Glendive Medical Center N H
202 Prospect Dr, Glendive, MT 59330 · Dawson County · (406) 345-3320
36 certified beds, about 35 residents a day · Non profit - Corporation · Medicare and Medicaid since 1977
Inside a hospital Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 275067 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on September 11, 2025, inspectors cited 6 health deficiencies (the Montana average is 11.2, the national average 9.2).
Of 14 health citations since August 2023, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $20,027 in the last three years; the largest was $20,027, and the latest is dated September 11, 2025.
Nurses and nurse aides worked 4.60 hours per resident per day, against 4.05 across Montana and 3.86 nationally. Registered nurses accounted for 1.08 of those hours.
61.1% of nursing staff left within the year CMS measured (Montana average 54.8%).
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.
108/23
508/24
809/25
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 14 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
7D
2E
4F
Potential for minimal harm
0A
0B
0C
September 11, 2025Standard inspection, Complaint inspection · 8 citations
- G Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, interview, and record review, the facility failed to implement appropriate measures to prevent skin breakdown, to provide consistent care and monitoring of the pressure ulcers, and failed to ensure pressure ulcers were identified, classified, and the severity determined and documented accurately, for 1 (#6) of 15 sampled residents, resulting in the development of multiple pressure ulcers.
- F 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 observation, interview, and record review, the facility failed to ensure the dietary manager completed a certification program approved by a national certifying body or had higher education in a related field. This had the potential to affect residents and their nutritional status or meal safety for those who consumed food prepared and served by the facility.
- 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 and interview, the facility failed to ensure clean and sanitary conditions were maintained throughout the kitchen and the dietary storage areas; fand failed to ensure kitchen staff labeled and dated food in the coolers. This deficient practice increased the risk for the development of foodborne illnesses and deficient practices related to sanitary conditions for all residents who received food from the kitchen.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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 13 and 34) of 15 sampled residents.
- D Assess the resident when there is a significant change in condition
Inspectors wroteBased on interview and record review, the facility failed to complete a Significant Change minimum data assessment within fourteen days after the facility identified a major decline in 1 (#6) of 15 sampled residents. The decline had the potential to impact the resident's physical and health status.
- 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 update the comprehensive care plan for a resident who developed avoidable pressure ulcers for 1 (#6) of 15 sampled residents.
- D Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Inspectors wroteBased on interview and record review, the facility staff failed to have the necessary knowledge and skill set related to the proper monitoring and documentation of quality control checks for a blood glucose testing machine, and it was found a system was not in place for the checks. This deficient practice had the potential to affect all residents who require blood glucose monitoring, as inaccurate readings could lead to improper assessment, delayed interventions, or incorrect treatment decisions. During an interview on 9/10/25 at 9:40 a.m., staff member F stated a blood glucose control solution test was completed daily, but not on her shift. Staff member F stated she did not know where to find documentation showing a controlled test was completed on the glucose monitoring system. [...]
- D Provide medically-related social services to help each resident achieve the highest possible quality of life.
Inspectors wroteBased on interview and record review, the facility failed to ensure social services were provided to assist 2 (#s 19 and 26) of 15 sampled residents with emotional and psychosocial support following allegations of abuse. The deficient practice had the potential to cause emotional distress for the residents. 1. Review of a facility reported event, submitted to the State Survey Agency, on 10/4/24, showed resident #19 was spoken to harshly by a staff member. Review of resident #19's medical record progress notes, dated 10/4/24 through 10/25/25, failed to show any allegations of abuse, and there was no follow-up to the alleged incident of a staff member talking harshly to resident #19. There were not social service notes to determine if the resident had any negative outcomes from the event or if the resident was comfortable with care provided by the staff member. 2. [...]
August 1, 2024Standard inspection · 5 citations
- F Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Inspectors wroteBased on interview and record review, the facility failed to submit complete and accurate Payroll Based Journal information quarterly, for licensed nursing coverage 24 hours each day to the Centers for Medicare and Medicaid Services.
- E 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 update resident care plans when changes to the resident's care occurred for 4 (#s 13, 14, 24, and 137) of 19 sampled residents.
- E Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on interview and record review, the facility failed to ensure a registered pharmacist performed medication regimen reviews at least monthly for 1 (#33); and failed to ensure the physician addressed the pharmacy recommendations and irregularities timely for 2 (#s 4 and 24) of 19 sampled residents. The facility also failed to maintain a policy and procedure for monthly medication regimen reviews which identified documentation required and the time frames for the steps taken by the pharmacist when an irregularity was identified. The deficient practice had the potential to affect all residents receiving medication at the facility.
- 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 observation, interview, and record review, the facility failed to implement a comprehensive, resident-centered care plan which identified the resident's history of recurrent urinary tract infections and the interventions related to prevention of urinary tract infections for 1 (#9) of 19 sampled residents.
- 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 observation, interview, and record review, the facility failed to ensure orders for as needed psychotropic medications did not exceed 14 days unless the rationale was documented by the provider for 1 (#33) of 19 sampled residents.
August 16, 2023Standard inspection · 1 citation
- F Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on observation and record review, two licensed nursing staff members failed to follow the manufacturer's recommendations for an Unsulin Aspart FlexPen, when administering medications, for 1 (#22) of 1 sampled resident. This failure had the potential to affect all residents in the facility receiving insulin by a FlexPen.
Fire safety inspections
21 fire safety citations on file: 6 on September 11, 2025, 7 on August 1, 2024, 8 on August 16, 2023.
Every fire safety citation21 citations
- F Conduct testing and exercise requirements.
- E 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 Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Properly select, install, inspect, or maintain portable fire extinguishes.
- D Provide properly sized and located linen or trash receptacles.
- F Address subsistence needs for staff and patients.
- F Install a fire alarm system that can be heard throughout the facility.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have simulated fire drills held at unexpected times.
- E Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D Have properly located and lighted "Exit" signs.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Ensure that testing and maintenance of electrical equipment is performed.
- E 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.
- E Meet other general requirements that are deficient.
- E Properly select, install, inspect, or maintain portable fire extinguishes.
- E Install smoke barrier doors that can resist smoke for at least 20 minutes.
- E Meet requirements for the installation and maintenance of electrical systems.
- E Have proper medical gas storage and administration areas.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| September 11, 2025 | Fine | $20,027 |
| September 11, 2025 | Payment Denial | 7 days from October 10, 2025 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 4.60 | 4.05 | 3.86 |
| Registered nurses | 1.08 | 0.98 | 0.69 |
| All nursing staff on weekends | 3.67 | 3.59 | 3.42 |
| Nurse aides | 3.52 | ||
| Licensed practical nurses | 0.00 | ||
| Nursing staff turnover (share who left in a year) | 61.1% | 54.8% | 45.8% |
| Registered nurse turnover | 72.7% | 48.3% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.08 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 4.98 on weekdays and 3.67 on weekends, 26% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 19.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.68 in April to June 2025 to 4.60 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 | 4.60 | 1.08 | 4.98 | 3.67 | 19.4% | 0 of 90 | 35 |
| Oct to Dec 2025 | 4.76 | 0.88 | 4.99 | 4.18 | 34.9% | 0 of 92 | 35 |
| Jul to Sep 2025 | 4.99 | 1.03 | 5.39 | 4.00 | 41.3% | 0 of 92 | 35 |
| Apr to Jun 2025 | 4.68 | 0.90 | 4.96 | 3.96 | 40.1% | 0 of 91 | 35 |
| 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 | 13.4 | 18.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 2.2 | 2.1 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.7 | 2.9 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.9 | 4.4 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 9.4 | 17.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 7.2 | 6.3 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 23.3 | 20.4 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.8 | 1.4 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.7 | 2.2 | 1.8 |
Owners and operators
Legal business name: GLENDIVE MEDICAL CENTER INC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Bogar, Janette | Corporate director | Individual | 02/25/2021 | |
| Gibbs, Lesley | Corporate director | Individual | 02/27/2025 | |
| Goplen, Mitchell | Corporate director | Individual | 07/28/2016 | |
| Leal, Joseph | Corporate director | Individual | 02/25/2021 | |
| Myers, Troy | Corporate director | Individual | 02/23/2023 | |
| Potter, Chrystal | Corporate director | Individual | 01/01/2016 | |
| Shields, A'lynn | Corporate director | Individual | 05/01/2016 | |
| Thompson, Randy | Corporate director | Individual | 07/01/2024 | |
| Buniel, Maria | Corporate officer | Individual | 07/24/2025 | |
| Powell, Parker | Corporate officer | Individual | 10/11/2013 | |
| Robinson, William | Corporate officer | Individual | 08/03/2015 | |
| Billings Clinic | Operational/managerial control | Organization | 09/01/2013 | |
| Domek, Jill | Operational/managerial control | Individual | 07/01/2007 | |
| Powell, Parker | Operational/managerial control | Individual | 10/11/2013 | |
| Reske, Clifford | Operational/managerial control | Individual | 05/03/2012 | |
| Billings Clinic | Adp of the SNF | Organization | 12/26/2024 | |
| Domek, Jill | Adp of the SNF | Individual | 07/01/2007 | |
| Powell, Parker | Adp of the SNF | Individual | 10/14/2013 | |
| Reske, Clifford | Adp of the SNF | Individual | 05/03/2012 | |
| Robinson, William | Adp of the SNF | Individual | 08/03/2015 |
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 4 problems in this area, most recently on September 11, 2025: "Assess the resident when there is a significant change in condition"
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on August 1, 2024: "Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on September 11, 2025: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on September 11, 2025: "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."
Other nursing homes nearby
- Eastern Montana Veterans Home Glendive, 0.9 mi · 3 of 5 stars · 31 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 Glendive Medical Center N H's Medicare star rating?
- CMS rates Glendive Medical Center N H 3 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Glendive Medical Center N H get at its last inspection?
- 6 health deficiencies at the standard inspection on September 11, 2025. The Montana average is 11.2.
- Has Glendive Medical Center N H been fined?
- Yes. CMS lists 1 fine totaling $20,027 in the last three years.
- Does Glendive Medical Center N H 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 Glendive Medical Center N H?
- CMS lists 20 owners and managers. Legal business name: GLENDIVE MEDICAL CENTER 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.