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D
Poor

COONEY HEALTHCARE AND REHABILITATION

2555 E BROADWAY · HELENA, MT 59601

4064471651 · For profit - Limited Liability company

90 beds63.9 residents105 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
D
Poor
Total Staff
B
Good
RN Staff
D
Poor
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

COONEY HEALTHCARE AND REHABILITATION receives an overall staffing grade of D (Poor). With 2.6408 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.6734 HPRD, below the recommended 0.75. It is 1.26 HPRD below the national average.

Weekend staffing drops significantly — dropping 26.41% compared to weekdays. The facility has low agency staff usage (4.4% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (3)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 2.6408 HPRD — needs 0.84 more hours per resident per day.
⚠️RN staffing (0.6734 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️Weekend staffing drops 26.41% — significantly higher than average. Residents receive substantially less care on Saturdays and Sundays.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (4.4%) — mostly permanent, familiar staff
Total Nurse HPRD
2.6408hrs/resident/day▼ 1.26
CMS benchmark: 3.48
RN HPRD
0.6734hrs/resident/day▼ 0.01
Recommended: 0.75
Weekend Drop-off
26.41%
2.8538 weekday → 2.1 weekend
⚠ Significant weekend reduction
Agency Staff
4.4%
1.64% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.4703hrs/resident/day
Direct care aides
LPN HPRD
0.3135hrs/resident/day
Licensed practical nurses
Consistency
0.4699std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Lewis And Clark County Average-0.35 HPRD
2.99
02.64 HPRD
vs. Montana State Average-1.34 HPRD
3.98
02.64 HPRD
vs. National Average-1.26 HPRD
3.90
02.64 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
COONEY HEALTHCARE AND REHABILITATION ★
HELENA · This facility
—
D
2.64080.6734★☆☆☆☆
MOUNT ASCENSION TRANSITIONAL CARE OF CASCADIA
HELENA
0.5 mi
C
3.34370.626★★☆☆☆
ELKHORN HEALTHCARE AND REHABILITATION
CLANCY
9.1 mi
D
2.7330.5194★★★★★
IVY AT DEER LODGE
DEER LODGE
37.1 mi
D
2.86730.4554★☆☆☆☆
COPPER RIDGE HEALTH AND REHABILITATION CENTER
BUTTE
47.3 mi
C
3.19160.6558★★☆☆☆
CONTINENTAL CARE AND REHABILITATION
BUTTE
47.4 mi
C
3.14090.6845★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

10
Inspections
76
Total Deficiencies
$153,489
Fines Assessed
Dec 31, 2025Health
2 deficiencies cited
▼
Dec 4, 2025Health
7 deficiencies cited· Includes actual harm
▼
Sep 11, 2025Health
20 deficiencies cited· Includes actual harm
▼
Aug 6, 2025Health
5 deficiencies cited· Includes actual harm
▼
Oct 3, 2024Health
3 deficiencies cited
▼
Aug 15, 2024Health
12 deficiencies cited· Includes actual harm
▼
May 2, 2024Health
3 deficiencies cited· Includes actual harm
▼
Feb 22, 2024Health
1 deficiency cited
▼
Jan 16, 2024Health
2 deficiencies cited
▼
Aug 17, 2023Health
21 deficiencies cited· Includes actual harm
▼

Penalty History

Aug 6, 2025Fine
$22,315
Aug 6, 2025Payment Denial
Aug 15, 2024Fine
$44,363
May 2, 2024Fine
$52,735
Aug 17, 2023Fine
$34,076
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.