nursing home in Lewistown, MT
Montana Mental Health Nursing Home
800 Casino Creek Dr, Lewistown, MT 59457 · (406) 538-7451
★★★★★4
Above average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★5
- Quality measures★★★★★3
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Montana Mental Health Nursing Home at a glance
Montana Mental Health Nursing Home is a 117-bed government nursing home in Lewistown, Montana (Fergus 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 7 hours of nursing care per day (1.7 of them from registered nurses), better than the state average of 4 hours.
Its most recent standard health inspection (October 24, 2024) found 12 health citations. The Montana average is 11.1.
It has not received a federal fine in the past three years.
Nursing staff turnover is 54.1% per year (state average 54.8%).
Facility details
- Type
- Nursing home
- Ownership
- Government - State
- Beds
- 117
- Certified for
- Medicaid
- Medicare-certified since
- June 1, 1991
- Resident/family council
- Resident
- County
- Fergus County
- CMS Certification Number
- 27A052
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) | 3 / 5 | 2.8 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 5 / 5 | 3.6 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 3 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 3 / 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) | 6.95 hrs | 4.05 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 1.68 hrs | 0.98 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 5.21 hrs | 2.57 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 6.45 hrs | 3.59 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 54.1% | 54.8% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 43.8% | 48.3% | 42.9% | Average |
| 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) | 12 | 11 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 5 | 4 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 77 | 104.7 | 80.6 | Average |
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) | 1 | 2 | 1 | Average |
Size
| Measure | This facility | Montana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 117 | 85 | 107 | |
| Average residents per day | 72 | 57 | 86 | |
| Occupancy | 61.8% | 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) | 3.2% | 4.4% | 3.2% | Average |
| Long-stay residents with pressure ulcers (lower is better) | 3.8% | 6.3% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 83.8% | 20.4% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 5.3% | 2.9% | 1.6% | Worse |
| 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) | 17% | 18.7% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 12.6% | 17.2% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 2.8% | 6.2% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 2.2% | 5.6% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 1.8% | 0.6% | 0.1% | Worse |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 30.9% | 15.8% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 15.4% | 24.1% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 95.6% | 93.6% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 99.3% | 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) | 55% | 81.2% | 82% | Worse |
Inspection citations
State inspectors cited this home for 34 health deficiencies and 20 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| November 19, 2025 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | E Potential harm, pattern | Corrected January 12, 2026 |
| November 19, 2025 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 | E Potential harm, pattern | Corrected January 12, 2026 |
| November 19, 2025 Complaint | Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · Tag F0835 | E Potential harm, pattern | Corrected January 12, 2026 |
| November 19, 2025 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected January 12, 2026 |
| July 30, 2025 Complaint | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | G Actual harm, isolated | Corrected August 29, 2025 |
| July 30, 2025 Complaint | Ensure residents have reasonable access to and privacy in their use of communication methods. Resident Rights Deficiencies · Tag F0576 | E Potential harm, pattern | Past Non-Compliance |
| July 30, 2025 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected August 29, 2025 |
| October 24, 2024 Fire safety | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Tag E0004 | F Potential harm, widespread | Corrected December 11, 2024 |
| October 24, 2024 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected December 11, 2024 |
| October 24, 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 | E Potential harm, pattern | Corrected December 11, 2024 |
| October 24, 2024 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | D Potential harm, isolated | Corrected December 11, 2024 |
| October 24, 2024 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected December 11, 2024 |
| October 24, 2024 Fire safety | Have properly installed hallway dispensers for alcohol-based hand rub. Smoke Deficiencies · Tag K0325 | D Potential harm, isolated | Corrected December 11, 2024 |
| October 24, 2024 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected February 26, 2025 |
| October 24, 2024 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 November 29, 2024 |
| October 24, 2024 Standard | 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 | E Potential harm, pattern | Corrected November 29, 2024 |
| October 24, 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 | E Potential harm, pattern | Corrected November 29, 2024 |
| October 24, 2024 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | E Potential harm, pattern | Corrected November 29, 2024 |
| October 24, 2024 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 November 29, 2024 |
| October 24, 2024 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 November 29, 2024 |
| October 24, 2024 Standard | Plan the resident's discharge to meet the resident's goals and needs. Resident Assessment and Care Planning Deficiencies · Tag F0660 | D Potential harm, isolated | Corrected November 29, 2024 |
| October 24, 2024 Standard | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected November 29, 2024 |
| April 9, 2024 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected June 20, 2024 |
| April 9, 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 June 20, 2024 |
| April 9, 2024 Complaint | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | D Potential harm, isolated | Corrected June 20, 2024 |
| November 8, 2023 Fire safety | Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0919 | F Potential harm, widespread | Corrected January 5, 2024 |
| November 8, 2023 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | F Potential harm, widespread | Corrected January 5, 2024 |
| November 8, 2023 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected January 5, 2024 |
| November 8, 2023 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 January 5, 2024 |
| November 8, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected January 5, 2024 |
| November 8, 2023 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 January 5, 2024 |
| November 8, 2023 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | E Potential harm, pattern | Corrected January 5, 2024 |
| November 8, 2023 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected January 5, 2024 |
| November 8, 2023 Standard | 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 January 5, 2024 |
| November 8, 2023 Complaint | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Tag F0791 | D Potential harm, isolated | Corrected January 5, 2024 |
| November 8, 2023 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | D Potential harm, isolated | Corrected January 5, 2024 |
| November 8, 2023 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected January 5, 2024 |
| November 8, 2023 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 January 5, 2024 |
| November 8, 2023 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 January 5, 2024 |
| August 18, 2022 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected October 20, 2022 |
| August 18, 2022 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 | E Potential harm, pattern | Corrected October 20, 2022 |
| August 18, 2022 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 | D Potential harm, isolated | Corrected October 20, 2022 |
| August 18, 2022 Fire safety | Provide properly sized and located linen or trash receptacles. Miscellaneous Deficiencies · Tag K0754 | D Potential harm, isolated | Corrected October 20, 2022 |
| August 18, 2022 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | D Potential harm, isolated | Corrected October 20, 2022 |
| August 18, 2022 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 | G Actual harm, isolated | Corrected September 22, 2022 |
| August 18, 2022 Standard | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Tag F0623 | F Potential harm, widespread | Corrected September 22, 2022 |
| August 18, 2022 Standard | Ensure staff are vaccinated for COVID-19 Infection Control Deficiencies · Tag F0888 | F Potential harm, widespread | Corrected September 22, 2022 |
| August 18, 2022 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 | D Potential harm, isolated | Corrected September 22, 2022 |
| August 18, 2022 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected September 22, 2022 |
| August 18, 2022 Standard | 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 September 22, 2022 |
| August 18, 2022 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected September 22, 2022 |
| August 18, 2022 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected September 22, 2022 |
| August 18, 2022 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 September 22, 2022 |
| August 18, 2022 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 September 30, 2022 |
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 1 federal penalty in the past three years, including $0 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| October 23, 2024 | Payment Denial | 33 days from January 24, 2025 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| ownership data not available |
Other nursing homes near Montana Mental Health Nursing Home
Valle Vista Rehabilitation and Nursing LLC
402 Summit Ave, Lewistown, MT 59457 · under 1 mi
For-profit · 101 beds · Part of The Charly Bello Family, the Maze Family, the Swain Family, & Walter Myers
★★★★★4Above average
Frequently asked questions
What is Montana Mental Health Nursing Home's rating?
Montana Mental Health Nursing Home 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 Montana Mental Health Nursing Home receive?
Its most recent standard health inspection found 12 citations, compared with a Montana average of 11.1. Every citation is listed on this page with its severity.
Does Montana Mental Health Nursing Home accept Medicare and Medicaid?
CMS lists it as certified for: Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Montana Mental Health Nursing Home?
It is government - state. The ownership section on this page lists the owners and managers reported to CMS.
Where is Montana Mental Health Nursing Home and how do I contact it?
Montana Mental Health Nursing Home is at 800 Casino Creek Dr, Lewistown, MT 59457. Phone: (406) 538-7451.
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.