Montana › Sanders County › Plains
Clark Fork Valley Nursing Home
10 Kruger Rd, Plains, MT 59859
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.
Clark Fork Valley Nursing Home, in Plains, Montana, is certified for 28 beds under non-profit, corporation ownership.
CMS gives it 4 of 5 stars overall, above the Montana median of 3; the health inspection rating is 4, staffing 4 and quality measures 3.
Inspectors recorded 19 health deficiencies across the three most recent survey cycles (2, 16, 1 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 67.9 per 100 beds, more than the state median of 40.0.
CMS lists 1 penalty in the period covered: fines totalling $63K.
Reported nurse staffing is 3.8 hours per resident per day (0.9 RN), close to the Montana median of 3.9; nursing staff turnover is 48.3%.
Compared with county, state and nation
| Measure | This facility | Sanders Co. median | Montana median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 19 | 23 | 27 | 28.7 |
| Citations per 100 beds | 67.9 | 67.9 | 40.0 | 26.8 |
| Total nurse hours per resident day | 3.8 | 3.8 | 3.9 | 3.9 |
| RN hours per resident day | 0.9 | 0.9 | 0.9 | 0.7 |
| Nursing staff turnover | 48.3% | 48.3% | 53.4% | 45.8% |
| Fines listed | $62,871 | $62,871 | $27,013 | — |
County and state figures are medians across facilities (2 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: 9 Apr 2026, 13 Feb 2025.
Severity mix: G ×1 D ×9 E ×6 F ×1 C ×2
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 |
|---|---|---|---|---|---|
| 9 Apr 2026 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 10 May 2026 |
| 9 Apr 2026 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 10 May 2026 |
| 13 Feb 2025 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | G | Standard survey | 14 Mar 2025 |
| 13 Feb 2025 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 6 Mar 2025 |
| 13 Feb 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Standard survey | 6 Mar 2025 |
| 13 Feb 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Standard survey | 6 Mar 2025 |
| 13 Feb 2025 | F0610 | Respond appropriately to all alleged violations. | E | Standard survey | 6 Mar 2025 |
| 13 Feb 2025 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 6 Mar 2025 |
| 13 Feb 2025 | F0761 | 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. | E | Standard survey | 6 Mar 2025 |
| 13 Feb 2025 | 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 | 15 Mar 2025 |
| 13 Feb 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 | Standard survey | 6 Mar 2025 |
| 13 Feb 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 6 Mar 2025 |
| 13 Feb 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 6 Mar 2025 |
| 13 Feb 2025 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 6 Mar 2025 |
| 13 Feb 2025 | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Standard survey | 6 Mar 2025 |
| 13 Feb 2025 | 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 | 6 Mar 2025 |
| 13 Feb 2025 | F0574 | The resident has the right to receive notices in a format and a language he or she understands. | C | Standard survey | 12 Mar 2025 |
| 13 Feb 2025 | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | Standard survey | 6 Mar 2025 |
| 29 Feb 2024 | F0881 | Implement a program that monitors antibiotic use. | E | Standard survey | 12 Apr 2024 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 13 Feb 2025 | Fine | $62,871 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Montana average. Turnover: nursing staff 48.3%, RNs 62.5%; — 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 | 23.2% | 18.5% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.0% | 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 | 3.8% | 3.9% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 11.2% | 16.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.3% | 5.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 10.8% | 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: non-profit, corporation. Legal business name: Plains Hospital Corporation.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Plains Hospital Corporation | Direct ownership interest | NOT APPLICABLE | 01/17/1971 |
| Plains Hospital Corporation | Operational/managerial control | NOT APPLICABLE | 01/17/1971 |
| Plains Hospital Corporation | Adp of the snf | NOT APPLICABLE | 01/17/1971 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Sanders County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Hot Springs Health & Rehabilitation Center | Hot Springs | 40 | 4 | 4 | 4 | 23 | 57.5 | $23K | 10 Feb 2026 |
All 2 facilities in Sanders County
Questions and answers
How many deficiencies has Clark Fork Valley Nursing Home been cited for?
19 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Montana median is 27 per facility.
Has Clark Fork Valley Nursing Home been fined?
Yes. CMS lists fines totalling $63K in the period covered.
How does staffing at Clark Fork Valley Nursing Home compare?
Reported total nurse staffing is 3.8 hours per resident per day against a Montana median of 3.9 and a national average of 3.9.
Who operates Clark Fork Valley Nursing Home?
Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Plains Hospital Corporation and Plains Hospital Corporation. Individual owners and managers are not listed on this site.
When was Clark Fork Valley Nursing Home last inspected?
The most recent survey or investigation in the CMS record is dated 9 Apr 2026; the most recent standard health survey was 9 Apr 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.