Madison Valley Manor
211 N Main St., Ennis, MT 59729 · Madison County · (406) 682-7271
32 certified beds, about 16 residents a day · Government - County · Medicare and Medicaid since 1991
CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 275136 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 20, 2026, inspectors cited 0 health deficiencies (the Montana average is 11.2, the national average 9.2).
None of its 14 health citations since May 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 6.58 hours per resident per day, against 4.05 across Montana and 3.86 nationally. Registered nurses accounted for 3.03 of those hours.
61.3% 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.
305/24
209/24
905/25
005/26
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 14 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
8D
4E
2F
Potential for minimal harm
0A
0B
0C
May 20, 2026Standard inspection · 0 citations
May 8, 2025Standard inspection · 9 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 foods were dated and labeled when opened, disposed of when expired, and failed to maintain a clean kitchen environment. This failure increased the risk of unsanitary conditions and foodborne illnesses, for individuals consuming food stored in the facility kitchen and resident refrigerator, and from food prepared in the facility kitchen.
- F Keep all essential equipment working safely.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure one of the freezers was adequately maintained, in safe operating condition, in the kitchen. This failure increased the risk of foodborne illnesses for individuals consuming food prepared from the facility kitchen.
- E Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Inspectors wroteBased on observation, interview, and record review, the facility failed to perform and document a complete resident assessment prior to the use of bed rails as a restraint for 1 (#7); failed to complete and document a resident assessment prior to the use of a scoop mattress for 1 (#17); and failed to perform and document ongoing monitoring of the appropriate use of assistive devices which could be considered a restraint for 2 (#14 and #17) of 15 sampled residents. These failures increase the risk of injury for the residents.
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on interview and record review, the facility failed to ensure a resident's representative was notified regarding a fall, a urinary tract infection, and the administration of antibiotics for 1 (#14) of 15 sampled residents.
- D Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Inspectors wroteBased on observation, interview, and record review, the facility failed to develop, implement, and operationalize a facility policy and procedure for grievances, and ensure grievance information was readily accessible, to include the name and contact information for the grievance official; failed to provide residents with readily available grievance forms for 1 (#18) of 15 sampled residents and failed to provide residents with the option to file grievances anonymously.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure assistive devices were not coded incorrectly as restraints for 2 (#s 14 and 17) of 15 sampled residents.
- 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 perform and document a complete resident assessment for the use of bed rails as a restraint for 1 (#7) of 15 sampled residents. This failure placed the resident at increased risk for injury related to the use of bed rails which met the definition of a restraint.
- 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 interview and record review, the facility failed to ensure competent nursing staff were able to provide nursing service for on time medication administration for 1 (#8), and failed to meet a resident's physical and psychosocial needs, for 1 (#16) of 15 sampled residents.
- D Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a hospice resident's pain was managed effectively and consistently, to lessen a resident's intermittent pain level, for 1 (#11) of 15 sampled residents. This increased the risk of causing unnecessary pain and/or discomfort.
September 10, 2024Complaint inspection · 2 citations
- E Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Inspectors wroteBased on observation, interview, and record review, the facility failed to have a system in place to ensure temporary agency staff were trained on the facility's infection prevention and control program standards, policies, and procedures. This deficient practice had the potential to affect residents who worked with or were affected by the untrained staff.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, staff member C failed to adhere to standard precautions, related to the use of personal protective equipment and hand hygiene, while providing personal care for 1 (#1) of 9 sampled residents residing in the facility.
May 8, 2024Standard inspection · 3 citations
- E Ensure each resident receives an accurate assessment.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure MDS assessments were coded correctly for diagnoses for 1 (#5); and for bed rails for 3 (#s 8, 12, and 13) of 12 sampled residents for MDS accuracy.
- 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 revise care plans to reflect the medical status for 1 (#9) resident; and to reflect bed rail usage for 1 (#16) of 12 sampled residents for care plans. This had the potential to cause staff to provide inaccurate care to the residents.
- 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 and interview, the facility failed to implement the intervention of bed rails and update the care plan for use of the rails, for 1 (#16) of 5 sampled residents with bed rails.
Fire safety inspections
1 fire safety citation on file: 1 on May 20, 2026.
Every fire safety citation1 citation
- F Conduct testing and exercise requirements.
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) | 6.58 | 4.05 | 3.86 |
| Registered nurses | 3.03 | 0.98 | 0.69 |
| All nursing staff on weekends | 6.33 | 3.59 | 3.42 |
| Nurse aides | 3.18 | ||
| Licensed practical nurses | 0.37 | ||
| Nursing staff turnover (share who left in a year) | 61.3% | 54.8% | 45.8% |
| Registered nurse turnover | 33.3% | 48.3% | 42.9% |
| Administrators who left | 0 |
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 6.67 on weekdays and 6.33 on weekends, 5% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.32 in April to June 2025 to 6.58 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 | 6.58 | 3.03 | 6.67 | 6.33 | 0.0% | 0 of 90 | 16 |
| Oct to Dec 2025 | 6.72 | 1.97 | 6.93 | 6.19 | 0.0% | 0 of 92 | 18 |
| Jul to Sep 2025 | 5.18 | 1.37 | 5.33 | 4.83 | 0.0% | 0 of 92 | 20 |
| Apr to Jun 2025 | 5.32 | 1.35 | 5.50 | 4.88 | 0.0% | 0 of 91 | 20 |
| 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 | 17.5 | 18.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 2.1 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 4.1 | 2.9 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.6 | 4.4 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 6.2 | 17.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.5 | 6.3 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 4.8 | 20.4 | 15.4 |
Owners and operators
Legal business name: MADISON COUNTY FINANCE.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Forsythe, Jayne | W-2 managing employee | Individual | 12/09/2015 | |
| Vaughn, Darcel | W-2 managing employee | Individual | 06/12/2013 | |
| Hart, James | Corporate officer | Individual | 01/01/2007 | |
| Nye, Ronald | Corporate officer | Individual | 01/01/2015 | |
| Schulz, David | Corporate officer | Individual | 01/01/2011 |
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 May 8, 2025: "Ensure each resident receives an accurate assessment."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on May 8, 2025: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on September 10, 2024: "Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on May 8, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
Other nursing homes nearby
- Tobacco Root Mountains Care Center Sheridan, 23.5 mi · 1 of 5 stars · 11 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 Madison Valley Manor's Medicare star rating?
- CMS rates Madison Valley Manor 5 out of 5 stars overall, with 5 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Madison Valley Manor get at its last inspection?
- 0 health deficiencies at the standard inspection on May 20, 2026. The Montana average is 11.2.
- Has Madison Valley Manor been fined?
- CMS lists no fines in the last three years.
- Does Madison Valley Manor 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 Madison Valley Manor?
- CMS lists 5 owners and managers. Legal business name: MADISON COUNTY FINANCE.
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.