Nursing HomeInspections

Madison Valley Manor

Nursing home in Ennis, MT

Medicare & Medicaid certified5★ overall (CMS)

Call (406) 682-7271Send a messageMap ↗

Public-record details

Address
211 N Main St, Ennis, MT 59729
Phone
(406) 682-7271
Listed under
Government-owned, 4–5 star overall rating, No fines in 3 years
Medicare CCN
275136
Overall star rating
5 of 5 ★★★★★
Health inspection rating
5 of 5
Staffing rating
5 of 5
Quality measures rating
4 of 5
Certified beds
32
Average residents per day
16
Ownership
Government, county
Legal business name
Madison County Finance
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jul 1, 1991
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 275136. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: May 20, 2026. CMS lists 14 health citations for this facility across its last three standard inspection cycles and complaint inspections (May 8, 2024 to May 8, 2025): 2 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
May 8, 2025Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights		D
Potential for more than minimal harm, isolated
May 8, 2025Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Resident Rights		D
Potential for more than minimal harm, isolated
May 8, 2025Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
May 8, 2025Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with…
Quality of Life and Care		D
Potential for more than minimal harm, isolated
May 8, 2025Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services		D
Potential for more than minimal harm, isolated
May 8, 2025Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Administration		D
Potential for more than minimal harm, isolated
May 8, 2025Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation		E
Potential for more than minimal harm, pattern
May 8, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		F
Potential for more than minimal harm, widespread
May 8, 2025Keep all essential equipment working safely.
Environmental		F
Potential for more than minimal harm, widespread
Sep 10, 2024Provide and implement an infection prevention and control program.
Infection Control · complaint inspection		D
Potential for more than minimal harm, isolated
Sep 10, 2024Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Infection Control · complaint inspection		E
Potential for more than minimal harm, pattern
May 8, 2024Develop 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		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 14. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
6.58 hours
Registered nurse (RN) time per resident per day
3.03 hours
Nurse aide time per resident per day
3.18 hours
Total nurse staffing on weekends
6.33 hours
Nursing staff turnover (yearly)
61%
RN turnover (yearly)
33%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.