The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited May 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Nursing home report
MADISON VALLEY MANOR
ENNIS, MT · Medicare-certified · 32 beds
In good standing
Government-run
4 of 5 overall
Madison Valley Manor in Ennis, MT has an overall 4-star rating, with 4 stars for health inspections and staffing and 3 stars for quality measures. It reported 6.72 nurse staffing hours per resident per day versus the 4.1 federal benchmark, had no fines in the last 24 months, and recent inspection citations included food handling, equipment safety, and use of physical restraints.
Facility ratings
Health inspections
Staffing
6.7227 hrs/resident/day
Quality measures
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 6.7227.
Staffing detail
- Registered nurses
- 1.97
- Licensed practical nurses
- 0.21
- Nurse aides
- 4.54
- Weekend nursing
- 6.19
Hours per resident per day.
Total staff turnover: 78%
Registered nurse turnover: 86%
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
—7.9%—
Residents with a fall causing major injury
5%0%Improving
Residents with pressure ulcers (bedsores)
0%0%No change
Residents with a urinary tract infection
10%0%Improving
Residents who lost too much weight
—4.8%—
Residents who were physically restrained
5%5%No change
Residents needing more help with daily activities
—21.9%—
Residents whose ability to walk got worse
—14%—
Long-stay residents on antianxiety or sleep medication
—16.7%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
—28.3%—
Residents with depressive symptoms
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
—90.5%—
Long-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
The nursing home failed to keep essential equipment working safely. Cited May 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 908 — 42 CFR §483.90 — S/S: F
The home failed to ensure residents were free from physical restraints unless they were needed for medical treatment. Cited May 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 604 — 42 CFR §483.12 — S/S: E
The home failed to provide required infection prevention training with clear written standards, policies, and procedures. Cited September 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 945 — 42 CFR §483.95 — S/S: E
The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited May 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 641 — 42 CFR §483.20(g) — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 9 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- Government - County
- Occupancy
- 18 residents on an average day (56% of 32 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 34 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.