AWE KUALAWAACHE CARE CENTER in Crow Agency, MT has a 4 out of 5 star overall rating, with a 5-star health inspection rating and 4-star staffing, but a 1-star quality measures rating. Reported nurse staffing is 4.57 hours per resident day, above the federal benchmark of 4.1, and there were $0 in fines in the last 24 months.
Last inspection: May 8, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.569.
Staffing detail
Registered nurses
1.52
Licensed practical nurses
0.26
Nurse aides
2.79
Weekend nursing
3.97
Hours per resident per day.
Total staff turnover: 73%
Registered nurse turnover: 70%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
—30.9%—
Residents with a fall causing major injury
5%4%Improving
Residents with pressure ulcers (bedsores)
6.6%7.1%No change
Residents with a urinary tract infection
0%4%Worsening
Residents who lost too much weight
5%8.3%Worsening
Residents who were physically restrained
0%8%Worsening
Residents needing more help with daily activities
—40%—
Residents whose ability to walk got worse
—49.4%—
Long-stay residents on antianxiety or sleep medication
10%4.2%Improving
Residents with a long-term catheter
—2.2%—
Residents with new or worsening incontinence
—21.3%—
Residents with depressive symptoms
—0%—
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the pneumonia vaccine
—79.5%—
What the inspectors found
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited May 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited April 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 727 — 42 CFR §483.35 — S/S: F
The home failed to conduct and document a full facility assessment to ensure it had the resources needed for daily care and emergencies. Cited July 2024 — limited pattern, potential for harm.
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F-Tag 838 — 42 CFR §483.70 — S/S: E
The home failed to ensure staff got the needed behavior health training based on the facility’s own needs. Cited July 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 949 — 42 CFR §483.95 — S/S: E
The home failed to ensure staff provided basic life support, including CPR, before emergency medical personnel arrived. Cited April 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 678 — 42 CFR §483.24(a)(3) — S/S: E
Recent history
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
Operator & ownership
Ownership
Non profit - Other
Occupancy
20.6 residents on an average day (52% of 40 beds)
Resident voice
Resident council
Medicare history
Certified for 28 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.