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    Nursing home · LEWISTOWN, MT

    MONTANA MENTAL HEALTH NURSING HOME

    800 CASINO CREEK DR, LEWISTOWN, MT 59457

    CMS certification number: 27A052 · Updated October 1, 2026

    CMS overall rating

    4 / 5

    Certified beds

    117

    Residents / day

    73.4

    Ownership

    Government - State

    Facility information

    Certification
    Medicaid
    Ownership
    Government - State
    County
    Fergus
    Certified beds
    117
    Average residents per day
    73.4
    First certified
    June 1, 1991

    CMS quality ratings

    Overall
    4 / 5
    Health inspections
    3 / 5
    Staffing
    5 / 5
    Quality measures
    3 / 5

    These are CMS quality ratings, not customer reviews.

    How this home compares locally

    Other homes in Fergus, Montana. Missing values are excluded; this home is excluded from peer averages.

    CMS overall rating / 5

    This home
    4.00
    County peers
    4.00
    n=1
    State peers
    2.93

    Nurse hours / resident / day

    This home
    7.83
    County peers
    3.13
    n=1
    State peers
    3.95
    n=57

    Weekend nurse hours / resident / day

    This home
    7.27
    County peers
    2.55
    n=1
    State peers
    3.47
    n=57

    Nursing staff turnover (%)

    This home
    46.70
    County peers
    44.90
    n=1
    State peers
    54.70
    n=53

    Reported staffing is not adjusted for resident needs. These are descriptive averages, not a quality ranking or prediction of care. Sources and methodology

    Questions for your visit

    • Reported weekend staffing is 7.2% below the all-days average. How is weekend coverage maintained?
    • What has changed since your latest health inspection?
    • CMS reports 46.7% total nursing staff turnover. How do you retain staff and maintain continuity of care?
    • Which services are included, what costs extra, and can you provide a written care and payment plan?

    Published record coverage

    Hospital measures
    4
    Fire safety citations
    20
    Health citations
    34
    Resident measures
    17
    Ownership records
    1
    Penalties
    1
    SNF rehabilitation measures
    57
    Inspection summaries
    3

    Counts reflect the imported CMS publication, not a complete lifetime history. Zero records does not establish zero historical events.

    Full CMS profile

    Staffing & operations

    1 source records · CMS source date 2026-10-01CMS source

    Staffing hours are per resident per day; turnover figures are percentages. Blank values are not zero.

    Reported Total Nurse Staffing Hours per Resident per Day
    7.82689
    Reported RN Staffing Hours per Resident per Day
    1.65113
    Reported LPN Staffing Hours per Resident per Day
    0.06642
    Reported Nurse Aide Staffing Hours per Resident per Day
    6.10933
    Total number of nurse staff hours per resident per day on the weekend
    7.26594
    Registered Nurse hours per resident per day on the weekend
    1.18306
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.00000
    Total nursing staff turnover
    46.7
    Registered Nurse turnover
    38.7
    Number of administrators who have left the nursing home
    0
    Chain Name
    Not reported
    Number of Facilities in Chain
    Not reported
    Chain Average Overall 5-star Rating
    Not reported
    Special Focus Status
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    With a Resident and Family Council
    Resident
    Automatic Sprinkler Systems in All Required Areas
    Yes
    All provider source fields
    State
    MT
    Urban
    N
    Chain ID
    Not reported
    Latitude
    47.0565
    Location
    800 CASINO CREEK DR,LEWISTOWN,MT,59457
    ZIP Code
    59457
    City/Town
    LEWISTOWN
    Longitude
    -109.42
    QM Rating
    3
    Abuse Icon
    N
    Chain Name
    Not reported
    County/Parish
    Fergus
    Provider Name
    MONTANA MENTAL HEALTH NURSING HOME
    Provider Type
    Medicaid
    Overall Rating
    4
    Ownership Type
    Government - State
    Number of Fines
    0
    Processing Date
    2026-10-01
    Staffing Rating
    5
    Provider Address
    800 CASINO CREEK DR
    Telephone Number
    4065387451
    Geocoding Footnote
    Not reported
    QM Rating Footnote
    Not reported
    Legal Business Name
    Legal Business Name Not Available
    Long-Stay QM Rating
    3
    High Performing Icon
    N
    Short-Stay QM Rating
    Not reported
    Special Focus Status
    Not reported
    Nursing Case-Mix Index
    1.06812
    Chain Average QM Rating
    Not reported
    Overall Rating Footnote
    Not reported
    Health Inspection Rating
    3
    Number of Certified Beds
    117
    Provider SSA County Code
    130
    Staffing Rating Footnote
    Not reported
    Number of Payment Denials
    1
    Registered Nurse turnover
    38.7
    Total Number of Penalties
    1
    Reported Staffing Footnote
    Not reported
    Long-Stay QM Rating Footnote
    Not reported
    Nursing Case-Mix Index Ratio
    0.75739
    Provider Resides in Hospital
    N
    Total nursing staff turnover
    46.7
    Chain Average Staffing Rating
    Not reported
    Number of Facilities in Chain
    Not reported
    Short-Stay QM Rating Footnote
    2
    CMS Certification Number (CCN)
    27A052
    Administrator turnover footnote
    Not reported
    Total Amount of Fines in Dollars
    0.00
    Health Inspection Rating Footnote
    Not reported
    Rating Cycle 1 Total Health Score
    80
    Registered Nurse turnover footnote
    Not reported
    Total Weighted Health Survey Score
    77.000
    With a Resident and Family Council
    Resident
    Average Number of Residents per Day
    73.4
    Chain Average Overall 5-star Rating
    Not reported
    Rating Cycle 1 Health Revisit Score
    0
    Rating Cycle 2/3 Total Health Score
    68
    Continuing Care Retirement Community
    N
    Physical Therapist Staffing Footnote
    Not reported
    Rating Cycle 2/3 Health Revisit Score
    0
    Total nursing staff turnover footnote
    Not reported
    Chain Average Health Inspection Rating
    Not reported
    Rating Cycle 1 Health Deficiency Score
    80
    Rating Cycle 1 Standard Survey Footnote
    Not reported
    Rating Cycle 2 Standard Survey Footnote
    Not reported
    Rating Cycle 1 Number of Health Revisits
    1
    Rating Cycle 2/3 Health Deficiency Score
    68
    Rating Cycle 1 Standard Survey Health Date
    2024-10-24
    Rating Cycle 2 Standard Health Survey Date
    2023-11-08
    Rating Cycle 2/3 Number of Health Revisits
    1
    Average Number of Residents per Day Footnote
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    Adjusted RN Staffing Hours per Resident per Day
    2.16291
    Case-Mix RN Staffing Hours per Resident per Day
    0.52384
    Reported RN Staffing Hours per Resident per Day
    1.65113
    Adjusted LPN Staffing Hours per Resident per Day
    0.08701
    Case-Mix LPN Staffing Hours per Resident per Day
    0.65277
    Reported LPN Staffing Hours per Resident per Day
    0.06642
    Automatic Sprinkler Systems in All Required Areas
    Yes
    Rating Cycle 1 Total Number of Health Deficiencies
    12
    Most Recent Health Inspection More Than 2 Years Ago
    N
    Rating Cycle 2/3 Total Number of Health Deficiencies
    12
    Rating Cycle 1 Number of Standard Health Deficiencies
    8
    Rating Cycle 2 Number of Standard Health Deficiencies
    6
    Reported Licensed Staffing Hours per Resident per Day
    1.71755
    Number of Citations from Infection Control Inspections
    Not reported
    Rating Cycle 1 Number of Complaint Health Deficiencies
    5
    Adjusted Nurse Aide Staffing Hours per Resident per Day
    8.00295
    Case-Mix Nurse Aide Staffing Hours per Resident per Day
    1.77787
    Number of administrators who have left the nursing home
    0
    Reported Nurse Aide Staffing Hours per Resident per Day
    6.10933
    Adjusted Total Nurse Staffing Hours per Resident per Day
    10.25287
    Case-Mix Total Nurse Staffing Hours per Resident per Day
    2.95449
    Rating Cycle 2/3 Number of Complaint Health Deficiencies
    7
    Reported Total Nurse Staffing Hours per Resident per Day
    7.82689
    Registered Nurse hours per resident per day on the weekend
    1.18306
    Date First Approved to Provide Medicare and Medicaid Services
    1991-06-01
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.00000
    Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
    9.51805
    Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
    2.60016
    Total number of nurse staff hours per resident per day on the weekend
    7.26594

    COMMUNITY EXPERIENCE

    Reviews of MONTANA MENTAL HEALTH NURSING HOME

    Consumer experiences, separate from CMS ratings. Accounts are verified; care experiences are not independently verified.

    No published community reviews yet.

    Community reviews & discussions

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    Third-party opinions are not verified CMS findings. Reviews have not been imported or combined into the CMS rating.

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    Source: Centers for Medicare & Medicaid Services · Data processed October 1, 2026