2621 15th Ave S, Great Falls, MT 59405 · Cascade County · (406) 455-5903
64 certified beds, about 60 residents a day · Non profit - Corporation · Medicare and Medicaid since 1967
CMS Care Compare ratings, data as of September 1, 2026 · CCN 275012 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on July 16, 2026, inspectors cited 6 health deficiencies (the Montana average is 11.2, the national average 9.2).
Of 29 health citations since January 2024, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 2 fines totaling $99,129 in the last three years; the largest was $62,752, and the latest is dated October 23, 2025.
Nurses and nurse aides worked 4.15 hours per resident per day, against 4.05 across Montana and 3.86 nationally. Registered nurses accounted for 1.09 of those hours.
53.4% of nursing staff left within the year CMS measured (Montana average 54.8%).
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 29 health citations on file.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure there was an adequate number of staff available to provide resident care needs promptly when residents requested assistance using their call lights or when they needed help with ADL care, for 4 (#s 3, 20, 34, and 59) of 23 sampled and supplemental residents. The failure resulted in the residents being frustrated and going without care for extended periods of time.
Inspectors wroteBased on observation, interview, and record review, the facility failed to follow training during resident care and use proper hand hygiene, to include when gloves were used, between dirty and clean procedures for 2 (#3 and #4) out of 2 residents observed for peri-care and wound care; and failed to ensure staff used proper hand hygiene during the medication pass for 4 (#s 2, 4, 56, and 73) out of 6 residents sampled for medication administration. This deficient practice increased the risk of the spread of infection.
Inspectors wroteBased on interview and record review, the facility failed to protect the resident's right to be free from neglect of care by a staff member for 1 (#65) of 6 residents sampled for neglect of care. The neglect of care placed the resident at an increased the likelihood of adverse events related to incontinence and immobility.
Inspectors wroteBased on interview and record review, the facility failed to report allegations of resident abuse to the State Survey Agency within 24 hours of the incident for 2 (#s 4 and 74) of 23 sampled and supplemental residents.
Inspectors wroteBased on interview and record review, the facility failed to notify the resident, the resident's representative, and the local Ombudsman of the reason, in writing, for the transfer or discharge and the Bed Hold information, if applicable, for 1 (#10) of 2 residents sampled for discharge or transfer.
Inspectors wroteBased on observation, interview, and record review, facility staff failed to provide safe, competent care while performing direct resident care and utilizing a mechanical lift during a transfer. The failures involved staff not performing appropriate hand hygiene (refer to F880 - Infection Control), failing to report a resident's pain, failing to safely supervise a resident while using a mechanical lift, and failing to keep a urinary drainage bag below the bladder to prevent urine backflow, for 1 (#3) of 16 sampled residents.
Inspectors wroteBased on interview and record review, the facility failed to promote a dependent resident's preferences, to ensure he received a shower when preferred, and on a shower day, he did not receive the shower as he requested, for 1 (#2) of 6 sampled residents. This deficient practice caused resident #2 to have feelings of frustration, feel trapped, and miss breakfast.
Inspectors wroteBased on interview and record review, the facility failed to ensure a resident was free from verbal abuse for 1 (#1) of 6 sampled residents. This deficient practice caused the resident to have feelings of sadness and withdrawal, and the facility identified the concerns, and addressed them prior to the survey.
Inspectors wroteBased on observation, interview, and record review, the facility failed to identify and investigate a major injury of unknown origin in a timely manner for a cognitively impaired resident, which was found to be a femur fracture, even though a staff member thought the resident's leg looked awkward for a while but neglected to address the concern. The surgeon treating the resident found the fracture was already healing and difficult to repair due to the delay in treatment for the injury of unknown origin, for 1 (#1) of 4 sampled residents. This deficient practice increased the risk of further injury, pain, and or decline in status for the resident and increased the risk of a negative outcome for other residents due to the injury not being identified and or investigated as potential abuse/neglect.
Inspectors wroteBased on interview, record review, and policy review, the facility failed to ensure a thorough investigation of alleged abuse and neglect was completed for a resident with a documented fracture for 1 (# 1) of 4 sampled residents; and failed to ensure other residents were protected from potential abuse during the investigation. This deficient practice had the potential to place all cognitively impaired residents at risk for abuse and neglect.
Inspectors wroteBased on observation, interview, record review, and policy review, the facility failed to provide necessary care and services consistent with the resident's assessed needs and care plan for repositioning, toileting, and pressure ulcer prevention, at least every two hours as directed by the plan of care for 1 (#1) of 4 sampled residents.
Inspectors wroteBased on observation, interview, record review, the facility failed to identify and respond to increased behaviors indicative of pain or distress in a cognitively impaired resident for 1 (#1) of 4 sampled residents.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to maintain sanitary linens during the handling and processing of laundry, as to prevent the spread of infection for the residents residing at the facility.
Inspectors wroteBased on observation, interview, and record review, the facility failed to review and revise comprehensive care plans for activities and food preferences for 5 (#s 39, 40, 74, 75, and 84) of 23 sampled residents.
Inspectors wroteDuring an observation on 6/17/25 at 2:10 p.m., three residents were sitting in the dining room. The television was on, and a German speaking movie was playing. The movie contained sexual scenes. The staff changed the channel to music. During an interview and observation on 6/17/25 at 2:30 p.m., staff member U said the most common activity on the memory care unit was Trivia. Staff member U said the staff take some of the residents to the main floor for church and dog visits. Staff member U said not many of the residents residing on the unit go on the outings, but two of the residents went fishing that day. The activity calendar showed a trip to Walmart was scheduled. During record review and observation on 6/18/25 at 10:35 a.m., the activity calendar showed the activity scheduled for the residents was crafts. [...]
Inspectors wrote2. During an initial observation on 6/16/25 at 2:00 p.m., resident #8 did not have access to any fluids while she was in her room. A review of resident #8's dietary information showed resident #8 was to receive thickened fluids. Review of resident #8's care plan, dated 2/25/24, showed the staff were to assist with and encourage food and fluid intake on mildly thick liquids. The care plan directed the staff to observe for signs and symptoms of dehydration. The staff were also to monitor and adjust the fluid intake and output. During an observation on 6/18/25 at 10:30 a.m., resident #8 had a pitcher of water at her bedside. The water in the pitcher was regular consistency, and it was not mildly thickened, as ordered. During an interview on 6/17/25 at 8:24 a.m., staff member I said some residents should have water pitchers. [...]
Inspectors wrote4. During an observation on 6/16/25 at 3:35 p.m., resident #77's call light was hanging off the light located over the bed. Resident #77 was lying in bed and could not reach the call light for use. During an interview on 6/17/25 at 2:10 p.m., staff member G said there were alarms attached to the resident's door, and the bathroom doors. Staff member G stated the cognitive residents should have a call light. Staff member G said the staff just check on the residents every couple of hours. Review of a facility policy, [Facility Name] Patient Call System, dated 6/2025, reflected: . The DON will verify the system is in working condition at all times . .The call system is located near the patient's bed and in the restroom . Based on observations, interviews, and record review, the facility failed to ensure residents had call lights available for 4 (#s 40, 74, 75, 77) of 23 sampled residents. [...]
Inspectors wroteBased on interview and record review, the facility failed to update a resident's code status from Full Code to DNR, in the facility's EHR for 1 (#5) of 23 sampled residents, and this failure increased the risk of the resident being resuscitated in a health crisis, when that was not the resident's preference or documented on the resident's POLST form.
Inspectors wroteBased on interview and record review, the facility failed to safeguard a resident's personal property when items were missing or sent to laundry and not returned, for 1 (#30) of 23 sampled residents, and the resident was missing a blanket that was very important to him, which was upsetting, and related to his faith.
Inspectors wroteBased on interviews and record review, the facility failed to develop a baseline care plan within 48 hours of admission that included the instructions needed to provide effective and person-centered care of the resident, and to meet professional standards of quality care, for 1 (#84) of 23 sampled residents.
Inspectors wroteBased on observation, interview, and record review, the facility failed to develop and implement a comprehensive person-centered care plan and follow the care plan for the resident, for 1 (#31) of 23 sampled residents.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to remove access to hand sanitizer containers, or hazardous liquids if consumed, when there was a resident residing in the area who had a recent history of drinking hand sanitizer, for 1 (#40) for 23 sampled residents.
Inspectors wrote2. During an observation on 6/16/25 at 4:37 p.m., resident #31 was in another resident's room. Resident #31 was observed rummaging through the property in the room. Resident #31 was in a wheel chair, and she was wedged between the other resident chair, and the bed. She was observed leaning far forward with her head near the floor, almost falling out of the chair forward. During an observation on 6/17/25 at 9:12 a.m., resident #31 was observed behind a nurse's station. Resident #31 was unable to be interviewed due to advanced dementia. A nurse removed resident #31 after she had been at the nursing station for some time. Resident #31 was not offered diversional activities during the time she was at the nursing station or after. During an interview on 6/17/25 at 2:10 p.m., staff member G said resident #31 cries and wanders down the hall in her chair. [...]
Inspectors wroteBased on interview and record review, the facility failed to ensure a referral was made for cognitive rehabilitation with a speech therapist for 1 (#5) of 23 sampled residents. This deficient practice increased the risk of the resident having a cognitive decline due to the lack of speech therapy treatment.
Inspectors wroteBased on observation, interview, and record review, the facility failed to have sufficient nursing staff to ensure residents call lights were answered in a timely manner and to address their safety and care needs timely for 4 (#s 1, 3, 4, 5) of 7 sampled residents. This deficient practice had the potential to result in residents not having their needs met.
Inspectors wroteBased on observation, interviews, and record review, the facility failed to ensure ADL cares were provided timely for 3 (#s 3, 4, and 5) of 7 sampled residents. This deficient practice had the potential to increase resident's risk for infections, skin breakdown, pain, and overall decline.
Inspectors wroteBased on observation, interview, and record review, the facility failed to individualize interventions for the dementia residents residing in the memory care unit; failed to assess the efficacy of the wanderguard intervention placed on each resident after an elopement; and failed to follow protocol when obtaining the verbal consent for the wanderguards for 3 (#s 7, 110, and 400) of 3 residents sampled for elopement concerns.
Inspectors wroteBased on interview and record review, the facility failed to identify, address, and obtain necessary services for the behavioral health care needs; failed to develop and implement person-centered care plans that included and supported the behavioral health care needs; and develop individualized interventions related to the resident's diagnosed conditions, for 2 (#s 13 and 71) of 5 sampled residents.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide necessary care and services for a dependent resident, and the resident had skin breakdown, was on hospice, needed assistance with toileting/care and repositioning for pressure relief, for 1 (#1) of 4 sampled residents. Without proper timely care, the resident's skin breakdown could worsen.
12 fire safety citations on file: 4 on July 16, 2026, 5 on June 19, 2025, 3 on June 20, 2024.
| Date | Penalty | Amount or length |
|---|---|---|
| October 23, 2025 | Fine | $36,377 |
| July 29, 2024 | Fine | $62,752 |
| July 29, 2024 | Payment Denial | 64 days from August 27, 2024 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Montana | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.15 | 4.05 | 3.86 |
| Registered nurses | 1.09 | 0.98 | 0.69 |
| All nursing staff on weekends | 3.78 | 3.59 | 3.42 |
| Nurse aides | 2.48 | ||
| Licensed practical nurses | 0.58 | ||
| Nursing staff turnover (share who left in a year) | 53.4% | 54.8% | 45.8% |
| Registered nurse turnover | 52.4% | 48.3% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.31 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.30 on weekdays and 3.78 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 2.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 2.70 in April to June 2025 to 4.15 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.15 | 1.09 | 4.30 | 3.78 | 2.4% | 0 of 90 | 60 |
| Oct to Dec 2025 | 3.79 | 0.88 | 3.92 | 3.47 | 2.6% | 0 of 92 | 61 |
| Jul to Sep 2025 | 3.62 | 0.90 | 3.78 | 3.22 | 0.2% | 0 of 92 | 63 |
| Apr to Jun 2025 | 2.70 | 0.63 | 2.84 | 2.33 | 0.0% | 0 of 91 | 87 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Montana, Jan to Mar 2026 | 3.91 | 0.89 | 4.10 | 3.46 | 11.6% | 0.4% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Montana, all employers | |||
| CNAs (nursing assistants) | $19.67 | $18.29 to $22.86 | 4,390 |
| LPNs and LVNs | $29.91 | $27.95 to $32.14 | 1,620 |
| Registered nurses | $41.00 | $38.56 to $48.46 | 10,950 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Montana | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 33.2 | 18.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 7.8 | 2.1 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.1 | 2.9 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 7.6 | 4.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 17.5 | 17.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.0 | 6.3 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 21.1 | 20.4 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 27.3 | 19.2 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 7.8 | 14.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.2 | 1.4 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.5 | 2.2 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Benefis Senior Services - Eastview's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (54.5% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
54.5% this home
No different from the national rate
US median of homes 51.5% · Montana: 7 better, 2 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 339 eligible stays.
8.8% this home
No different from the national rate
US median of homes 10.7% · Montana: 0 better, 0 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 350 eligible stays.
4.6% this home
No different from the national rate
US median of homes 7.1% · Montana: 0 better, 0 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 177 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Montana58.5% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 18 residents counted.
8.0% this home
Median of homes: Montana0.3% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 25 residents counted.
0.0% this home
Median of homes: Montana2.8% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 25 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Montana97.0% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 1 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: BENEFIS HOSPITALS INC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Benefis Health System, Inc. | Direct ownership interest | Organization | 07/16/2008 | |
| Goodnow, John | Indirect ownership interest | Individual | 12/02/2002 | |
| Ammondson, Debra | Corporate director | Individual | 01/01/2025 | |
| Baker, Jeffrey | Corporate director | Individual | 08/01/2018 | |
| Borland, Judy | Corporate director | Individual | 03/01/2012 | |
| Ferrin, William | Corporate director | Individual | 10/01/2008 | |
| Ginnaty, Rayn | Corporate director | Individual | 01/01/2024 | |
| Hoyer, Heather | Corporate director | Individual | 01/01/2025 | |
| Jones, Llewelyn | Corporate director | Individual | 06/01/2016 | |
| Loucks, Brian | Corporate director | Individual | 05/01/2012 | |
| Margaris, Melchisedek | Corporate director | Individual | 06/01/2015 | |
| Richards, Phillip | Corporate director | Individual | 01/01/2015 | |
| Stuart, Dustin | Corporate director | Individual | 01/01/2025 | |
| Tierney, Gregory | Corporate director | Individual | 01/01/2021 | |
| Ferrin, William | Corporate officer | Individual | 10/01/2008 | |
| Ginnaty, Rayn | Corporate officer | Individual | 09/15/2013 | |
| Houlihan, Bruce | Corporate officer | Individual | 01/09/2022 | |
| Loucks, Brian | Corporate officer | Individual | 05/01/2012 | |
| Benefis Health System, Inc. | Operational/managerial control | Organization | 07/16/2008 | |
| Addison, Thomas | Operational/managerial control | Individual | 03/06/2015 | |
| Brady, Shelia | Operational/managerial control | Individual | 07/07/2024 | |
| Ginnaty, Rayn | Operational/managerial control | Individual | 09/15/2013 | |
| Houlihan, Bruce | Operational/managerial control | Individual | 01/09/2022 | |
| Krebs, David | Operational/managerial control | Individual | 11/04/2019 | |
| Linder, Amy | Operational/managerial control | Individual | 01/01/2025 | |
| Sly, Mackenzie | Operational/managerial control | Individual | 03/03/2025 | |
| Benefis Health System, Inc. | Adp of the SNF | Organization | 07/16/2008 | |
| Addison, Thomas | Adp of the SNF | Individual | 03/06/2015 | |
| Brady, Shelia | Adp of the SNF | Individual | 07/07/2024 | |
| Ginnaty, Rayn | Adp of the SNF | Individual | 09/15/2013 | |
| Houlihan, Bruce | Adp of the SNF | Individual | 01/09/2022 | |
| Krebs, David | Adp of the SNF | Individual | 11/04/2019 | |
| Linder, Amy | Adp of the SNF | Individual | 01/01/2025 | |
| Sly, Mackenzie | Adp of the SNF | Individual | 03/03/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
These are the official offices in Montana. NursingHomeClear cannot take or act on complaints.