The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited April 2023 — limited pattern, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: H
Nursing home report
PARK PLACE TRANSITIONAL CARE AND REHABILITATION
GREAT FALLS, MT · Medicare-certified · 189 beds
Needs attention
For-profitChain member
4 of 5 overall
PARK PLACE TRANSITIONAL CARE AND REHABILITATION has a 4-star overall rating, with strong quality measures and staffing ratings, but its nurse staffing is below the federal benchmark (3.47 vs 4.1 hours per resident per day). It also had a recent federal penalty, $42,770 in fines over the last 24 months, and inspection citations related to pressure ulcer care, food/fluids, and resident protection from abuse and neglect.
Facility ratings
Health inspections
Staffing
3.4723 hrs/resident/day
Quality measures
Last inspection: August 6, 2025Penalties, last 24 months: $42,770recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4723.
Staffing detail
- Registered nurses
- 0.81
- Licensed practical nurses
- 0.88
- Nurse aides
- 1.78
- Weekend nursing
- 2.88
Hours per resident per day.
Total staff turnover: 31%
Registered nurse turnover: 18%
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
27.4%19.5%Improving
Residents with a fall causing major injury
0.9%2.5%Worsening
Residents with pressure ulcers (bedsores)
10.1%9.4%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
5%10.9%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
6.5%5.2%Improving
Residents whose ability to walk got worse
5.4%2.4%Improving
Long-stay residents on antianxiety or sleep medication
17.3%15.5%Improving
Short-stay residents newly given an antipsychotic
3.2%1.1%Improving
Residents with a long-term catheter
0.9%0%Improving
Residents with new or worsening incontinence
23.7%23.5%No change
Residents with depressive symptoms
9%10%Worsening
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
—100%—
Long-stay residents given the pneumonia vaccine
100%98.3%Worsening
Short-stay residents given the seasonal flu vaccine
—76.8%—
Short-stay residents given the pneumonia vaccine
95.9%90.1%Worsening
What the inspectors found
The home failed to provide enough food and fluids to keep residents healthy. Cited April 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 692 — 42 CFR §483.25(g) — S/S: G
The nursing home failed to protect residents from abuse and neglect by others. Cited December 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited October 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited April 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: G
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
- PENALTY
A federal fine of $42,770 was recorded.
- INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 4 fines · $104,142 in total fines.
- $42,770
Federal fine
Apr 24, 2025
- $21,133
Federal fine
Mar 28, 2024
- $17,014
Federal fine
Dec 4, 2023
- $23,225
Federal fine
Oct 25, 2023
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of SWEETWATER CARE · 10 homes · 2.5 stars avg
- Occupancy
- 140.1 residents on an average day (74% of 189 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 59 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.