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A+
Excellent

MONTANA MENTAL HEALTH NURSING HOME

800 CASINO CREEK DR · LEWISTOWN, MT 59457

4065387451 · Government - State

117 beds69.1 residents119 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A+
Excellent
Total Staff
A+
Excellent
RN Staff
A+
Excellent
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

MONTANA MENTAL HEALTH NURSING HOME receives an overall staffing grade of A+ (Excellent). With 6.8984 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has adequate registered nurse (RN) coverage. It is 3.00 HPRD above the national average.

Weekend staffing stays relatively consistent — dropping 11.21% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (0)

No significant concerns identified for this quarter.

✨ Strengths (4)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
6.8984hrs/resident/day▲ 3.00
CMS benchmark: 3.48
RN HPRD
1.7466hrs/resident/day▲ 1.06
Recommended: 0.75
Weekend Drop-off
11.21%
7.124 weekday → 6.3257 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
4.9443hrs/resident/day
Direct care aides
LPN HPRD
0hrs/resident/day
Licensed practical nurses
Consistency
0.5102std 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. Fergus County Average+1.94 HPRD
4.96
06.90 HPRD
vs. Montana State Average+2.92 HPRD
3.98
06.90 HPRD
vs. National Average+3.00 HPRD
3.90
06.90 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
MONTANA MENTAL HEALTH NURSING HOME ★
LEWISTOWN · This facility
—
A+
6.89841.7466★★★★☆
VALLE VISTA REHABILITATION AND NURSING LLC
LEWISTOWN
0.6 mi
C
3.0210.6595★★★★★
PARK PLACE TRANSITIONAL CARE AND REHABILITATION
GREAT FALLS
91 mi
B
3.55540.8011★★★☆☆
BENEFIS SENIOR SERVICES - GRANDVIEW
GREAT FALLS
91.4 mi
A
4.79842.1834★★★★★
BENEFIS SENIOR SERVICES - EASTVIEW
GREAT FALLS
91.5 mi
B
3.63450.9019★★☆☆☆
BENEFIS SENIOR SERVICES - WESTVIEW
GREAT FALLS
93.3 mi
C
3.08420.6955★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

7
Inspections
37
Total Deficiencies
$7,163
Fines Assessed
Nov 19, 2025Health
4 deficiencies cited
▼
Jul 30, 2025Health
3 deficiencies cited· Includes actual harm
▼
Oct 24, 2024Health
8 deficiencies cited
▼
Apr 9, 2024Health
3 deficiencies cited
▼
Nov 8, 2023Health
6 deficiencies cited
▼
Aug 16, 2023Health
3 deficiencies cited· Includes actual harm
▼
Aug 18, 2022Health
10 deficiencies cited· Includes actual harm
▼

Penalty History

Oct 23, 2024Payment Denial
Aug 16, 2023Fine
$7,163
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.