Beartooth Rehabilitation and Nursing LLC
Columbus, Montana
Skilled nursing facility in Columbus, MT and a 1-star CMS overall rating.
Beartooth Rehabilitation and Nursing LLC is a skilled nursing facility in Columbus, Montana.
Address: 350 W Pike Ave, Columbus, MT 59019. Phone: (406) 290-5070.
Ownership: For profit - Corporation. Certified for Medicare and Medicaid. Automatic sprinkler systems in all required areas. Has a resident council. Part of the The Charly Bello Family, the Maze Family, the Swain Family, & Walter Myers chain.
CMS Five-Star ratings (source: Medicare Care Compare): overall 1 of 5, health inspections 1, staffing 4, quality measures 2.
Levels of care
- Skilled nursing
Facility details
- Street address
- 350 W Pike Ave
- City
- Columbus
- State
- Montana
- ZIP code
- 59019
- Phone
- (406) 290-5070
- Levels of care
- Skilled nursing
- Payment options accepted
- Medicare, Medicaid
- Cms Ccn
- 275159
- County
- Stillwater
- Ownership Type
- For profit - Corporation
- Provider Type
- Medicare and Medicaid
- Avg Daily Residents
- 41.8
- Continuing Care Community
- No
- Resident Family Council
- Resident
- Sprinklers All Areas
- Yes
- Medicare Medicaid Approved Date
- 2024-12-18
- Chain Name
- The Charly Bello Family, the Maze Family, the Swain Family, & Walter Myers
- Overall Rating
- 1
- Health Inspection Rating
- 1
- Staffing Rating
- 4
- Quality Measure Rating
- 2
- Special Focus Facility
- SFF Candidate
- Total Nurse Hours Per Resident Day
- 2.94934
- Rn Hours Per Resident Day
- 0.83908
- Latitude
- 45.6391
- Longitude
- -109.26
Medicare & Medicaid quality data
Published by the Centers for Medicare & Medicaid Services (CMS) [1] , data as of October 1, 2026. CMS ID 275159. Ratings compare this home with other nursing homes; they are not a pass or fail.
CMS overall rating
1 / 5
Much below average- Residents per day
- 44
- Ownership
- For profit - Corporation
- Health citations (latest)
- 25
- Fines
- 2 ($50,592)
Star ratings
CMS rates every certified nursing home from 1 to 5 stars in three areas and combines them into an overall rating. The ratings compare homes with each other: 5 is much above average, 3 is average, 1 is much below average.
Overall rating
Much below averageThe headline score, from 1 to 5 stars.
✗ Worse than the state average. State 2.9 · National 3.0
How is this scored?
Three steps: start with the health inspection stars; add one star if staffing is 5 stars (subtract one if it is 1 star); then add one star if quality measures are 5 stars (subtract one if 1 star). It never goes above 5 or below 1, and a home with 1 health inspection star can gain at most one star from the other two. It compares homes with each other; it is not a pass/fail grade. [11]
Health inspections
Much below averageHow the home did in recent state inspections and complaint investigations.
✗ Worse than the state average. State 2.8 · National 2.8
How is this scored?
Based on the two most recent annual inspections plus 36 months of complaint and infection-control inspections, and on how many revisits were needed to confirm fixes. Each citation is weighted by scope and severity. Homes are then ranked within their own state: the best 10% (lowest scores) earn 5 stars, the middle 70% earn 2, 3 or 4 stars in equal shares, and the worst 20% earn 1 star. [11]
Staffing
Below averageHow many nurses care for each resident, and how stable the nursing team is.
✗ Worse than the state average. State 3.5 · National 3.0
How is this scored?
Six measures: three of staffing level (total nurse, registered nurse and weekend nurse hours per resident per day, adjusted for how much care residents need) and three of turnover (nursing staff, RNs and administrators). The hours come from payroll records submitted to CMS each quarter; turnover uses six quarters of that data. [11]
Quality measures
Below averageHow residents are actually doing.
✗ Worse than the state average. State 3.2 · National 3.7
How is this scored?
Scores 15 quality measures drawn from resident assessments (the Minimum Data Set) and Medicare claims, such as falls with major injury, pressure ulcers, rehospitalizations and medication use. Long-stay and short-stay residents are rated separately and combined. [11]
This home State average National average
- Long-stay quality
- Residents who live in the home: outcomes such as falls, pressure ulcers and medication use.
Flags CMS attaches to this home
- ⚑ Abuse citation. Care Compare flags homes cited for abuse where residents were harmed (severity G or higher) in the latest inspection or in the past 12 months, or cited repeatedly for abuse where residents could have been harmed (severity D or higher). [11]
- ⚑ Special Focus Facility: SFF Candidate. CMS's program for homes with a history of serious quality problems. Homes currently in it get no star ratings; candidates are rated but may be added to the program. [11]
How to read the numbers on this page
- Star ratings — 1 to 5 (no stars = not rated)
- 5 is much above average and 1 is much below average, compared with other nursing homes. A home with too little data may have no rating.
- Health inspection score — 0 and up, lower is better
- Points added up from citations (see the scope and severity grid) and revisits. 0 means a clean record; the state table shows which scores earn which stars.
- Quality measure percentages — 0 to 100%
- The share of residents with an outcome, such as a fall with major injury. For most measures a lower percentage is better; for vaccination measures a higher percentage is better.
- Nurse hours per resident per day — Hours, higher is better
- Paid nursing time divided by residents. For example 4.0 means each resident gets about four hours of nursing care a day, shared across all shifts.
- Staff turnover — 0 to 100%, lower is better
- The share of nursing staff who left during the year. High turnover can mean less continuity of care.
- Case-mix index — Around 1.0 is typical
- How much care the residents need. Above 1 means sicker or more dependent residents who need more staff time.
- Fines — Dollars; payment denials in days
- Penalties CMS imposed for serious or repeated problems. A payment denial stops Medicare/Medicaid payment for new admissions.
Sources: Nursing Home Provider Information [1] ; Nursing Home State & National Averages [9] ; Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide [11]
Staffing & turnover
More nursing time per resident and a steadier team are both signs of better care. Hours come from payroll records the home submits to CMS each quarter.
Nurse hours per resident per day, by role
A resident's day is 24 hours; this is how much paid nursing time each resident gets, shared across all shifts.
RN 0.72 · LPN 0.34 · Nurse aide 1.79. What the home's payroll records show.
RN 0.53 · LPN 0.65 · Nurse aide 1.78. What CMS predicts a home with these residents' needs would staff.
RN 0.94 · LPN 0.45 · Nurse aide 2.34. The reported hours rescaled so homes with sicker or healthier residents can be compared fairly.
Compared with MT and the nation
This home State average National average
- Total nurse hours (hrs/resident/day, higher is better)
- 2.86
✗ Worse than the state average. State 4.02 · National 3.90
- Registered nurse (RN) hours (hrs/resident/day, higher is better)
- 0.72
✗ Worse than the state average. State 0.92 · National 0.69
- Licensed nurse hours (RN + LPN) (hrs/resident/day, higher is better)
- 1.06
✗ Worse than the state average. State 1.46 · National 1.55
- Nurse aide hours (hrs/resident/day, higher is better)
- 1.79
✗ Worse than the state average. State 2.56 · National 2.35
- Weekend total nurse hours (hrs/resident/day, higher is better)
- 2.50
✗ Worse than the state average. State 3.53 · National 3.43
- Weekend RN hours (hrs/resident/day, higher is better)
- 0.65
≈ About the state average. State 0.65 · National 0.48
- Physical therapist hours (hrs/resident/day, higher is better)
- 0.00
✗ Worse than the state average. State 0.06 · National 0.07
- Nursing case-mix index (index)
- 1.07
State 1.19 · National 1.41
Turnover is the share of nursing staff who left over the year. The case-mix index shows how much care residents need: about 1.0 is typical, higher means more dependent residents.
Sources: Nursing Home Provider Information [1] ; Nursing Home State & National Averages [9] ; Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide [11]
Inspections
State inspectors visit each home about once a year and investigate complaints. Every problem they cite is a deficiency, lettered A to L by how serious and how widespread it was.
Health inspection score
386.5 points — in MT that earns (Much below average).
Lower is better. The score adds up points for every citation (more for serious, widespread problems) and for revisits needed to confirm fixes, then weights recent inspections most. [11]
Score needed for each star in MT [10]
- 5 ★
- 0.000-31.500
- 4 ★
- 31.501-49.250
- 3 ★
- 49.251-84.750
- 2 ★
- 84.751-135.375
- 1 ★ (this home)
- >135.375
| Period | Inspection | Citations (complaint) | Citation points | Revisits | Revisit points | Total |
|---|---|---|---|---|---|---|
| Most recent cycle | Feb 10, 2026 | 25 (9) | 291 | 2 | 146 | 437 |
| Prior cycles (2 and 3) | Dec 5, 2024 | 23 (15) | 235 | 1 | 0 | 235 |
Health citations per inspection
Feb 10, 2026
Dec 5, 2024
State average for that cycle. Fewer is better.
Fire-safety citations per inspection
Feb 10, 2026
Dec 5, 2024
State average for that cycle. Fewer is better.
What the latest health inspection cited
- Emergency Preparedness 8
- Administration 5
- Freedom from Abuse and Neglect and Exploitation 4
- Quality of Life and Care 4
- Resident Assessment and Care Planning 3
- Resident Rights 3
- Nutrition and Dietary 3
- Nursing and Physician Services 2
- Infection Control 1
What the latest fire-safety inspection cited
- Egress 3
- Smoke 2
- Miscellaneous 2
- Gas and Vacuum and Electrical Systems 1
How serious were the citations?
Each health citation gets a letter. The number in each cell is how many of this home's citations got that letter; the points show what each letter adds to the health inspection score. Citations where care was substandard score higher than shown. [11]
| Isolated (a few residents) | Pattern (some residents) | Widespread (many residents) | |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J · 50 pts 2 | K · 100 pts 0 | L · 150 pts 0 |
| Actual harm, not immediate jeopardy | G · 20 pts 3 | H · 35 pts 0 | I · 45 pts 0 |
| No actual harm, potential for more than minimal harm | D · 4 pts 25 | E · 8 pts 9 | F · 16 pts 9 |
| No actual harm, potential for minimal harm only | A · 0 pts 0 | B · 0 pts 0 | C · 0 pts 0 |
Darker cells mean more citations. Counts cover every health citation CMS lists for this home.
All health citations (48) [2]
Inspection on Aug 26, 2026 · 5 citations
-
D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has plan of correction (Sep 23, 2026) · From a complaint
-
G
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
F0806 · Nutrition and Dietary Deficiencies · Deficient, Provider has plan of correction (Sep 23, 2026) · From a complaint
-
D
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
F0726 · Nursing and Physician Services Deficiencies · Deficient, Provider has plan of correction (Sep 23, 2026) · From a complaint
-
D
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
F0947 · Nursing and Physician Services Deficiencies · Deficient, Provider has plan of correction (Sep 26, 2026) · From a complaint
-
D
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.
F0578 · Resident Rights Deficiencies · Past Non-Compliance (Jul 17, 2026) · From a complaint
Inspection on Feb 10, 2026 · 20 citations
-
E
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
F0847 · Administration Deficiencies · Deficient, Provider has date of correction (Mar 20, 2026)
-
F
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
F0837 · Administration Deficiencies · Deficient, Provider has date of correction (Mar 20, 2026)
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Apr 27, 2026) · From a complaint
-
F
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
F0801 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Mar 25, 2026)
-
F
Have a plan that describes the process for conducting QAPI and QAA activities.
F0865 · Administration Deficiencies · Deficient, Provider has date of correction (Mar 20, 2026)
-
E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Mar 20, 2026)
-
F
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
F0838 · Administration Deficiencies · Deficient, Provider has date of correction (Mar 20, 2026)
-
D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Mar 20, 2026)
-
D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
F0688 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Mar 20, 2026)
-
D
Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Mar 20, 2026) · From a complaint
-
D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
F0742 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Mar 20, 2026)
-
E
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Mar 20, 2026) · From a complaint
-
F
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
F0835 · Administration Deficiencies · Deficient, Provider has date of correction (Mar 20, 2026)
-
D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Mar 20, 2026)
-
D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Mar 20, 2026)
-
F
Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · Deficient, Provider has date of correction (Mar 20, 2026)
-
F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Mar 20, 2026)
-
E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
F0584 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Mar 20, 2026)
-
E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Mar 20, 2026) · From a complaint
-
D
Provide activities to meet all resident's needs.
F0679 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Mar 20, 2026)
Inspection on Sep 4, 2025 · 12 citations
-
D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Oct 3, 2025) · From a complaint
-
D
Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Oct 3, 2025) · From a complaint
-
D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Oct 3, 2025) · From a complaint
-
D
Assess the resident when there is a significant change in condition
F0637 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Oct 3, 2025) · From a complaint
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Oct 3, 2025) · From a complaint
-
G
Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Oct 3, 2025) · From a complaint
-
F
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
F0868 · Administration Deficiencies · Deficient, Provider has date of correction (Oct 3, 2025) · From a complaint
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Oct 3, 2025) · From a complaint
-
D
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
F0640 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Oct 3, 2025) · From a complaint
-
F
Have a plan that describes the process for conducting QAPI and QAA activities.
F0865 · Administration Deficiencies · Deficient, Provider has date of correction (Oct 3, 2025) · From a complaint
-
E
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
F0628 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Oct 3, 2025) · From a complaint
-
D
Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Oct 3, 2025) · From a complaint
Inspection on Jul 31, 2025 · 3 citations
-
D
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
F0584 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Aug 22, 2025) · From a complaint
-
E
Honor 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.
F0585 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Aug 22, 2025) · From a complaint
-
D
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
F0577 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Aug 22, 2025) · From a complaint
Inspection on Dec 5, 2024 · 8 citations
-
D
Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jan 3, 2025)
-
D
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
F0584 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jan 3, 2025)
-
D
Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jan 3, 2025)
-
E
Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · Deficient, Provider has date of correction (Jan 3, 2025)
-
D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Jan 3, 2025)
-
E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Jan 3, 2025)
-
D
Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Jan 3, 2025)
-
D
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.
F0758 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Jan 3, 2025)
All fire-safety citations (36) [3]
Inspection on Feb 10, 2026 · 16 citations
-
F
Conduct testing and exercise requirements.
E0039 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Mar 20, 2026)
-
F
Develop Emergency Preparedness policies and procedures.
E0013 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Mar 20, 2026)
-
F
Have generator or other power source capable of supplying service within 10 seconds.
K0918 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Mar 20, 2026)
-
F
Conduct risk assessment and an All-Hazards approach.
E0006 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Mar 20, 2026)
-
E
Meet other general requirements that are deficient.
K0300 · Egress Deficiencies · Deficient, Provider has date of correction (Mar 20, 2026)
-
F
List the names and contact information of those in the facility.
E0030 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Mar 20, 2026)
-
F
Have simulated fire drills held at unexpected times.
K0712 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (Mar 20, 2026)
-
F
Develop a communication plan.
E0029 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Mar 20, 2026)
-
F
Install emergency lighting that can last at least 1 1/2 hours.
K0291 · Egress Deficiencies · Deficient, Provider has date of correction (Mar 20, 2026)
-
E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
K0222 · Egress Deficiencies · Deficient, Provider has date of correction (Mar 20, 2026)
-
F
Inspect, test, and maintain automatic sprinkler systems.
K0353 · Smoke Deficiencies · Deficient, Provider has date of correction (Apr 2, 2026)
-
F
Develop and maintain an Emergency Preparedness Program (EP).
E0004 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Mar 20, 2026)
-
F
Establish emergency prep training and testing.
E0036 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Mar 20, 2026)
-
F
Establish staff and initial training requirements.
E0037 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Mar 20, 2026)
-
D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
K0321 · Smoke Deficiencies · Deficient, Provider has date of correction (Mar 20, 2026)
-
E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
K0741 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (Mar 20, 2026)
Inspection on Dec 5, 2024 · 20 citations
-
F
Properly select, install, inspect, or maintain portable fire extinguishes.
K0355 · Smoke Deficiencies · Deficient, Provider has date of correction (Jan 8, 2025)
-
E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
K0211 · Egress Deficiencies · Deficient, Provider has date of correction (Jan 8, 2025)
-
F
Ensure that testing and maintenance of electrical equipment is performed.
K0921 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Jan 8, 2025)
-
F
Establish staff and initial training requirements.
E0037 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Jan 8, 2025)
-
D
Meet requirements for the installation and maintenance of electrical systems.
K0911 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Jan 8, 2025)
-
F
Develop and maintain an Emergency Preparedness Program (EP).
E0004 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Jan 8, 2025)
-
E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
K0321 · Smoke Deficiencies · Deficient, Provider has date of correction (Jan 8, 2025)
-
F
Install emergency lighting that can last at least 1 1/2 hours.
K0291 · Egress Deficiencies · Deficient, Provider has date of correction (Jan 8, 2025)
-
F
Have a battery powered remote alarm panel in a location accessible by operating personnel.
K0916 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Jan 8, 2025)
-
F
Conduct risk assessment and an All-Hazards approach.
E0006 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Jan 8, 2025)
-
F
Establish emergency prep training and testing.
E0036 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Jan 8, 2025)
-
F
Have power receptacles that are properly grounded.
K0912 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Jan 8, 2025)
-
F
Establish roles under a Waiver declared by secretary.
E0026 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Jan 8, 2025)
-
F
Have generator or other power source capable of supplying service within 10 seconds.
K0918 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Jan 8, 2025)
-
F
Provide emergency officials' contact information.
E0031 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Jan 8, 2025)
-
F
Conduct testing and exercise requirements.
E0039 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Jan 8, 2025)
-
E
Have exits that are accessible at all times.
K0271 · Egress Deficiencies · Deficient, Provider has date of correction (Jan 8, 2025)
-
F
Inspect, test, and maintain automatic sprinkler systems.
K0353 · Smoke Deficiencies · Deficient, Provider has date of correction (Jan 8, 2025)
-
F
Have simulated fire drills held at unexpected times.
K0712 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (Jan 8, 2025)
-
F
Provide family notifications of emergency plan.
E0035 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Jan 8, 2025)
Sources: Nursing Home Provider Information [1] ; Nursing Home Survey Summary [4] ; Nursing Home Health Deficiencies [2] ; Nursing Home Fire Safety Deficiencies [3] ; Nursing Home Health Inspection Cut Points [10] ; Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide [11]
Fines & penalties
CMS can fine a home or stop Medicare and Medicaid payments for new admissions when problems are serious or keep recurring. Most homes have none.
- Fines
- 2 State avg 1.6 · National 0.9
- Total fined
- $50,592 State avg 56,576 · National 30,351
- Payment denials
- 1 Periods with no Medicare/Medicaid payment for new admissions
Fines by year
| Date | Type | Amount | Payment denial |
|---|---|---|---|
| Feb 10, 2026 | Fine | $32,988 | — |
| Feb 10, 2026 | Payment Denial | — | 41 days from Mar 17, 2026 |
| Sep 4, 2025 | Fine | $17,604 | — |
Sources: Nursing Home Provider Information [1] ; Nursing Home Penalties [5] ; Nursing Home State & National Averages [9]
Resident quality measures
These measure what actually happens to residents, as a percentage from 0 to 100 (or events per 1,000 resident days). For almost all of them a lower number is better; the vaccination measures are the exception and are marked. A star means the measure counts toward the quality star rating.
This home State average National average
Long-stay residents (14) [7]
Residents who live in the home. From their regular health assessments (the Minimum Data Set), averaged over four quarters. Period: 2025Q3-2026Q2.
- Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Higher is better
- 99.3
✓ Better than the state average. State 96.7 · National 93.7
- Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Higher is better
- 97.7
✓ Better than the state average. State 94.0 · National 95.3
- Percentage of long-stay residents experiencing one or more falls with major injury ★ Lower is better
- 9.1
✗ Worse than the state average. State 4.4 · National 3.2
- Percentage of long-stay residents who have depressive symptoms Lower is better
- 5.5
✓ Better than the state average. State 6.3 · National 13.5
- Percentage of long-stay residents who lose too much weight Lower is better
- 4.7
✓ Better than the state average. State 6.4 · National 5.1
- Percentage of long-stay residents who received an antianxiety or hypnotic medication Lower is better
- 15.3
≈ About the state average. State 15.4 · National 19.5
- Percentage of long-stay residents who received an antipsychotic medication ★ Lower is better
- 28.0
✗ Worse than the state average. State 20.7 · National 15.4
- Percentage of long-stay residents who were physically restrained Lower is better
- 0.0
✓ Better than the state average. State 0.6 · National 0.1
- Percentage of long-stay residents whose ability to walk independently worsened ★ Lower is better
- 14.4
✓ Better than the state average. State 16.1 · National 12.7
- Percentage of long-stay residents whose need for help with daily activities has increased ★ Lower is better
- 20.5
✗ Worse than the state average. State 18.5 · National 13.5
- Percentage of long-stay residents with a catheter inserted and left in their bladder ★ Lower is better
- 2.1
≈ About the state average. State 2.0 · National 0.7
- Percentage of long-stay residents with a urinary tract infection ★ Lower is better
- 0.7
✓ Better than the state average. State 3.0 · National 1.5
- Percentage of long-stay residents with new or worsened bowel or bladder incontinence Lower is better
- 20.5
✓ Better than the state average. State 22.1 · National 18.3
- Percentage of long-stay residents with pressure ulcers ★ Lower is better
- 3.5
✓ Better than the state average. State 6.2 · National 4.5
Short-stay residents (3) [7]
Residents staying for rehab or recovery. From their health assessments, averaged over four quarters. Period: 2025Q3-2026Q2.
- Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Higher is better
- 91.5
✓ Better than the state average. State 84.1 · National 82.3
Long-stay residents: hospital use (2) [8]
Hospital stays and emergency visits found in Medicare claims, adjusted for how sick residents were. Period: 20250401-20260331.
- Number of hospitalizations per 1000 long-stay resident days ★ Lower is better · Expected for these residents: 1.8
- 2.0
✗ Worse than the state average. State 1.4 · National 1.8
- Number of outpatient emergency department visits per 1000 long-stay resident days ★ Lower is better · Expected for these residents: 1.9
- 2.6
✗ Worse than the state average. State 2.1 · National 1.7
Short-stay residents: hospital use (2) [8]
Rehospitalizations and emergency visits after admission, found in Medicare claims and adjusted for how sick residents were. Period: 20250401-20260331.
Sources: Nursing Home MDS Quality Measures [7] ; Nursing Home Medicare Claims Quality Measures [8] ; Nursing Home State & National Averages [9] ; Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide [11]
Ownership & operator
Who owns and runs a home can matter: for-profit, non-profit and chain-owned homes tend to differ on staffing and inspection results.
- Ownership type
- For profit - Corporation
- Legal business name
- BEARTOOTH REHABILITATION AND NURSING LLC
- Certified for
- Medicare and Medicaid
- Residents per day (average)
- 43.9
- In Medicare/Medicaid since
- Dec 18, 2024
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
- County
- Stillwater
- Located in a hospital
- No
Company profiles: The Charly Bello Family, The Maze Family, The Swain Family, & Walter Myers (22 homes, average 1.8 stars), White Ash LLC (3 homes, average 2.0 stars)
Part of THE CHARLY BELLO FAMILY, THE MAZE FAMILY, THE SWAIN FAMILY, & WALTER MYERS
One of 22 homes in this chain. Average star ratings across the chain (1 to 5):
- Overall
- 1.8
- Health inspections
- 1.9
- Staffing
- 1.9
- Quality
- 3.4
Owners, officers and managers (6) [6]
Operational/Managerial Control
- LAKE, BRANDY (individual, NOT APPLICABLE, since 07/15/2024)
- MACEWEN, JEFFREY (individual, NOT APPLICABLE, since 07/15/2024)
- OLMSTEAD, STACEY (individual, NOT APPLICABLE, since 01/01/2026)
5% Or Greater Indirect Ownership Interest
- LARSEN, KOLE (individual, 10%, since 07/15/2024)
Adp Of The Snf
- OLMSTEAD, STACEY (individual, NOT APPLICABLE, since 01/01/2026)
5% Or Greater Direct Ownership Interest
- WHITE ASH LLC (organization, 10%, since 02/15/2024)
Sources: Nursing Home Provider Information [1] ; Nursing Home Ownership [6]
Sources
All figures on this page come from the U.S. government's published nursing home data, as of October 1, 2026. We reproduce them without change except for rounding and layout; ratings, scores and flags are CMS's, not ours. Averages and comparisons use the state and national figures CMS publishes in the same release.
- 1. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Provider Information. Star ratings, staffing, turnover, inspection scores, fines, chain and flag data. https://data.cms.gov/provider-data/dataset/4pq5-n9py
- 2. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Health Deficiencies. Each health deficiency cited, with scope and severity. https://data.cms.gov/provider-data/dataset/r5ix-sfxw
- 3. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Fire Safety Deficiencies. Each fire-safety deficiency cited. https://data.cms.gov/provider-data/dataset/ifjz-ge4w
- 4. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Survey Summary. Deficiency totals by inspection cycle and category. https://data.cms.gov/provider-data/dataset/tbry-pc2d
- 5. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Penalties. Fines and payment denials. https://data.cms.gov/provider-data/dataset/g6vv-u9sr
- 6. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Ownership. Owners, officers, directors and managers. https://data.cms.gov/provider-data/dataset/y2hd-n93e
- 7. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home MDS Quality Measures. Quarterly quality measure scores from resident assessments. https://data.cms.gov/provider-data/dataset/djen-97ju
- 8. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Medicare Claims Quality Measures. Risk-adjusted quality measures from Medicare claims. https://data.cms.gov/provider-data/dataset/ijh5-nb2v
- 9. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home State & National Averages. State and national averages used for comparison. https://data.cms.gov/provider-data/dataset/xcdc-v8bm
- 10. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Health Inspection Cut Points. Score ranges that earn each health inspection star in a state. https://data.cms.gov/provider-data/dataset/hicp-9999
- 11. Centers for Medicare & Medicaid Services. Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide. How the star ratings, scope and severity points, and abuse and Special Focus flags are defined. https://www.cms.gov/medicare/provider-enrollment-and-certification/certificationandcomplianc/downloads/usersguide.pdf
- 12. Centers for Medicare & Medicaid Services. Medicare Care Compare. CMS's own consumer site, with the latest figures. https://www.medicare.gov/care-compare/
Attendant Homes is not affiliated with or endorsed by CMS. The data describes past inspections and reported figures and can be out of date or contain errors; it is not a recommendation. Confirm current information with the facility and on Medicare Care Compare [12] .
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