Nursing HomeInspections

Montana Mental Health Nursing Home

Nursing home in Lewistown, MT

Medicaid-certified4★ overall (CMS)

Call (406) 538-7451Send a messageMap ↗

Public-record details

Address
800 Casino Creek Dr, Lewistown, MT 59457
Phone
(406) 538-7451
Listed under
Government-owned, 4–5 star overall rating
Medicare CCN
27A052
Overall star rating
4 of 5 ★★★★☆
Health inspection rating
3 of 5
Staffing rating
5 of 5
Quality measures rating
3 of 5
Certified beds
117
Average residents per day
72
Ownership
Government, state
Legal business name
Legal Business Name Not Available
Certified for
Medicaid
First approved by Medicare/Medicaid
Jun 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 27A052. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Oct 24, 2024. CMS lists 37 health citations for this facility across its last three standard inspection cycles and complaint inspections (Aug 18, 2022 to Nov 19, 2025): 15 from complaint inspections, 3 at the “actual harm” level or higher.

InspectionCitationSeverity
Nov 19, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Nov 19, 2025Protect 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 · complaint inspection		E
Potential for more than minimal harm, pattern
Nov 19, 2025Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · complaint inspection		E
Potential for more than minimal harm, pattern
Nov 19, 2025Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration · complaint inspection		E
Potential for more than minimal harm, pattern
Jul 30, 2025Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Jul 30, 2025Ensure residents have reasonable access to and privacy in their use of communication methods.
Resident Rights · complaint inspection		E
Potential for more than minimal harm, pattern
Jul 30, 2025Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care · complaint inspection		G
Actual harm, isolated
Oct 24, 2024Immediately 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
Oct 24, 2024Plan the resident's discharge to meet the resident's goals and needs.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Oct 24, 2024Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Oct 24, 2024Honor 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…
Resident Rights		E
Potential for more than minimal harm, pattern
Oct 24, 2024Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 37. 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 0 fines totalling $0 and 1 denial of Medicare payment for new admissions in the last three years.

Oct 23, 2024Payment denial for 33 days from Jan 24, 2025

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
6.95 hours
Registered nurse (RN) time per resident per day
1.68 hours
Nurse aide time per resident per day
5.21 hours
Total nurse staffing on weekends
6.45 hours
Nursing staff turnover (yearly)
54%
RN turnover (yearly)
44%
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.

Other nursing homes in Lewistown

Valle Vista Rehabilitation and Nursing LLC402 Summit Ave · Lewistown, MT 59457 · (406) 538-8775 · For-profit25 health citations in 3 inspection cycles · last standard inspection May 20, 2025 · no CMS fines in 3 yrsMedicare & Medicaid certified3★ overall (CMS)

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