Montana Mental Health Nursing HomeCMS ratings, inspections and fines
- Address
- 800 Casino Creek Dr, Lewistown, MT 59457
- CCN
- 27A052
- Ownership type
- Government, state
- Certified beds
- 117
- Chain
- None in the CMS record
- Residents per day
- 72
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Montana Mental Health Nursing Home an overall rating of 4 of 5 stars. The last standard survey was on 24 Oct 2024. The latest survey cycle has 12 health citations. The median for nursing homes in Montana is 9. CMS lists no fines for this home in its penalties file. CMS also lists 1 payment denial.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Fergus County median | Montana median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 4 | 4.0 | 3.0 | 3.0 |
| Health inspection rating | 3 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 5 | 5.0 | 4.0 | 2.9 |
| Quality measure rating | 3 | 5.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 2 homes in the county, 61 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Montana median |
|---|---|---|---|
| Cycle 1 (latest) | 24 Oct 2024 | 12 | 9 |
| Cycle 2 | 8 Nov 2023 | 9 | 10 |
| Cycle 3 | No date | 16 | 7 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 12 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 19 Nov 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Complaint investigation | 12 Jan 2026 |
| 19 Nov 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 12 Jan 2026 |
| 19 Nov 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 12 Jan 2026 |
| 19 Nov 2025 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | E | Complaint investigation | 12 Jan 2026 |
| 24 Oct 2024 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | E | Standard survey | 29 Nov 2024 |
| 24 Oct 2024 | 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 | 29 Nov 2024 |
| 24 Oct 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 29 Nov 2024 |
| 24 Oct 2024 | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | D | Standard survey | 29 Nov 2024 |
| 24 Oct 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 29 Nov 2024 |
| 24 Oct 2024 | 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 | 29 Nov 2024 |
| 24 Oct 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 29 Nov 2024 |
| 24 Oct 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 29 Nov 2024 |
Survey cycle 2: 9 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 30 Jul 2025 | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | E | Complaint investigation | Past Non-Compliance |
| 30 Jul 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 | Complaint investigation | 29 Aug 2025 |
| 30 Jul 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | G | Complaint investigation | 29 Aug 2025 |
| 8 Nov 2023 | 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 Jan 2024 |
| 8 Nov 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 5 Jan 2024 |
| 8 Nov 2023 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 5 Jan 2024 |
| 8 Nov 2023 | 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 | Standard survey | 5 Jan 2024 |
| 8 Nov 2023 | F0791 | Provide or obtain dental services for each resident. | D | Complaint investigation | 5 Jan 2024 |
| 8 Nov 2023 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 5 Jan 2024 |
Survey cycle 3: 16 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 9 Apr 2024 | F0583 | Keep residents' personal and medical records private and confidential. | D | Complaint investigation | 20 Jun 2024 |
| 9 Apr 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 20 Jun 2024 |
| 9 Apr 2024 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Complaint investigation | 20 Jun 2024 |
| 16 Aug 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 10 Apr 2023 |
| 16 Aug 2023 | 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 | 6 Jan 2023 |
| 16 Aug 2023 | F0760 | Ensure that residents are free from significant medication errors. | G | Complaint investigation | 6 Jan 2023 |
| 18 Aug 2022 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | F | Standard survey | 22 Sep 2022 |
| 18 Aug 2022 | 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 | 30 Sep 2022 |
| 18 Aug 2022 | 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 | 22 Sep 2022 |
| 18 Aug 2022 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 22 Sep 2022 |
| 18 Aug 2022 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 22 Sep 2022 |
| 18 Aug 2022 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 22 Sep 2022 |
| 18 Aug 2022 | 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 | Standard survey | 22 Sep 2022 |
| 18 Aug 2022 | 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. | D | Standard survey | 22 Sep 2022 |
| 18 Aug 2022 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 22 Sep 2022 |
| 18 Aug 2022 | F0888 | Ensure staff are vaccinated for COVID-19 | F | Standard survey | 22 Sep 2022 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 23 Oct 2024 | Payment denial | 33 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Montana median | Montana average (CMS) |
|---|---|---|---|
| All nurse staff | 6.95 | 3.90 | 4.05 |
| Registered nurses (RN) | 1.68 | 0.90 | 0.98 |
| Licensed practical nurses (LPN) | 0.07 | 0.50 | |
| Nurse aides | 5.21 | 2.57 | |
| All nurse staff, weekends | 6.45 | 3.40 | 3.59 |
- Nurse staff turnover in a year
- 54.1%
- Nurse staff turnover, Montana median
- 53.4%
- RN turnover in a year
- 43.8%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Montana median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 17.0% | 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 | 5.3% | 1.9% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.2% | 3.9% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 12.6% | 16.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.8% | 5.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 83.8% | 19.5% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- Government, state
- Legal business name
- Legal Business Name Not Available
The CMS ownership record of this home lists no organisation.
The site shows organisations only. It does not show the names of persons.
Other homes in Fergus County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Valle Vista Rehabilitation and Nursing LLC | Lewistown | 3 of 5 | 18 | $0 | 20 May 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Montana Department of Public Health and Human Services: certification complaint formThe complaint page of the State Survey Agency for Montana, from the CMS list of agencies.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Montana Mental Health Nursing Home (CCN 27A052). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/montana-mental-health-nursing-home-lewistown-mt-27A052/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Montana Mental Health Nursing Home last inspected?
- The latest inspection with a citation in the CMS record was on 19 Nov 2025. It was a complaint investigation. It gave 4 citations. The standard survey before the last one was on 8 Nov 2023.
- Who operates Montana Mental Health Nursing Home?
- The CMS record gives the ownership type as government, state. CMS lists no chain for the home. The CMS ownership file names no organisation for this home. This site does not show the names of persons.
- Is Montana Mental Health Nursing Home a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 1 home in Montana as a Special Focus Facility and 5 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.