Nursing home · Top rated by CMS
Crest Nursing Home
3131 Amherst Ave, Butte, MT 59701 · Map
For profit - Corporation · Part of Real Property Health Facilities (9 facilities) · 103 certified beds
Crest Nursing Home is a Medicare-certified nursing home in Butte, Montana. CMS rates it 5 out of 5 stars overall (2/5 for staffing, 5/5 for health inspections). Nurse staffing is 3.36 hours per resident per day, below the Montana average of 3.97. Its most recent inspection on Apr 10, 2025 cited 4 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Crest Nursing Home 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) | 3.36 | 3.97 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.55 | 0.94 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.09 | 2.53 | 2.34 | below avg |
| Nursing staff turnover | 68.1% | 55.6% | 46.4% | above avg |
| Deficiencies cited, last inspection | 4.0 | 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 Crest Nursing Home
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
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Administration Deficiencies · Apr 10, 2025 · Full report (PDF) - Potential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Apr 10, 2025 · Full report (PDF) - Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Mar 25, 2025 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Mar 25, 2025 · Full report (PDF) - Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Mar 28, 2024 · Full report (PDF)
Show all 6 deficiencies
- 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 · Mar 28, 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
- 3131 Amherst Ave
Butte, MT 59701 - CMS certification #
- 275122
- Ownership
- For profit - Corporation
- Certified beds
- 103
- Avg residents/day
- 44.1
- Provider type
- Medicare and Medicaid
- First certified
- 1988-04-01
- Chain
- Real Property Health Facilities (9 facilities)
- Setting
- Rural
Part of Real Property Health Facilities
Real Property Health Facilities operates 9 nursing facilities across the United States. View all Real Property Health Facilities facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Crest Nursing Home using Google Maps.
Other public records
- Workplace safety 1 OSHA workplace safety inspection since 2022, no violations cited
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Mar 16, 2022: monitoring inspection, partial (health). Case closed Mar 16, 2022. No violations cited. OSHA record. OSHA recorded the employer as C N H Acquisitions, INC. Matched by street address; the name OSHA recorded differs from the community's.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- St James Hospital, Butte. 3.1 miles away, straight line. CMS overall hospital rating: 2 of 5 stars.
- Nearest Medicare nursing home
- Continental Care and Rehabilitation, Butte. 0.2 miles away, straight line.
- Nearest home health agency office
- Compassus Home Health - Butte, Butte. 2.2 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 0.9 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 59701 as micropolitan (micropolitan core).
- Dialysis within 15 miles
- Fmc Butte, Butte, 3.4 miles away, straight line (has a shift starting after 5 pm; CMS rating 2 of 5 stars)
- Hospice
- 8 Medicare hospices tell CMS they serve ZIP code 59701.
Stillwater Hospice, office in Butte, 1.1 miles away, straight line (CMS family survey rating 4 of 5 stars)
Senior Solutions Inc, office in Butte, 1.6 miles away, straight line
Compassus Hospice Helena, office in Butte, 2.2 miles away, straight line - Nearest geriatric medicine practice
- Bozeman Health Deaconess Hospital, Bozeman. 74.2 miles away, straight line. 1 geriatric medicine doctor 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
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: inland flooding relatively low, wildfire relatively low, tornado very low, heat wave very low, earthquake relatively moderate. 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 | See above |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| 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 Crest Nursing Home a good nursing home?
CMS gives Crest Nursing Home an overall rating of 5 out of 5 stars, including 2/5 for staffing and 5/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Crest Nursing Home staffed?
Crest Nursing Home reports 3.36 total nurse hours per resident per day, compared with the Montana average of 3.97.
Has Crest Nursing Home had inspection problems?
Its most recent CMS inspection cited 4 deficiencies.
How many beds does Crest Nursing Home have?
Crest Nursing Home is certified for 103 beds.