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Montana Mental Health Nursing Home

Nursing Home Facility

800 Casino Creek Dr, Lewistown, MT 59457

Nursing Home Care Senior Living

Montana Mental Health Nursing Home is a senior care community located in Lewistown, MT. It provides nursing home care and senior living for older adults in the Lewistown area. To learn more or schedule a tour, call (406) 538-7451.

With 117 beds, Montana Mental Health Nursing Home is one of the larger communities in the area, senior care communities in Lewistown average about 66 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.

Federal reporting puts occupancy at about 62% of its licensed beds, so availability is more likely here than at busier communities nearby.

Medicare rates this community 4 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. The individual scores differ noticeably: 5 stars for staffing against 3 stars for health inspections, so it is worth reading both before deciding. Its most recent standard health inspection was in October 2024 and recorded 12 deficiencies.

Residents receive about 7.0 hours of nursing care per day on average, including 1.7 hours from a registered nurse. Communities in Lewistown average about 5.1 hours. Nursing staff turnover over the past year was about 54%.

The community is located in Fergus County, MT.

Medicare five-star ratings

  • Overall ★★★★★ 4/5
  • Health inspections ★★★★★ 3/5
  • Staffing ★★★★★ 5/5
  • Quality measures ★★★★★ 3/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 37 problems at Montana Mental Health Nursing Home. 3 findings involved harm to a resident. 15 came from investigating complaints by residents or families.

Medicare stopped paying for new admissions once in that period.

Findings from the most recent inspection cycle

  • Could cause more than minimal harm, a pattern Freedom from Abuse, Neglect, and Exploitation

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Inspected November 2025, after a complaint. Corrected by January 12, 2026.

  • Could cause more than minimal harm, a pattern Pharmacy Service

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Inspected November 2025, after a complaint. Corrected by January 12, 2026.

  • Could cause more than minimal harm, a pattern Administration

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Inspected November 2025, after a complaint. Corrected by January 12, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Inspected November 2025, after a complaint. Corrected by January 12, 2026.

  • Could cause more than minimal harm, a pattern Resident Rights

    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.

    Inspected October 2024. Corrected by November 29, 2024.

  • Could cause more than minimal harm, a pattern Freedom from Abuse, Neglect, and Exploitation

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Inspected October 2024, after a complaint. Corrected by November 29, 2024.

  • Could cause more than minimal harm, a pattern Pharmacy Service

    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.

    Inspected October 2024. Corrected by November 29, 2024.

  • Could cause more than minimal harm, a pattern Nutrition and Dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Inspected October 2024. Corrected by November 29, 2024.

Show 4 more
  • Could cause more than minimal harm, a pattern Resident Assessment and Care Planning

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Inspected October 2024. Corrected by November 29, 2024.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Inspected October 2024. Corrected by November 29, 2024.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Plan the resident's discharge to meet the resident's goals and needs.

    Inspected October 2024. Corrected by November 29, 2024.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide safe and appropriate respiratory care for a resident when needed.

    Inspected October 2024. Corrected by November 29, 2024.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Montana Mental Health Nursing Home offers nursing home care and senior living.

Facility details

  • Organization type Government - State
  • Beds / units 117
  • Occupancy 62%
  • Nursing hours per resident/day 7.0
  • Annual staff turnover 54%
  • Last health inspection October 2024

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