Montana median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 18 | 18 | 27 | 28.7 |
| Citations per 100 beds | 45.0 | 45.0 | 40.0 | 26.8 |
| Total nurse hours per resident day | 4.1 | 4.1 | 3.9 | 3.9 |
| RN hours per resident day | 1.4 | 1.4 | 0.9 | 0.7 |
| Nursing staff turnover | 61.5% | 61.5% | 53.4% | 45.8% |
| Fines listed | $0 | $0 | $27,013 | — |
County and state figures are medians across facilities (1 in the county, 61 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Montana average per facility for the same cycle, as published by CMS. Standard health survey dates: 4 Jun 2026, 8 May 2025.
Severity mix: D ×14 E ×2 F ×1 B ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 4 Jun 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 26 Jun 2026 |
| 4 Jun 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 26 Jun 2026 |
| 4 Jun 2026 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 26 Jun 2026 |
| 4 Jun 2026 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 26 Jun 2026 |
| 4 Jun 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 26 Jun 2026 |
| 8 May 2025 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 30 May 2025 |
| 8 May 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard survey | 30 May 2025 |
| 4 Dec 2024 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Complaint investigation | 30 Dec 2024 |
| 4 Dec 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 30 Dec 2024 |
| 4 Dec 2024 | F0726 | 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. | D | Complaint investigation | 30 Dec 2024 |
| 30 Jul 2024 | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | E | Complaint investigation | 23 Aug 2024 |
| 30 Jul 2024 | F0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | E | Complaint investigation | 23 Aug 2024 |
| 30 Jul 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 23 Aug 2024 |
| 30 Jul 2024 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Complaint investigation | 23 Aug 2024 |
| 30 Jul 2024 | F0758 | 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. | D | Complaint investigation | 23 Aug 2024 |
| 25 Apr 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 16 May 2024 |
| 25 Apr 2024 | F0726 | 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. | D | Complaint investigation | 16 May 2024 |
| 25 Apr 2024 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | B | Standard survey | 16 May 2024 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Montana average. Turnover: nursing staff 61.5%, RNs 44.4%; — administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Montana median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 31.4% | 18.5% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.6% | 1.1% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.1% | 1.9% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.3% | 3.9% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 43.0% | 16.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 9.2% | 5.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 32.2% | 19.5% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, individual.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Crow Tribe of Indians | 5% or greater direct ownership interest | 100% | 04/01/1998 |
| Health Management Services, LLC | Operational/managerial control | NOT APPLICABLE | 03/10/2010 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Questions and answers
How many deficiencies has Awe Kualawaache Care Center been cited for?
18 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Montana median is 27 per facility.
Has Awe Kualawaache Care Center been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Awe Kualawaache Care Center compare?
Reported total nurse staffing is 4.1 hours per resident per day against a Montana median of 3.9 and a national average of 3.9.
Who operates Awe Kualawaache Care Center?
Ownership type is for-profit, individual. Organisations in the CMS ownership record include Crow Tribe of Indians and Health Management Services, LLC. Individual owners and managers are not listed on this site.
When was Awe Kualawaache Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 4 Jun 2026; the most recent standard health survey was 4 Jun 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.