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Nursing home report

COONEY HEALTHCARE AND REHABILITATION

HELENA, MT · Medicare-certified · 90 beds

Needs attention
Special Focus candidateAbuse citationFor-profitChain member
1 of 5 overall

Overall rating: 1 of 5 stars. COONEY HEALTHCARE AND REHABILITATION is a Special Focus Facility candidate with 1-star health inspections, 2-star staffing and quality, reported nurse staffing of 2.70 hours per resident per day versus the 4.1 federal benchmark, and $275,618 in fines over the last 24 months.

Facility ratings

Health inspections

Staffing

2.6967 hrs/resident/day

Quality measures

Last inspection: December 31, 2025Penalties, last 24 months: $275,618special focus facility

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.6967.

Staffing detail

Registered nurses
0.84
Licensed practical nurses
0.41
Nurse aides
1.44
Weekend nursing
1.96

Hours per resident per day.

Total staff turnover: 85%
Registered nurse turnover: 57%

Resident outcomes

How often residents experience these outcomes, with the direction over the past year.

Long-stay residents on antipsychotic medication

35.7%Improving

Residents with a fall causing major injury

6.2%Worsening

Residents with pressure ulcers (bedsores)

12.7%Worsening

Residents with a urinary tract infection

1%Worsening

Residents who lost too much weight

6.2%Improving

Residents who were physically restrained

0%Steady

Residents needing more help with daily activities

30.1%Improving

Residents whose ability to walk got worse

28.2%Improving
Show all measures

Long-stay residents on antianxiety or sleep medication

18.3%Worsening

Short-stay residents newly given an antipsychotic

0%Steady

Residents with a long-term catheter

5.2%Improving

Residents with new or worsening incontinence

29.4%Improving

Residents with depressive symptoms

5.6%Improving

Long-stay residents given the seasonal flu vaccine

36.2%Steady

Long-stay residents given the pneumonia vaccine

86.7%Improving

Short-stay residents given the seasonal flu vaccine

50%Steady

Short-stay residents given the pneumonia vaccine

58.9%Worsening

What the inspectors found

The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited May 2024 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 684 — 42 CFR §483.25 — S/S: J

The nursing home failed to protect residents from abuse and neglect by others. Cited December 2025 — isolated incident, actual harm.

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F-Tag 600 — 42 CFR §483.12 — S/S: G

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited September 2025 — isolated incident, actual harm.

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F-Tag 689 — 42 CFR §483.25(d) — S/S: G

The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited September 2025 — isolated incident, actual harm.

View the original federal record

F-Tag 686 — 42 CFR §483.25(b) — S/S: G

The home failed to provide safe, appropriate pain management for a resident who needed it. Cited September 2025 — isolated incident, actual harm.

View the original federal record

F-Tag 697 — 42 CFR §483.25(k) — S/S: G

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 7 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 20 health deficiencies.

    See what inspectors found
  5. PENALTY

    A federal payment denial was recorded.

  6. PENALTY

    A federal fine of $156,205 was recorded.

  7. PENALTY

    A federal fine of $22,315 was recorded.

  8. PENALTY

    A federal fine of $44,363 was recorded.

  9. PENALTY

    A federal fine of $52,735 was recorded.

Penalties & enforcement

On record with Medicare: 5 fines · $309,694 in total fines · 1 payment denial.

  • Medicare/Medicaid payment denial

    Aug 6, 2025

    95 days
  • Federal fine

    Aug 6, 2025

    $156,205
  • Federal fine

    Aug 6, 2025

    $22,315
  • Federal fine

    Aug 15, 2024

    $44,363
  • Federal fine

    May 2, 2024

    $52,735
  • Federal fine

    Aug 17, 2023

    $34,076

Operator & ownership

Ownership
For profit - Limited Liability company
Chain
Part of EDURO HEALTHCARE · 35 homes · 2.3 stars avg
Occupancy
65.8 residents on an average day (73% of 90 beds)
Resident voice
Resident council
Medicare history
Certified for 49 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.