Montana › Silver Bow County › Butte
Crest Nursing Home
3131 Amherst Ave, Butte, MT 59701
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.
Crest Nursing Home is a For-profit, corporation nursing home in Butte, Montana, certified for 103 beds and caring for about 46 residents a day.
CMS gives it 5 of 5 stars overall, above the Montana median of 3; the health inspection rating is 5, staffing 3 and quality measures 5.
Inspectors recorded 11 health deficiencies across the three most recent survey cycles (5, 4, 2 by cycle, most recent first), none at the actual-harm level. That is 10.7 per 100 beds, fewer than the state median of 40.0.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.3 hours per resident per day (0.8 RN), close to the Montana median of 3.9; nursing staff turnover is 53.2%.
Compared with county, state and nation
| Measure | This facility | Silver Bow Co. median | Montana median | US average |
|---|---|---|---|---|
| Overall star rating | 5 | 5 | 3 | 3.0 |
| Health citations, 3 cycles | 11 | 28 | 27 | 28.7 |
| Citations per 100 beds | 10.7 | 30.0 | 40.0 | 26.8 |
| Total nurse hours per resident day | 3.3 | 4.0 | 3.9 | 3.9 |
| RN hours per resident day | 0.8 | 0.8 | 0.9 | 0.7 |
| Nursing staff turnover | 53.2% | 53.9% | 53.4% | 45.8% |
| Fines listed | $0 | $0 | $27,013 | — |
County and state figures are medians across facilities (4 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: 7 May 2026, 10 Apr 2025.
Severity mix: D ×5 E ×4 F ×1 C ×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 |
|---|---|---|---|---|---|
| 7 May 2026 | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | Standard survey | 5 Jun 2026 |
| 7 May 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 | 5 Jun 2026 |
| 7 May 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. | D | Standard survey | 5 Jun 2026 |
| 7 May 2026 | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | Standard survey | 5 Jun 2026 |
| 7 May 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. | C | Standard survey | 5 Jun 2026 |
| 10 Apr 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 29 Apr 2025 |
| 10 Apr 2025 | F0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | D | Standard survey | 29 Apr 2025 |
| 25 Mar 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Complaint investigation | 9 Apr 2025 |
| 25 Mar 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Complaint investigation | 9 Apr 2025 |
| 28 Mar 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 10 Apr 2024 |
| 28 Mar 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 | 10 Apr 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 53.2%, RNs 37.5%; 0 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 | 6.5% | 18.5% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.4% | 1.1% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.8% | 1.9% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.1% | 3.9% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.9% | 0.6% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 13.2% | 16.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 9.7% | 5.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 29.7% | 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. Legal business name: Cnh Acquisitions Inc.. Chain: Real Property Health Facilities (9 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Real Property Health Facilities Corp | Operational/managerial control | NOT APPLICABLE | 07/30/1986 |
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 Silver Bow County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Southwest Montana Veterans Home | Butte | 60 | 5 | 4 | 5 | 18 | 30.0 | — | 19 Jun 2025 |
| Copper Ridge Health and Rehabilitation Center | Butte | 186 | 4 | 4 | 3 | 28 | 15.1 | $9K | 23 Apr 2026 |
| Continental Care and Rehabilitation | Butte | 100 | 3 | 3 | 4 | 32 | 32.0 | — | 4 Jun 2026 |
All 4 facilities in Silver Bow County
Questions and answers
How many deficiencies has Crest Nursing Home been cited for?
11 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 Crest Nursing Home been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Crest Nursing Home compare?
Reported total nurse staffing is 3.3 hours per resident per day against a Montana median of 3.9 and a national average of 3.9.
Who operates Crest Nursing Home?
It is part of the Real Property Health Facilities chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Real Property Health Facilities Corp. Individual owners and managers are not listed on this site.
When was Crest Nursing Home last inspected?
The most recent survey or investigation in the CMS record is dated 7 May 2026; the most recent standard health survey was 7 May 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.