All states › Montana › Sidney › Sidney Health Center Extended Care
104 14th Ave NW Sidney, MT 59270 · Richland County
CMS certification number 275121 · See this home on Medicare Care Compare
Is Sidney Health Center Extended Care 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 Sidney Health Center Extended Care as of October 2026.
CMS rates it 1 out of 5 stars overall, below 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 3.80 hours per resident per day at Sidney Health Center Extended Care, about the same as the Montana median of 3.77 (US median: 3.72). About 0.89 of those hours are from registered nurses. On weekends it falls to 3.42 hours, 10% below its all-week average. 54.2% of nursing staff left within a year (Montana median 55.5%).
About this nursing home
Paying for care at Sidney Health Center Extended Care: Medicare and Medicaid
Sidney Health Center Extended Care is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Montana's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on December 4, 2025 and found 5 deficiencies, plus 5 from complaint inspections in the same period. In total, inspectors issued 22 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 22 citations at Sidney Health Center Extended Care across 3 inspection dates, 9 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on December 4, 2025 (complaint inspection). The most common areas cited were infection control (5) and freedom from abuse, neglect, and exploitation (4). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level K, December 4, 2025). 4 citations were under CMS's abuse, neglect and exploitation rules.
December 4, 2025 · 10 citations · includes complaint inspection
KEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FHave the Quality Assessment and Assurance group have the required members and meet at least quarterly
FProvide and implement an infection prevention and control program.
ETimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
ERespond appropriately to all alleged violations.
EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DDevelop and implement policies and procedures for flu and pneumonia vaccinations.
DEducate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
October 10, 2024 · 4 citations, includes actual harm · includes complaint inspection
GProvide safe and appropriate respiratory care for a resident when needed.
FHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
DRespond appropriately to all alleged violations.
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
August 29, 2024 · 8 citations
FProvide and implement an infection prevention and control program.
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DHonor 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.
DHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
DEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
DImplement 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.
DDevelop and implement policies and procedures for flu and pneumonia vaccinations.
Questions to ask on a tour of Sidney Health Center Extended Care
- Inspectors cited the home at the immediate-jeopardy level on December 4, 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 December 4, 2025. How are staff trained, and how are concerns reported?
- The home averages about 45% of its beds filled. Are any units closed?
- 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
2 penalties in the last three years, including $60,401 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Dec 4, 2025 | Fine | $60,401 |
| Dec 4, 2025 | Payment Denial | 15 days of payments denied |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 4/5 | 1/5 |
| August 2026 | 1/5 | 1/5 | 4/5 | 1/5 |
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Location
Hospitals near Sidney Health Center Extended Care
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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0.2 mi
Sidney Health Center SidneyEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 32m 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.
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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.