Nursing home
Montana Mental Health Nursing Home
800 Casino Creek Dr, Lewistown, MT 59457 · Map
Government - State · 117 certified beds
Montana Mental Health Nursing Home is a Medicare-certified nursing home in Lewistown, Montana. CMS rates it 4 out of 5 stars overall (5/5 for staffing, 2/5 for health inspections). Nurse staffing is 6.90 hours per resident per day, above the Montana average of 3.97. Its most recent inspection on Oct 24, 2024 cited 15 deficiencies.
- 1 fine totaling $7,163In CMS records: 2 total penalties, 1 Medicare payment denial.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Montana Mental Health 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) | 6.90 | 3.97 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 1.75 | 0.94 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 5.15 | 2.53 | 2.34 | above avg |
| Nursing staff turnover | 57.5% | 55.6% | 46.4% | above avg |
| Deficiencies cited, last inspection | 15.0 | 11.3 | 9.5 | above 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.
- Every deficiency from the November 19, 2025 inspection was corrected by January 12, 2026
Penalties in CMS records: 1 fine totaling $7,163, 2 total penalties, 1 Medicare payment denial.
What inspectors found at Montana Mental Health 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
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies · Nov 19, 2025 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Nov 19, 2025 · 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 · Nov 19, 2025 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Nov 19, 2025 · Full report (PDF) - Actual harm
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Jul 30, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Ensure residents have reasonable access to and privacy in their use of communication methods.
Resident Rights Deficiencies · Jul 30, 2025 · Full report (PDF) - Potential for harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Jul 30, 2025 · Full report (PDF) - Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Oct 24, 2024 · 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 · Oct 24, 2024 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Oct 24, 2024 · Full report (PDF) - Potential for harm
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · Oct 24, 2024 · Full report (PDF) - Potential for harm
Honor 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 directive.
Resident Rights Deficiencies · Oct 24, 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
- 800 Casino Creek Dr
Lewistown, MT 59457 - CMS certification #
- 27A052
- Ownership
- Government - State
- Certified beds
- 117
- Avg residents/day
- 69.1
- Provider type
- Medicaid
- First certified
- 1991-06-01
- Setting
- Rural
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Montana Mental Health Nursing Home using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Central Montana Medical Center, Lewistown. 1.1 miles away, straight line.
- Nearest Medicare nursing home
- Valle Vista Rehabilitation and Nursing LLC, Lewistown. 0.6 miles away, straight line.
- Nearest home health agency office
- Central Montana Mc Home Health, Lewistown. 1.1 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Castle Mountain Drug. 78.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 59457 as small town (small town core).
- Hospice
- 3 Medicare hospices tell CMS they serve ZIP code 59457.
Hospice Of Central Montana, office in Lewistown, 1.1 miles away, straight line - Nearest geriatric medicine practice
- Benefis Hospitals Inc, Great Falls. 91.5 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 moderate. By hazard: inland flooding relatively low, wildfire relatively low, tornado relatively 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 | 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 |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is Montana Mental Health Nursing Home a good nursing home?
CMS gives Montana Mental Health Nursing Home an overall rating of 4 out of 5 stars, including 5/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Montana Mental Health Nursing Home staffed?
Montana Mental Health Nursing Home reports 6.90 total nurse hours per resident per day, compared with the Montana average of 3.97.
Has Montana Mental Health Nursing Home had inspection problems?
Its most recent CMS inspection cited 15 deficiencies.
How many beds does Montana Mental Health Nursing Home have?
Montana Mental Health Nursing Home is certified for 117 beds.