Montana › Stillwater County › Columbus
Beartooth Rehabilitation and Nursing LLC
350 W Pike Ave, Columbus, MT 59019
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.
Beartooth Rehabilitation and Nursing LLC is a For-profit, corporation nursing home in Columbus, Montana, certified for — beds and caring for about 42 residents a day.
CMS gives it 1 of 5 stars overall, below the Montana median of 3; the health inspection rating is 1, staffing 4 and quality measures 2.
Inspectors recorded 43 health deficiencies across the three most recent survey cycles (32, 11, 0 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is — per 100 beds, not comparable to the state median of 40.0.
CMS lists 3 penalties in the period covered: fines totalling $51K and 1 payment denial.
Reported nurse staffing is 2.9 hours per resident per day (0.8 RN), below the Montana median of 3.9.
CMS flags that the facility carries the CMS abuse icon and is a Special Focus Facility candidate.
Compared with county, state and nation
| Measure | This facility | Stillwater Co. median | Montana median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 1 | 3 | 3.0 |
| Health citations, 3 cycles | 43 | 43 | 27 | 28.7 |
| Citations per 100 beds | — | — | 40.0 | 26.8 |
| Total nurse hours per resident day | 2.9 | 2.9 | 3.9 | 3.9 |
| RN hours per resident day | 0.8 | 0.8 | 0.9 | 0.7 |
| Nursing staff turnover | — | — | 53.4% | 45.8% |
| Fines listed | $50,592 | $50,592 | $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: 10 Feb 2026, 5 Dec 2024.
Severity mix: J ×2 G ×2 D ×21 E ×9 F ×9
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 |
|---|---|---|---|---|---|
| 10 Feb 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 27 Apr 2026 |
| 10 Feb 2026 | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | Standard survey | 25 Mar 2026 |
| 10 Feb 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 20 Mar 2026 |
| 10 Feb 2026 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Standard survey | 20 Mar 2026 |
| 10 Feb 2026 | F0837 | Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | F | Standard survey | 20 Mar 2026 |
| 10 Feb 2026 | 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. | F | Standard survey | 20 Mar 2026 |
| 10 Feb 2026 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Standard survey | 20 Mar 2026 |
| 10 Feb 2026 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 20 Mar 2026 |
| 10 Feb 2026 | F0584 | 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. | E | Standard survey | 20 Mar 2026 |
| 10 Feb 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Complaint investigation | 20 Mar 2026 |
| 10 Feb 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 20 Mar 2026 |
| 10 Feb 2026 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 20 Mar 2026 |
| 10 Feb 2026 | F0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | E | Standard survey | 20 Mar 2026 |
| 10 Feb 2026 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 20 Mar 2026 |
| 10 Feb 2026 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 20 Mar 2026 |
| 10 Feb 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 | 20 Mar 2026 |
| 10 Feb 2026 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 20 Mar 2026 |
| 10 Feb 2026 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard survey | 20 Mar 2026 |
| 10 Feb 2026 | F0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | D | Standard survey | 20 Mar 2026 |
| 10 Feb 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 20 Mar 2026 |
| 4 Sep 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 3 Oct 2025 |
| 4 Sep 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 3 Oct 2025 |
| 4 Sep 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | G | Complaint investigation | 3 Oct 2025 |
| 4 Sep 2025 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Complaint investigation | 3 Oct 2025 |
| 4 Sep 2025 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | Complaint investigation | 3 Oct 2025 |
| 4 Sep 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | Complaint investigation | 3 Oct 2025 |
| 4 Sep 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 3 Oct 2025 |
| 4 Sep 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 3 Oct 2025 |
| 4 Sep 2025 | F0637 | Assess the resident when there is a significant change in condition | D | Complaint investigation | 3 Oct 2025 |
| 4 Sep 2025 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Complaint investigation | 3 Oct 2025 |
| 4 Sep 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 3 Oct 2025 |
| 4 Sep 2025 | 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 | 3 Oct 2025 |
| 31 Jul 2025 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E | Complaint investigation | 22 Aug 2025 |
| 31 Jul 2025 | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | D | Complaint investigation | 22 Aug 2025 |
| 31 Jul 2025 | F0584 | 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. | D | Complaint investigation | 22 Aug 2025 |
| 5 Dec 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 3 Jan 2025 |
| 5 Dec 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 3 Jan 2025 |
| 5 Dec 2024 | F0584 | 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. | D | Standard survey | 3 Jan 2025 |
| 5 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 | Standard survey | 3 Jan 2025 |
| 5 Dec 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 3 Jan 2025 |
| 5 Dec 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 3 Jan 2025 |
| 5 Dec 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 3 Jan 2025 |
| 5 Dec 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 | Standard survey | 3 Jan 2025 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 10 Feb 2026 | Payment denial | — | 41 days |
| 10 Feb 2026 | Fine | $32,988 | |
| 4 Sep 2025 | Fine | $17,604 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Montana average. Turnover: nursing staff —, RNs —; — 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 | 27.0% | 18.5% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 3.3% | 1.1% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 1.9% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 8.5% | 3.9% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 17.6% | 16.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.4% | 5.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 28.9% | 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, corporation. CMS groups this facility with 19 facilities under an individual owner's name; this site does not publish people's names, so no chain page is linked.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| White Ash LLC | 5% or greater direct ownership interest | 10% | 02/15/2024 |
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 Beartooth Rehabilitation and Nursing LLC been cited for?
43 health deficiencies across the three most recent survey cycles, 4 at the actual-harm or immediate-jeopardy level. The Montana median is 27 per facility.
Has Beartooth Rehabilitation and Nursing LLC been fined?
Yes. CMS lists fines totalling $51K in the period covered, plus 1 payment denial.
How does staffing at Beartooth Rehabilitation and Nursing LLC compare?
Reported total nurse staffing is 2.9 hours per resident per day against a Montana median of 3.9 and a national average of 3.9.
Who operates Beartooth Rehabilitation and Nursing LLC?
CMS groups it with other facilities under an individual owner, whose name this site does not publish. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include White Ash LLC. Individual owners and managers are not listed on this site.
When was Beartooth Rehabilitation and Nursing LLC last inspected?
The most recent survey or investigation in the CMS record is dated 10 Feb 2026; the most recent standard health survey was 10 Feb 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.