Continental Care and Rehabilitation
2400 Continental Dr, Butte, MT 59701 · Silver Bow County · (406) 723-6556
100 certified beds, about 87 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1984
Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 275103 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 4, 2026, inspectors cited 5 health deficiencies (the Montana average is 11.2, the national average 9.2).
Of 32 health citations since February 2024, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.03 hours per resident per day, against 4.05 across Montana and 3.86 nationally. Registered nurses accounted for 0.79 of those hours.
60.2% of nursing staff left within the year CMS measured (Montana average 54.8%).
CMS links it to Sweetwater Care, an affiliated group of 8 nursing homes.
Health inspections
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.
202/24
1005/24
108/24
410/24
905/25
103/26
506/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
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 32 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
16D
11E
3F
Potential for minimal harm
0A
0B
1C
June 4, 2026Standard inspection, Complaint inspection · 5 citations
- G Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on interview and record review, the facility failed to ensure residents with indwelling urinary catheters received care to prevent urinary tract infections; failed to identify a root cause of repeated urinary tract infections for 2 (#s 6 & 9); and failed to follow up timely with urology referrals and appointments for 1 (# 9) of 19 sampled residents.
- D Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Inspectors wroteBased on observation, interview, and record review, the facility failed to have a consistent process for finding or replacing missing clothing, and the resident had missing clothing, for 1 (#3) of 19 sampled residents.
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that a resident (#32) was free from physical abuse from another resident (#62) of the 19 sampled residents. The facility identified the failure and corrected it on 5/11/26, which was before the start of the survey period. This deficient practice is cited as past noncompliance. This failure had the potential to cause resident #32 physicial and or psychosocial harm.
- D Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Inspectors wroteBased on interview and record review, the facility failed to identify a resident had left the facility AMA and failed to inform the resident of the risks of leaving the facility AMA and their rights for 1 (#17) of 21 sampled and supplemental residents. This deficient practice put the resident at risk for a negative medical outcome.
- D Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteBased on interview and record review, the facility failed to provide a resident or resident representative with notice of bed hold or transfer/discharge, which could lead to the resident not knowing their rights for 1 (#10) of 21 sampled and supplemental residents.
March 4, 2026Complaint inspection · 1 citation
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain a sanitary kitchen by covering a hole in the floor where plumbing was being fixed with plywood, which was an uncleanable surface, and the wood could not be maintained for cleanliness. This failure could affect any resident receiving food from the kitchen.
May 19, 2025Standard inspection · 9 citations
- F Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide meals at the regular scheduled times for 5 (#s 23, 24, 36, 49 and 76) of 25 sampled residents. This deficient practice had the potential to affect all residents of the facility.
- E Allow residents to self-administer drugs if determined clinically appropriate.
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure residents were assessed and found safe to self-administer their own medications, prior to doing so; and the facility failed to document the assessments or a physician order in the EHRs, for 4 (#s 23, 45, 49, and 53) of 25 sampled residents. This deficient practice increased the risk of a negative outcome for the residents, in the event the medication and self/staff monitoring were not handled properly.
- E Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Inspectors wroteBased on interview and record review, the facility failed to failed to correctly reflect the code status of a resident in the EHR for 1 (#68) of 25 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 what was documented on the resident's POLST form.
- E Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Inspectors wroteBased on interviews and record reviews, the facility failed to ensure gradual dose reductions were attempted, unless the prescriber documented a rationale for the contraindication of the change, for 3 (#s 10, 19, and 54) of 25 sampled residents.
- E Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to follow smoking assessment safety recommendations for residents who were smoking; failed to monitor the location were residents were smoking; failed to ensure the residents signed out of the facility when smoking (as needed); and failed to follow and adhere to the facility policy related to resident smoking. These failures occurred throughout the survey period, for multiple shifts and days, and multiple staff failed to adhere to the policy, for 3 (#s 40, 75, and 238) of 5 sampled residents who smoke. This deficient practice placed all residents entering the activities room at risk of exposure to second-hand smoke and risk for fire. This deficient practice placed residents at risk of injury while smoking, increased risk of fires, and accidents related to smoking.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on observation, interview and record review the facility failed to accurately assess the vision needs of a resident on the comprehensive assessment, for 1 (#23) of 25 sampled residents, and the resident was unable to read or see her food when eating.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on interview and record review, the facility failed to implement a comprehensive care plan to include bowel and bladder incontinence for 1 (#241) of 25 sampled residents.
- D Assist a resident in gaining access to vision and hearing services.
Inspectors wroteBased on observation, interview, and record review, the facility failed to assist with making appointments and arranging timely transportation for a resident with impaired vision needs, and this failure caused an eye surgery to be canceled, and appointments were not able to be scheduled due to missed appointments, for 1 (#58) of 25 sampled residents. The resident had difficulty doing things she loved, as well as fear of leaving her room, because she may run into someone due to her poor eyesight.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on interview and record review, the facility failed to accurately complete a POLST form with the resident's first name, for 1 (#241), and failed to have the resident/POA sign the POLST form placed in the EHR, for 1 (#24) of 25 sampled residents. These deficient practices had the potential to create complications, or hinder emergency treatment necessary, related to a resident's DNR wishes.
October 22, 2024Complaint inspection · 4 citations
- E Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to provide therapeutic meals that followed physician orders for 2 (#13 and 14) of 2 sampled dialysis residents.
- D Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Inspectors wroteBased on interviews, and record review, the facility failed to provide the scheduled showers for 3 (#s 1, 3, and 8) of 6 sampled residents for hygiene care.
- D Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspectors wroteBased on observation, interview, and record review, the facility failed to schedule a sufficient number of CNAs as identified in the facility assessment recommendations, resulting in 2 (#s 18 and 19) of 20 sampled residents waiting over 20 minutes for the call light to be answered timely; 6 (#s 8, 9, 16, 18, 19, and 20) of 20 sampled residents expressing concern and complaints regarding long call light times and short staffing; and for 2 (#s 1 and 8) of 20 sampled residents not receiving enough showers; and 5 nursing staff expressed concerns with staffing ratios and not recieving breaks.
- D Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Inspectors wroteBased on interviews and record reviews, the facility failed to identify the root cause, address, and obtain necessary services for the behavioral health care needs for 1 (#2) of 20 sampled residents which could result in harm to staff or other residents, and it did affect 1 (#15), due to resident #1's aggressive behaviors.
August 14, 2024Complaint inspection · 1 citation
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, interview, and record review, the facility failed to meet professional standards of practice by administering an opioid medication in conjunction with a benzodiazepine. This deficient practice had the potential to cause an increase in respiratory depression, over sedation, increased confusion, coma, or death for 1 (#1) of 16 sampled residents.
May 20, 2024Standard inspection · 10 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure sanitary conditions and storage were maintained in the kitchen, which could affect all residents who eat food made by, or stored in, the kitchen facility.
- E Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to complete baseline care plans timely for 8 (#s 44, 50, 53, 54, 58, 59, 61, and 221) of 25 sampled residents. This deficient practice had the potential for resident's needs to be unmet by staff.
- E Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to complete comprehensive, person-centered care plans to include oxygen information for 4 (#s 5, 37, 58, and 61) of 25 sampled residents.
- E Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview, and record review, the facility failed to label oxygen tubing when it was changed for 2 (#s 3 and 5) of 25 sampled residents, and failed to follow the physician orders for prescribed oxygen amounts for 2 (#s 3 and 13) of 25 sampled residents.
- E Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observation, interview, and record review the facility failed to serve meals at a palatable temperature for 7 (#s 2, 14, 19, 24, 47, 49, and 218) of 25 sampled residents, for those who received room trays.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, the facility failed to adhere to infection control practices and PPE use during a COVID-19 outbreak, involving 2 ( #11 and 217), for 25 sampled residents.
- E Implement a program that monitors antibiotic use.
Inspectors wroteBased on interview and record review, the facility failed to address the extended duration of antibiotic use through the Antibiotic Stewardship Program for 3 (#s 4, 26, and 37) of 23 sampled residents.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on observation, interview, and record reviews, the facility failed to revise and update a resident's care plan to address a PICC line, for 1 (#50) of 25 sampled residents.
- D Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the food served to 1 (#219) of 25 sampled residents followed the dietician's recommendations.
- C Ensure each resident receives an accurate assessment.
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure resident MDS assessments contained accurate information for 6 (#s 17, 37, 44, 48, 50, and 54) of 25 sampled residents.
February 29, 2024Complaint inspection · 2 citations
- D Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide a diet which followed the physician's diet order for each resident, for 4 (#s 2, 3, 4, and 6) of 6 sampled residents.
- D Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide adaptive equipment for the resident meals, which were ordered by the physician, for 2 (#s 3 and 6) of 6 sampled residents.
Fire safety inspections
18 fire safety citations on file: 4 on June 4, 2026, 9 on May 19, 2025, 5 on May 20, 2024.
Every fire safety citation18 citations
- F Have simulated fire drills held at unexpected times.
- E Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E Have exits that are accessible at all times.
- E Properly select, install, inspect, or maintain portable fire extinguishes.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Ensure that smoke control systems are tested and documented in accordance with established engineering principles.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Ensure that testing and maintenance of electrical equipment is performed.
- E Properly select, install, inspect, or maintain portable fire extinguishes.
- E Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D Have properly located and lighted "Exit" signs.
- D Install corridor and hallway doors that block smoke.
- D Meet requirements for the installation and maintenance of electrical systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have simulated fire drills held at unexpected times.
- D Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- D Install emergency lighting that can last at least 1 1/2 hours.
- D Have properly installed hallway dispensers for alcohol-based hand rub.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
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) | 4.03 | 4.05 | 3.86 |
| Registered nurses | 0.79 | 0.98 | 0.69 |
| All nursing staff on weekends | 3.38 | 3.59 | 3.42 |
| Nurse aides | 2.63 | ||
| Licensed practical nurses | 0.60 | ||
| Nursing staff turnover (share who left in a year) | 60.2% | 54.8% | 45.8% |
| Registered nurse turnover | 20.0% | 48.3% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.33 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
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 4.29 on weekdays and 3.38 on weekends, 21% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 6.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.22 in April to June 2025 to 4.03 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 | 4.03 | 0.79 | 4.29 | 3.38 | 6.0% | 0 of 90 | 87 |
| Oct to Dec 2025 | 3.80 | 0.78 | 4.15 | 2.91 | 0.0% | 0 of 92 | 89 |
| Jul to Sep 2025 | 3.14 | 0.68 | 3.35 | 2.60 | 0.3% | 0 of 92 | 90 |
| Apr to Jun 2025 | 3.22 | 0.77 | 3.47 | 2.57 | 23.5% | 0 of 91 | 85 |
| 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.
Quality measures
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 | 5.1 | 18.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.4 | 2.1 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.3 | 2.9 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.0 | 4.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.3 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 2.9 | 17.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.4 | 6.3 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 26.6 | 20.4 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 7.8 | 19.2 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 32.1 | 14.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.7 | 1.4 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.4 | 2.2 | 1.8 |
Owners and operators
Legal business name: SWEETWATER BUTTE OPCO LLC. CMS links this home to Sweetwater Care, a group of 8 nursing homes averaging 2.4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Sweetwater Care Opco LLC | 5% or greater indirect ownership interest | Organization | 100% | 07/01/2019 |
| Plasschaert, Gary | W-2 managing employee | Individual | 07/01/2019 | |
| Gamett, James | Corporate officer | Individual | 07/01/2019 |
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.
Questions to ask on a visit
Chosen from this home's own inspection record.
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 8 problems in this area, most recently on March 4, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- When is the care plan meeting, and can family attend it?Inspectors cited 8 problems in this area, most recently on May 19, 2025: "Ensure each resident receives an accurate assessment."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 6 problems in this area, most recently on June 4, 2026: "Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 5 problems in this area, most recently on June 4, 2026: "Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.38 hours per resident per day, below the Montana average of 3.59.
Other nursing homes nearby
- Copper Ridge Health and Rehabilitation Center Butte, 0.1 mi · 4 of 5 stars · 28 citations
- Crest Nursing Home Butte, 0.2 mi · 5 of 5 stars · 11 citations
- Southwest Montana Veterans Home Butte, 3.3 mi · 5 of 5 stars · 18 citations
- Community Nursing Home of Anaconda Anaconda, 24 mi · 3 of 5 stars · 26 citations
Montana contacts for a concern about a nursing home
These are the official offices in Montana. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Montana DPHHS, Office of Inspector General, Certification Bureau, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Montana Long-Term Care Ombudsman Program, Senior and Long Term Care Division, (800) 332-2272. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Certification Bureau Survey Results and Plans of Correction, where Montana publishes its own records on licensed homes.
Common questions
- What is Continental Care and Rehabilitation's Medicare star rating?
- CMS rates Continental Care and Rehabilitation 3 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Continental Care and Rehabilitation get at its last inspection?
- 5 health deficiencies at the standard inspection on June 4, 2026. The Montana average is 11.2.
- Has Continental Care and Rehabilitation been fined?
- CMS lists no fines in the last three years.
- Does Continental Care and Rehabilitation accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Continental Care and Rehabilitation?
- CMS lists 3 owners and managers, and links the home to Sweetwater Care. Legal business name: SWEETWATER BUTTE OPCO LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.