Crest Nursing Home
3131 Amherst Ave, Butte, MT 59701 · Silver Bow County · (406) 494-7035
103 certified beds, about 46 residents a day · For profit - Corporation · Medicare and Medicaid since 1988
CMS Care Compare ratings, data as of September 1, 2026 · CCN 275122 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 7, 2026, inspectors cited 4 health deficiencies (the Montana average is 11.2, the national average 9.2).
None of its 11 health citations since March 2024 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.33 hours per resident per day, against 4.05 across Montana and 3.86 nationally. Registered nurses accounted for 0.80 of those hours.
53.2% of nursing staff left within the year CMS measured (Montana average 54.8%).
CMS links it to Real Property Health Facilities, an affiliated group of 9 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.
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 11 health citations on file.
May 7, 2026Standard inspection, Complaint inspection · 5 citations
- F Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Inspectors wroteBased on interview and record review, the facility failed to ensure a Director of Nursing (DON) worked full-time (defined by CMS as 40 hours or more per week) as the Director of Nursing. This failure increased the risk of negative outcomes for all residents.
- E Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on interview and record review, the facility failed to protect a vulnerable resident from non-consensual sexual contact by a resident #22, who had a with a history of sexually inappropriate behaviors, for 1 (#1); and failed to monitor physical and psychosocial harm for 1 (#18) after an incident of abuse by resident #43, of 5 residents sampled for abuse by another resident. This failure resulted in resident #1 having her breast groped and bruising to resident #18's head and neck.
- 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 review, the facility failed to revise a care plan to include interventions that were effective in monitoring the bed rails for a resident's ongoing use of the rails, for 1 (#43) of 15 sampled residents. This failure caused the staff to provide inconsistent reasoning for the use of the bed rails.
- D Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure bed rails were assessed for entrapment, assessed for other alternatives, failed to ensure the bed rails had a documented medical rationale for the use of the bed rails, and failed to have a physician-signed order for the bed rails for 1 (#43) of 15 sampled residents. The failure placed the resident at risk for entrapment or injury from the use of bed rails.
- C Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Inspectors wroteBased on interview and record review, the facility failed to ensure the director of food and nutrition services met the education qualifications required by CMS for a food service director and failed to employ a full time Dietician, which increased the risk of negative outcomes to residents receiving food from the dietary department.
April 10, 2025Standard inspection · 2 citations
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident's medical record was accurate for 1 (#36) of 15 sampled residents when an unsigned POLST was removed, but then replaced, in the residents active medical record. Findings Include: During an observation and record review on 4/8/25 at 10:06 a.m., resident #36's hard chart had a green POLST form under the front tab. The POLST showed the selections of DNR, selective treatment, and no tube feeding, and it was signed by resident #36 on 5/20/24. There was no physician signature, therefore, the POLST would be invalid. During an interview on 4/9/25 at 10:09 a.m., staff member F stated in the event of a resident emergency they would check the POLST in the hard chart unless they already had the EMR pulled up to check the code status. [...]
- D Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Inspectors wroteBased on interview and record review, the facility failed to remove or replace binding arbitration language as required from the facility admission agreement, for 2 (#s 36 and 198) of 2 sampled residents for arbitration agreements. This deficiency had the potential to affect all residents being admitted to the facility signing the admission agreement. Findings Include: During an interview on 4/7/25 at 11:50 a.m., staff member A stated the facility did not do arbitration at all. Staff member A stated the arbitration information was taken out of the admission agreements when the law was changed. During an interview on 4/8/25 at 4:35 p.m., staff member A stated she was directed to leave in the arbitration parts of the admission agreement and just handwrite an 'N/A' by each section related to arbitration. [...]
March 25, 2025Complaint inspection · 2 citations
- E Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on interview and record review, the facility failed to ensure licensed nursing staff adhered to accepted standards of practice by only administering oxygen within the parameters of provider's orders for 3 (#s 4, 5, and 6) of 3 sampled residents prescribed supplemental oxygen.
- E Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a portable oxygen tank was replaced when the metered volume was empty, with the resident's oxygen saturation at 86%, for 1 (#6); and failed to ensure licensed nursing staff documented provider notification, nursing assessments, and/or nursing interventions of resident's oxygen saturation levels below the parameters set forth in written orders of 90% for 2 (#s 5 and 6) of 3 sampled residents receiving supplemental oxygen.
March 28, 2024Standard inspection · 2 citations
- E Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview, and record review, the facility failed to change and label resident oxygen tubing for 4 (#s 4, 28, 33, and 34) of 5 sampled residents for respiratory care. This deficient practice had the potential to increase the incidence of respiratory disease for residents using supplemental oxygen in the facility.
- D Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Inspectors wroteBased on interview and record review, the facility failed to ensure a resident's GDR request was responded to by the physician, and completed, for 1 (#34) of 5 sampled residents for unnecessary medications.
Fire safety inspections
7 fire safety citations on file: 4 on May 7, 2026, 2 on March 28, 2024, 1 on November 13, 2023.
Every fire safety citation7 citations
- F Have power receptacles that are properly grounded.
- F Ensure that testing and maintenance of electrical equipment is performed.
- D Have properly located and lighted "Exit" signs.
- D Inspect, test, and maintain automatic sprinkler systems.
- F Have correct number of accessible exits for each story.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have a battery powered remote alarm panel in a location accessible by operating personnel.
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) | 3.33 | 4.05 | 3.86 |
| Registered nurses | 0.80 | 0.98 | 0.69 |
| All nursing staff on weekends | 3.05 | 3.59 | 3.42 |
| Nurse aides | 2.10 | ||
| Licensed practical nurses | 0.43 | ||
| Nursing staff turnover (share who left in a year) | 53.2% | 54.8% | 45.8% |
| Registered nurse turnover | 37.5% | 48.3% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.66 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 3.44 on weekdays and 3.05 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 4.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.16 in April to June 2025 to 3.33 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 | 3.33 | 0.80 | 3.44 | 3.05 | 4.1% | 0 of 90 | 46 |
| Oct to Dec 2025 | 3.41 | 0.54 | 3.52 | 3.14 | 14.6% | 0 of 92 | 44 |
| Jul to Sep 2025 | 3.36 | 0.55 | 3.45 | 3.12 | 15.0% | 0 of 92 | 44 |
| Apr to Jun 2025 | 3.16 | 0.50 | 3.27 | 2.87 | 8.7% | 0 of 91 | 46 |
| 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
Staff pay at this home
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.
Official wage estimates for Montana
| 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.
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 | 6.5 | 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 | 2.8 | 2.9 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.1 | 4.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.9 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 13.2 | 17.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 9.7 | 6.3 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 29.7 | 20.4 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 8.6 | 19.2 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 2.4 | 14.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.9 | 1.4 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.9 | 2.2 | 1.8 |
Owners and operators
Legal business name: CNH ACQUISITIONS INC.. CMS links this home to Real Property Health Facilities, a group of 9 nursing homes averaging 3.1 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Christina Jayne Penn Management Trust | 5% or greater direct ownership interest | Organization | 100% | 11/01/2010 |
| Penn, Christina | 5% or greater indirect ownership interest | Individual | 100% | 06/01/2015 |
| Bercier, Stacy | W-2 managing employee | Individual | 12/15/2017 | |
| Stevens Dye, Eileene | W-2 managing employee | Individual | 03/12/2013 | |
| Green, Patricia | Corporate officer | Individual | 10/16/2007 | |
| Marsh, Dawn | Corporate officer | Individual | 04/15/1994 | |
| Real Property Health Facilities Corp | Operational/managerial control | Organization | 07/30/1986 |
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.
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on May 7, 2026: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on May 7, 2026: "Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail."
- How many nurses and aides work each shift, nights and weekends included?Inspectors cited 1 problem in this area, most recently on May 7, 2026: "Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on May 7, 2026: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.05 hours per resident per day, below the Montana average of 3.59.
Other nursing homes nearby
- Continental Care and Rehabilitation Butte, 0.2 mi · 3 of 5 stars · 32 citations
- Copper Ridge Health and Rehabilitation Center Butte, 0.3 mi · 4 of 5 stars · 28 citations
- Southwest Montana Veterans Home Butte, 3.1 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 Crest Nursing Home's Medicare star rating?
- CMS rates Crest Nursing Home 5 out of 5 stars overall, with 5 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Crest Nursing Home get at its last inspection?
- 4 health deficiencies at the standard inspection on May 7, 2026. The Montana average is 11.2.
- Has Crest Nursing Home been fined?
- CMS lists no fines in the last three years.
- Does Crest Nursing Home 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 Crest Nursing Home?
- CMS lists 7 owners and managers, and links the home to Real Property Health Facilities. Legal business name: CNH ACQUISITIONS INC..
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.