Nursing home report
HELENA, MT · Medicare-certified · 90 beds
Cooney Healthcare and Rehabilitation in Helena has a 1-star overall rating, with 1-star health inspections, 2-star staffing and quality measures, and reported nurse staffing below the federal benchmark (2.63 vs 4.1 hours per resident per day). It is flagged as a Special Focus Facility candidate, has had $160,401 in fines in the last 24 months, and recent inspection concerns included treatment and care orders, abuse protection, and pressure ulcer care.
Health inspections
Staffing
2.6316 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.6316.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
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.
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.
F-Tag 600 — 42 CFR §483.12 — 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.
F-Tag 686 — 42 CFR §483.25(b) — 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.
F-Tag 689 — 42 CFR §483.25(d) — 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.
F-Tag 697 — 42 CFR §483.25(k) — S/S: G
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 2 health deficiencies.
Health inspection found 7 health deficiencies.
Health inspection found 20 health deficiencies.
A federal fine of $101,533 was recorded.
A federal fine of $14,505 was recorded.
A federal payment denial was recorded.
A federal fine of $156,205 was recorded.
A federal fine of $22,315 was recorded.
A federal fine of $44,363 was recorded.
A federal fine of $52,735 was recorded.
On record with Medicare: 5 fines · $247,212 in total fines · 1 payment denial.
Medicare/Medicaid payment denial
Aug 6, 2025
Federal fine
Aug 6, 2025
Federal fine
Aug 6, 2025
Federal fine
Aug 15, 2024
Federal fine
May 2, 2024
Federal fine
Aug 17, 2023
Now operated by Cooney Healthcare and Rehabilitation, previously Apple Rehab Cooney.
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.
