The nursing home failed to provide services that met professional standards of quality. Cited March 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: E
Nursing home report
CREST NURSING HOME
BUTTE, MT · Medicare-certified · 103 beds
In good standing
For-profitChain member
5 of 5 overall
Crest Nursing Home in Butte, MT has an overall 5-star rating, with 5 stars for health inspections and quality measures but only 2 stars for staffing; reported nurse staffing is 3.41 hours per resident per day, below the federal benchmark of 4.1, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.4113 hrs/resident/day
Quality measures
Last inspection: April 10, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4113.
Staffing detail
- Registered nurses
- 0.54
- Licensed practical nurses
- 0.73
- Nurse aides
- 2.14
- Weekend nursing
- 3.14
Hours per resident per day.
Total staff turnover: 59%
Registered nurse turnover: 50%
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).
Long-stay residents on antipsychotic medication
20%32.1%Worsening
Residents with a fall causing major injury
4.7%5.6%Worsening
Residents with pressure ulcers (bedsores)
12.5%10.4%Improving
Residents with a urinary tract infection
4.7%0%Improving
Residents who lost too much weight
0%0%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
8.8%3.2%Improving
Residents whose ability to walk got worse
—13.8%—
Long-stay residents on antianxiety or sleep medication
10%8.8%Improving
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
5.6%2.8%Improving
Residents with depressive symptoms
2.5%0%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—97.8%—
Long-stay residents given the pneumonia vaccine
100%86.1%Worsening
Short-stay residents given the seasonal flu vaccine
—91.1%—
Short-stay residents given the pneumonia vaccine
97.6%90.9%Worsening
What the inspectors found
The home failed to provide safe and appropriate breathing care when a resident needed it. Cited March 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 695 — 42 CFR §483.25(i) — S/S: E
The home failed to safeguard residents’ private information and keep each resident’s medical records properly maintained. Cited April 2025 — isolated incident, potential for harm.
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F-Tag 842 — 42 CFR §483.70 — S/S: D
The home failed to clearly tell residents or their representatives that they could refuse a binding arbitration agreement. Cited April 2025 — isolated incident, potential for harm.
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F-Tag 847 — 42 CFR §483.70 — S/S: D
The home failed to properly reduce or limit psychotropic medication use and try safer non-drug approaches when appropriate. Cited March 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 758 — 42 CFR §483.45(e) — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of REAL PROPERTY HEALTH FACILITIES · 9 homes · 3.9 stars avg
- Occupancy
- 43.9 residents on an average day (43% of 103 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 38 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.