nursing home in Crow Agency, MT
Awe Kualawaache Care Center
10131 S Heritage Rd, Crow Agency, MT 59022 · (406) 638-9111
★★★★★4
Above average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★5
- Staffing★★★★★4
- Quality measures★★★★★1
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Awe Kualawaache Care Center at a glance
Awe Kualawaache Care Center is a 40-bed for-profit nursing home in Crow Agency, Montana (Big Horn County).
CMS gives it 4 out of 5 stars on its overall star rating, better than the Montana average of 2.9.
Residents receive about 4.1 hours of nursing care per day (1.4 of them from registered nurses), close to the state average of 4 hours.
Its most recent standard health inspection (June 4, 2026) found 5 health citations. The Montana average is 11.1.
It has not received a federal fine in the past three years.
Nursing staff turnover is 61.5% per year (state average 54.8%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Individual
- Beds
- 40
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- June 9, 1998
- Resident/family council
- Resident
- County
- Big Horn County
- CMS Certification Number
- 275153
Ratings
| Measure | This facility | Montana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 4 / 5 | 2.9 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 5 / 5 | 2.8 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 3.6 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 1 / 5 | 3 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 1 / 5 | 2.8 / 5 | 3.8 / 5 | Worse |
Staffing
| Measure | This facility | Montana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 4.08 hrs | 4.05 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 1.41 hrs | 0.98 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.45 hrs | 2.57 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.41 hrs | 3.59 hrs | 3.42 hrs | Average |
| Nursing staff turnover (yearly) (lower is better) | 61.5% | 54.8% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 44.4% | 48.3% | 42.9% | Average |
Inspections
| Measure | This facility | Montana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 5 | 11 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 1 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 31 | 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) | 0 | 2 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $55,610 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 2 | 1 | Better |
Size
| Measure | This facility | Montana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 40 | 85 | 107 | |
| Average residents per day | 24 | 57 | 86 | |
| Occupancy | 59.3% | 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) | 2.3% | 4.4% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 9.2% | 6.3% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 32.2% | 20.4% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 1.1% | 2.9% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.6% | 2.1% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 31.4% | 18.7% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 43% | 17.2% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 8.1% | 6.2% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 0% | 5.6% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 6.9% | 0.6% | 0.1% | Worse |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 3.5% | 15.8% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 21.4% | 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) | 100% | 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) | 83.3% | 81.2% | 82% | Average |
Inspection citations
State inspectors cited this home for 18 health deficiencies and 18 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| June 4, 2026 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | F Potential harm, widespread | Corrected June 25, 2026 |
| June 4, 2026 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 June 25, 2026 |
| June 4, 2026 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected July 24, 2026 |
| June 4, 2026 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | F Potential harm, widespread | Corrected June 25, 2026 |
| June 4, 2026 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | F Potential harm, widespread | Corrected June 25, 2026 |
| June 4, 2026 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | F Potential harm, widespread | Corrected June 25, 2026 |
| June 4, 2026 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected July 24, 2026 |
| June 4, 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 | D Potential harm, isolated | Corrected July 24, 2026 |
| June 4, 2026 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | D Potential harm, isolated | Corrected June 25, 2026 |
| June 4, 2026 Complaint | 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 June 26, 2026 |
| June 4, 2026 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected June 26, 2026 |
| June 4, 2026 Standard | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected June 26, 2026 |
| June 4, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected June 26, 2026 |
| June 4, 2026 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 | D Potential harm, isolated | Corrected June 26, 2026 |
| May 8, 2025 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected June 26, 2025 |
| May 8, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected June 26, 2025 |
| May 8, 2025 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | F Potential harm, widespread | Corrected June 26, 2025 |
| May 8, 2025 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 | D Potential harm, isolated | Corrected June 26, 2025 |
| May 8, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected May 30, 2025 |
| May 8, 2025 Standard | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Tag F0628 | D Potential harm, isolated | Corrected May 30, 2025 |
| December 4, 2024 Complaint | 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 December 30, 2024 |
| December 4, 2024 Complaint | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0604 | D Potential harm, isolated | Corrected December 30, 2024 |
| December 4, 2024 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 | D Potential harm, isolated | Corrected December 30, 2024 |
| July 30, 2024 Complaint | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. Administration Deficiencies · Tag F0838 | E Potential harm, pattern | Corrected August 23, 2024 |
| July 30, 2024 Complaint | Provide behavior health training consistent with the requirements and as determined by a facility assessment. Administration Deficiencies · Tag F0949 | E Potential harm, pattern | Corrected August 23, 2024 |
| July 30, 2024 Complaint | 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 August 23, 2024 |
| July 30, 2024 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 August 23, 2024 |
| July 30, 2024 Complaint | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · Tag F0740 | D Potential harm, isolated | Corrected August 23, 2024 |
| April 25, 2024 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected May 16, 2024 |
| April 25, 2024 Fire safety | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0911 | E Potential harm, pattern | Corrected May 16, 2024 |
| April 25, 2024 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | E Potential harm, pattern | Corrected May 16, 2024 |
| April 25, 2024 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | E Potential harm, pattern | Corrected May 16, 2024 |
| April 25, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected May 16, 2024 |
| April 25, 2024 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 | D Potential harm, isolated | Corrected May 16, 2024 |
| April 25, 2024 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 May 16, 2024 |
| April 25, 2024 Standard | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies · Tag F0851 | B No harm, pattern | Corrected May 16, 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 no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| CROW TRIBE OF INDIANS Organization | 5% or greater direct ownership interest | 100% | 04/01/1998 |
| HEALTH MANAGEMENT SERVICES, LLC Organization | operational/managerial control | NOT APPLICABLE | 03/10/2010 |
| LITTLE LIGHT, PAUL Individual | w-2 managing employee | NOT APPLICABLE | 05/15/2015 |
Frequently asked questions
What is Awe Kualawaache Care Center's rating?
Awe Kualawaache Care Center has 4 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 Awe Kualawaache Care Center receive?
Its most recent standard health inspection found 5 citations, compared with a Montana average of 11.1. Every citation is listed on this page with its severity.
Does Awe Kualawaache Care Center 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 Awe Kualawaache Care Center?
It is for profit - individual. The ownership section on this page lists the owners and managers reported to CMS.
Where is Awe Kualawaache Care Center and how do I contact it?
Awe Kualawaache Care Center is at 10131 S Heritage Rd, Crow Agency, MT 59022. Phone: (406) 638-9111.
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.