Montana › Madison County › Ennis
Madison Valley Manor
211 N Main St, Ennis, MT 59729
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.
Madison Valley Manor is a Government, county nursing home in Ennis, Montana, certified for 32 beds and caring for about 16 residents a day.
CMS gives it 5 of 5 stars overall, above the Montana median of 3; the health inspection rating is 5, staffing 5 and quality measures 4.
Inspectors recorded 14 health deficiencies across the three most recent survey cycles (0, 11, 3 by cycle, most recent first), none at the actual-harm level. That is 43.8 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 6.6 hours per resident per day (3.0 RN), above the Montana median of 3.9; nursing staff turnover is 61.3%.
Compared with county, state and nation
| Measure | This facility | Madison Co. median | Montana median | US average |
|---|---|---|---|---|
| Overall star rating | 5 | 5 | 3 | 3.0 |
| Health citations, 3 cycles | 14 | 14 | 27 | 28.7 |
| Citations per 100 beds | 43.8 | 43.8 | 40.0 | 26.8 |
| Total nurse hours per resident day | 6.6 | 7.0 | 3.9 | 3.9 |
| RN hours per resident day | 3.0 | 3.0 | 0.9 | 0.7 |
| Nursing staff turnover | 61.3% | 72.7% | 53.4% | 45.8% |
| Fines listed | $0 | $22,205 | $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: 20 May 2026, 8 May 2025.
Severity mix: D ×8 E ×4 F ×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 |
|---|---|---|---|---|---|
| 8 May 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 12 Jun 2025 |
| 8 May 2025 | F0908 | Keep all essential equipment working safely. | F | Standard survey | 12 Jun 2025 |
| 8 May 2025 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | E | Standard survey | 12 Jun 2025 |
| 8 May 2025 | 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 | 12 Jun 2025 |
| 8 May 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. | D | Standard survey | 12 Jun 2025 |
| 8 May 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 12 Jun 2025 |
| 8 May 2025 | 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 | 12 Jun 2025 |
| 8 May 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Standard survey | 12 Jun 2025 |
| 8 May 2025 | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Standard survey | 12 Jun 2025 |
| 10 Sep 2024 | F0945 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | E | Complaint investigation | 16 Oct 2024 |
| 10 Sep 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 16 Oct 2024 |
| 8 May 2024 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 12 Jun 2024 |
| 8 May 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. | E | Standard survey | 12 Jun 2024 |
| 8 May 2024 | 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 | 12 Jun 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 61.3%, RNs 33.3%; 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 | 17.5% | 18.5% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 1.1% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 4.1% | 1.9% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.6% | 3.9% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 6.2% | 16.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.5% | 5.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 4.8% | 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: government, county. Legal business name: Madison County Finance.
No organisations are listed in the CMS ownership record for this facility.
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 Madison County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Tobacco Root Mountains Care Centerabuse icon | Sheridan | 39 | 1 | 2 | 4 | 11 | 28.2 | $22K | 21 May 2026 |
All 2 facilities in Madison County
Questions and answers
How many deficiencies has Madison Valley Manor been cited for?
14 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 Madison Valley Manor been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Madison Valley Manor compare?
Reported total nurse staffing is 6.6 hours per resident per day against a Montana median of 3.9 and a national average of 3.9.
Who operates Madison Valley Manor?
Ownership type is government, county. Individual owners and managers are not listed on this site.
When was Madison Valley Manor last inspected?
The most recent survey or investigation in the CMS record is dated 8 May 2025; the most recent standard health survey was 20 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.