Nursing home
Awe Kualawaache Care Center
10131 S Heritage Rd, Crow Agency, MT 59022 · Map
Non profit - Other · 40 certified beds
Awe Kualawaache Care Center is a Medicare-certified nursing home in Crow Agency, Montana. CMS rates it 3 out of 5 stars overall (4/5 for staffing, 4/5 for health inspections). Nurse staffing is 3.95 hours per resident per day, below the Montana average of 3.97. Its most recent inspection on May 8, 2025 cited 2 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Awe Kualawaache Care Center compares
This facility vs. the Montana and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Montana avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.95 | 3.97 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 1.20 | 0.94 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.52 | 2.53 | 2.34 | below avg |
| Nursing staff turnover | 73.2% | 55.6% | 46.4% | above avg |
| Deficiencies cited, last inspection | 2.0 | 11.3 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
What inspectors found at Awe Kualawaache Care Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · May 8, 2025 · Full report (PDF) - Potential for harm
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies · May 8, 2025 · Full report (PDF) - Potential for harm
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services Deficiencies · Dec 4, 2024 · Full report (PDF) - Potential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Dec 4, 2024 · Full report (PDF) - Potential for harm
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Dec 4, 2024 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Administration Deficiencies · Jul 30, 2024 · Full report (PDF) - Potential for harm
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Administration Deficiencies · Jul 30, 2024 · Full report (PDF) - Potential for harm
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service Deficiencies · Jul 30, 2024 · Full report (PDF) - Potential for harm
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Quality of Life and Care Deficiencies · Jul 30, 2024 · Full report (PDF) - Potential for harm
Protect 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 Deficiencies · Jul 30, 2024 · Full report (PDF) - Potential for harm
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services Deficiencies · Apr 25, 2024 · Full report (PDF) - Potential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Apr 25, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 10131 S Heritage Rd
Crow Agency, MT 59022 - CMS certification #
- 275153
- Ownership
- Non profit - Other
- Certified beds
- 40
- Avg residents/day
- 23.2
- Provider type
- Medicare and Medicaid
- First certified
- 1998-06-09
- Setting
- Rural
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Awe Kualawaache Care Center using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- P H S Indian Hospital Crow / Northern Cheyenne, Crow Agency. 9.2 miles away, straight line. Location approximate.
- Nearest Medicare nursing home
- River Ridge Rehabilitation and Nursing LLC, Billings. 50.8 miles away, straight line.
- Nearest home health agency office
- Riverstone Health, Billings. 52.4 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 51.6 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 59022 as rural (rural area).
- Hospice
- 2 Medicare hospices tell CMS they serve ZIP code 59022.
- Nearest geriatric medicine practice
- Billings Clinic Specialty Supplies And Services, LLC, Billings. 53.1 miles away, straight line. 4 geriatric medicine doctors listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- FEMA has a flood map for this community (effective September 2, 1981), but it is not in FEMA's digital flood map data, so the zone at this address could not be read. FEMA's Map Service Center has the map. (FEMA flood map)
- Wildfire risk to homes
- In Crow Agency, MT, risk to homes is greater than 88% of communities in Montana and 95% of communities nationwide. USDA rates the whole town or city, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: inland flooding relatively high, wildfire relatively high, tornado very low, heat wave relatively low, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | See above |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
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Frequently asked questions
Is Awe Kualawaache Care Center a good nursing home?
CMS gives Awe Kualawaache Care Center an overall rating of 3 out of 5 stars, including 4/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Awe Kualawaache Care Center staffed?
Awe Kualawaache Care Center reports 3.95 total nurse hours per resident per day, compared with the Montana average of 3.97.
Has Awe Kualawaache Care Center had inspection problems?
Its most recent CMS inspection cited 2 deficiencies.
How many beds does Awe Kualawaache Care Center have?
Awe Kualawaache Care Center is certified for 40 beds.