nursing home in Broadus, MT
Powder River Manor
104 N Trautman, Broadus, MT 59317 · (406) 436-2646
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★5
- Quality measures★★★★★5
- CMS high performer
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Powder River Manor at a glance
Powder River Manor is a 41-bed government nursing home in Broadus, Montana (Powder River County).
CMS gives it 5 out of 5 stars on its overall star rating, better than the Montana average of 2.9.
Residents receive about 5.3 hours of nursing care per day (1.4 of them from registered nurses), better than the state average of 4 hours.
Its most recent standard health inspection (April 22, 2026) found 6 health citations. The Montana average is 11.1.
Federal regulators fined it 2 times in the past three years, totaling $48,318.
Nursing staff turnover is 39.3% per year (state average 54.8%).
Facility details
- Type
- Nursing home
- Ownership
- Government - County
- Beds
- 41
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- September 12, 1977
- Resident/family council
- Resident
- County
- Powder River County
- CMS Certification Number
- 275087
Ratings
| Measure | This facility | Montana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 5 / 5 | 2.9 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 4 / 5 | 2.8 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 5 / 5 | 3.6 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 3 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 2.8 / 5 | 3.8 / 5 | Better |
Staffing
| Measure | This facility | Montana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 5.32 hrs | 4.05 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 1.37 hrs | 0.98 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 3.67 hrs | 2.57 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 4.38 hrs | 3.59 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 39.3% | 54.8% | 45.8% | Better |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | Montana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 6 | 11 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 3 | 4 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 42 | 104.7 | 80.6 | Better |
Penalties
| Measure | This facility | Montana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 2 | 2 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $48,318 | $55,610 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 2 | 2 | 1 | Worse |
Size
| Measure | This facility | Montana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 41 | 85 | 107 | |
| Average residents per day | 23 | 57 | 86 | |
| Occupancy | 56.8% | 69.3% | 80.9% |
Long-stay residents
| Measure | This facility | Montana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 4.4% | 4.4% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 5.8% | 6.3% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 0% | 20.4% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 2.9% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 2.1% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 28.6% | 18.7% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 16.8% | 17.2% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 3.3% | 6.2% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 2.4% | 5.6% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 4.4% | 0.6% | 0.1% | Worse |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 2.2% | 15.8% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 23.6% | 24.1% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 93.6% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 98.9% | 96.5% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Montana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents given a pneumonia vaccine (higher is better) | 90% | 81.2% | 82% | Better |
Inspection citations
State inspectors cited this home for 25 health deficiencies and 15 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| April 22, 2026 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected June 1, 2026 |
| April 22, 2026 Fire safety | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Tag K0223 | E Potential harm, pattern | Corrected June 1, 2026 |
| April 22, 2026 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | D Potential harm, isolated | Corrected June 1, 2026 |
| April 22, 2026 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | D Potential harm, isolated | Corrected June 1, 2026 |
| April 22, 2026 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected June 1, 2026 |
| April 22, 2026 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected May 28, 2026 |
| April 22, 2026 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected May 28, 2026 |
| April 22, 2026 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected May 28, 2026 |
| April 22, 2026 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected May 28, 2026 |
| September 10, 2025 Complaint | 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. Resident Rights Deficiencies · Tag F0578 | D Potential harm, isolated | Corrected October 15, 2025 |
| September 10, 2025 Complaint | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident Rights Deficiencies · Tag F0577 | D Potential harm, isolated | Corrected October 15, 2025 |
| March 13, 2025 Complaint | 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. Nursing and Physician Services Deficiencies · Tag F0726 | G Actual harm, isolated | Corrected April 25, 2025 |
| March 13, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected April 25, 2025 |
| March 13, 2025 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected April 25, 2025 |
| March 13, 2025 Standard | Treat residents equally regarding transfer, discharge, and provision of services for all residents, regardless of payment source Resident Rights Deficiencies · Tag F0621 | D Potential harm, isolated | Corrected April 25, 2025 |
| March 13, 2025 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected April 25, 2025 |
| March 13, 2025 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected April 25, 2025 |
| March 13, 2025 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected April 25, 2025 |
| March 13, 2025 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected April 25, 2025 |
| March 13, 2025 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected April 25, 2025 |
| March 13, 2025 Standard | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Infection Control Deficiencies · Tag F0887 | D Potential harm, isolated | Corrected April 25, 2025 |
| March 13, 2025 Standard | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | D Potential harm, isolated | Corrected April 25, 2025 |
| March 13, 2025 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected April 25, 2025 |
| December 31, 2024 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected February 14, 2025 |
| March 14, 2024 Fire safety | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Tag E0006 | F Potential harm, widespread | Corrected May 15, 2024 |
| March 14, 2024 Fire safety | Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Tag E0015 | F Potential harm, widespread | Corrected May 15, 2024 |
| March 14, 2024 Fire safety | Establish policies and procedures for volunteers. Emergency Preparedness Deficiencies · Tag E0024 | F Potential harm, widespread | Corrected May 15, 2024 |
| March 14, 2024 Fire safety | Create arrangements with other facilities to receive patients. Emergency Preparedness Deficiencies · Tag E0025 | F Potential harm, widespread | Corrected May 15, 2024 |
| March 14, 2024 Fire safety | Establish roles under a Waiver declared by secretary. Emergency Preparedness Deficiencies · Tag E0026 | F Potential harm, widespread | Corrected May 15, 2024 |
| March 14, 2024 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | F Potential harm, widespread | Corrected May 15, 2024 |
| March 14, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected May 15, 2024 |
| March 14, 2024 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected May 15, 2024 |
| March 14, 2024 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | F Potential harm, widespread | Corrected May 15, 2024 |
| March 14, 2024 Fire safety | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0921 | F Potential harm, widespread | Corrected May 15, 2024 |
| March 14, 2024 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | G Actual harm, isolated | Corrected April 28, 2024 |
| March 14, 2024 Standard | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | F Potential harm, widespread | Corrected April 15, 2024 |
| March 14, 2024 Standard | 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. Nursing and Physician Services Deficiencies · Tag F0727 | F Potential harm, widespread | Corrected April 15, 2024 |
| March 14, 2024 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | E Potential harm, pattern | Corrected April 28, 2024 |
| March 14, 2024 Standard | 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. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected April 28, 2024 |
| March 14, 2024 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected April 28, 2024 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 2 federal penalties in the past three years, including $48,318 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| March 13, 2025 | Fine | $12,438 |
| March 14, 2024 | Fine | $35,880 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| POWDER RIVER COUNTY Organization | 5% or greater direct ownership interest | 100% | 08/01/1977 |
| HOSTETTER, JEFFREY Individual | adp of the snf | NOT APPLICABLE | 01/01/2015 |
| POWDER RIVER COUNTY Organization | adp of the snf | NOT APPLICABLE | 11/20/2013 |
| RANDALL, KYLIE Individual | adp of the snf | NOT APPLICABLE | 01/01/2020 |
| RANDALL, LEE Individual | adp of the snf | NOT APPLICABLE | 01/17/2025 |
| RANDALL, LEE Individual | managing control - governing body | NOT APPLICABLE | 11/01/2012 |
| HOSTETTER, JEFFREY Individual | operational/managerial control | NOT APPLICABLE | 01/01/2015 |
| POWDER RIVER COUNTY Organization | operational/managerial control | NOT APPLICABLE | 11/20/2013 |
| RANDALL, KYLIE Individual | operational/managerial control | NOT APPLICABLE | 01/01/2020 |
Frequently asked questions
What is Powder River Manor's rating?
Powder River Manor has 5 out of 5 stars on the CMS overall star rating. The average for Montana nursing homes is 2.9 stars.
How many inspection citations did Powder River Manor receive?
Its most recent standard health inspection found 6 citations, compared with a Montana average of 11.1. Every citation is listed on this page with its severity.
Does Powder River Manor accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Powder River Manor?
It is government - county. The ownership section on this page lists the owners and managers reported to CMS.
Where is Powder River Manor and how do I contact it?
Powder River Manor is at 104 N Trautman, Broadus, MT 59317. Phone: (406) 436-2646.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.