All states › Montana › Lewistown › Montana Mental Health Nursing Home
800 Casino Creek Dr Lewistown, MT 59457 · Fergus County
All 2 nursing homes in Lewistown, MT (2 take Medicaid)
CMS certification number 27A052 · See this home on Medicare Care Compare
Is Montana Mental Health Nursing Home a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Montana Mental Health Nursing Home as of October 2026.
CMS rates it 4 out of 5 stars overall, above the Montana average of 3.0.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 7.83 hours per resident per day at Montana Mental Health Nursing Home, above the Montana median of 3.77 (US median: 3.72). About 1.65 of those hours are from registered nurses. On weekends it falls to 7.27 hours, 7% below its all-week average. 46.7% of nursing staff left within a year (Montana median 55.5%).
About this nursing home
Paying for care at Montana Mental Health Nursing Home: Medicare and Medicaid
Montana Mental Health Nursing Home is certified for Medicaid but not Medicare, so Medicare won't pay for a rehab stay here after a hospital discharge. It can serve long-term residents covered by Montana Medicaid.
Health inspections
The most recent standard inspection was on October 24, 2024 and found 7 deficiencies, plus 5 from complaint inspections in the same period. In total, inspectors issued 34 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 34 citations at Montana Mental Health Nursing Home across 6 inspection dates, 12 of them from complaint investigations. 2 were at the actual-harm level (G–I), most recently on July 30, 2025. The most common areas cited were quality of life and care (10) and resident rights (6). The most serious was cited under the CMS rule to "provide enough food/fluids to maintain a resident's health" (tag F0692, level G, July 30, 2025). 3 citations were under CMS's abuse, neglect and exploitation rules.
November 19, 2025 · 4 citations · includes complaint inspection
EProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
EAdminister the facility in a manner that enables it to use its resources effectively and efficiently.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
July 30, 2025 · 3 citations, includes actual harm · includes complaint inspection
GProvide enough food/fluids to maintain a resident's health.
EEnsure residents have reasonable access to and privacy in their use of communication methods.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
October 24, 2024 · 8 citations · includes complaint inspection
EHonor 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.
ETimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
EEnsure 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.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
ESafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DPlan the resident's discharge to meet the resident's goals and needs.
DProvide safe and appropriate respiratory care for a resident when needed.
April 9, 2024 · 3 citations · includes complaint inspection
DKeep residents' personal and medical records private and confidential.
DRespond appropriately to all alleged violations.
DEnsure each resident must receive and the facility must provide necessary behavioral health care and services.
November 8, 2023 · 6 citations · includes complaint inspection
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide enough food/fluids to maintain a resident's health.
DEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
DProvide or obtain dental services for each resident.
DDevelop and implement policies and procedures for flu and pneumonia vaccinations.
August 18, 2022 · 10 citations, includes actual harm
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
FProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
FEnsure staff are vaccinated for COVID-19
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide enough food/fluids to maintain a resident's health.
DEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
DEnsure 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.
DProvide and implement an infection prevention and control program.
Questions to ask on a tour of Montana Mental Health Nursing Home
- Inspectors cited the home at the actual-harm level on July 30, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on November 19, 2025. How are staff trained, and how are concerns reported?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
1 penalty in the last three years.
| Date | Type | Amount or length |
|---|---|---|
| Oct 23, 2024 | Payment Denial | 33 days of payments denied |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 4/5 | 3/5 | 5/5 | 3/5 |
| August 2026 | 4/5 | 3/5 | 5/5 | 3/5 |
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Location
Hospitals near Montana Mental Health Nursing Home
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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1.1 mi
Central Montana Medical Center LewistownEmergency roomMedian ER visit 1h 42m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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Compare Montana Mental Health Nursing Home with the 3 closest homes side by side ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.