The home failed to provide enough food and fluids to keep residents healthy. Cited July 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 692 — 42 CFR §483.25(g) — S/S: G
Nursing home report
MONTANA MENTAL HEALTH NURSING HOME
LEWISTOWN, MT · Medicare-certified · 117 beds
In good standing
Government-run
Data as of September 1, 2026
4 of 5 overall
Montana Mental Health Nursing Home in Lewistown has a 4 out of 5 overall rating, with strong staffing at 5 stars and reported nurse staffing above the federal benchmark (6.95 vs 4.1 hours per resident per day). Health inspections and quality measures are both 3 stars, there were no fines in the last 24 months, and recent inspection citations included food/fluids, accident hazards/supervision, and transfer/discharge notification issues.
Facility ratings
Health inspections
Staffing
6.9501 hrs/resident/day
Quality measures
Last inspection: November 19, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 6.9501.
Staffing detail
- Registered nurses
- 1.68
- Licensed practical nurses
- 0.07
- Nurse aides
- 5.21
- Weekend nursing
- 6.45
Hours per resident per day.
Total staff turnover: 54%
Registered nurse turnover: 44%
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
77.3%85.2%Worsening
Residents with a fall causing major injury
0%6.7%Worsening
Residents with pressure ulcers (bedsores)
2.9%4.6%Worsening
Residents with a urinary tract infection
4.5%8%Worsening
Residents who lost too much weight
1.5%2.7%Worsening
Residents who were physically restrained
3%0%Improving
Residents needing more help with daily activities
9.7%21.7%Worsening
Residents whose ability to walk got worse
14.9%15.9%Worsening
Long-stay residents on antianxiety or sleep medication
33.3%26.7%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
9.3%23.4%Worsening
Residents with depressive symptoms
3.1%1.4%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
—95.6%—
Long-stay residents given the pneumonia vaccine
100%98.7%Worsening
Short-stay residents given the pneumonia vaccine
—55%—
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited August 2022 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to notify the resident and family in time before a transfer or discharge, including their right to appeal. Cited August 2022 — widespread issue, potential for harm.
View the original federal record
F-Tag 623 — 42 CFR §483.15 — S/S: F
The home failed to ensure its staff were vaccinated for COVID-19. Cited August 2022 — widespread issue, potential for harm.
View the original federal record
F-Tag 888 — 42 CFR §483.80 — S/S: F
The nursing home failed to protect residents from abuse and neglect by others. Cited November 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
Penalties & enforcement
On record with Medicare: 1 payment denial.
- 33 days
Medicare/Medicaid payment denial
Oct 23, 2024
Operator & ownership
- Ownership
- Government - State
- Occupancy
- 72.3 residents on an average day (62% of 117 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 35 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.