Northern Montana Care Center
24 13th St., Havre, MT 59501 · Hill County · (406) 262-1900
135 certified beds, about 75 residents a day · Non profit - Corporation · Medicare and Medicaid since 1985
CMS Care Compare ratings, data as of September 1, 2026 · CCN 275112 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on July 16, 2026, inspectors cited 3 health deficiencies (the Montana average is 11.2, the national average 9.2).
None of its 9 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 4.31 hours per resident per day, against 4.05 across Montana and 3.86 nationally. Registered nurses accounted for 1.05 of those hours.
47.5% 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.
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 9 health citations on file.
July 16, 2026Standard inspection · 3 citations
- 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 document required information for resident transfers/discharges for 2 (#s 76 and 78) of 21 sampled residents and failed to inform the Ombudsman's office of all resident transfers/discharges.
- D Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Inspectors wroteBased on observation, interview, and record review, the facility failed to complete a Discharge Minimum Data Set Assessment for a resident who passed away in the facility for 1 (#67) of 24 sampled and supplemental residents.
- D Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on interview and record review, the facility failed to administer an influenza vaccine for 1 (#12) of 5 sampled residents for vaccinations.
June 30, 2025Standard inspection · 4 citations
- E Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure 1 (#57) of 30 sampled residents were safe from wandering the facility and into 4 other residents' rooms (#s 7, 31, 41, and 64). This deficient practice increased the risk of negative interactions between the residents related to safety and infection control concerns.
- D 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 ensure there was a physician order and consent signed on in the EHR for a physical restraint, which was a seatbelt used for a resident who used a motorized wheelchair to assist with preventing falls, for 1 (#50) of 30 sampled residents.
- D PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on interview and record review, the facility failed to ensure a PASARR was completed for 1 (#64) of 30 sampled residents. This deficient practice increased the risk of the resident not being assessed or receiving necessary services related to the resident's mental health diagnosis or PTSD.
- 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 update individualized resident care plans regarding behaviors and previous trauma, for 2 (#s 61 and 64) of 30 sampled residents. This deficient practice increased the risk for #61 and #64 not having preferences met or known, and a resident's exhibited behaviors continuing without interventions being implemented.
August 1, 2024Standard inspection · 1 citation
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, staff member G failed to adhere to proper infection control practices related to performing hand hygiene prior to donning gloves and after doffing gloves for 3 (#s 13, 37, and 179) of 5 sampled residents observed for medication administration.
March 26, 2024Complaint inspection · 1 citation
- D Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure dignity and respect were honored for privacy of medical information, for 1 (#1) of 6 sampled residents. This deficient practice had the potential to affect all residents who were provided incontinence care by facility staff.
Fire safety inspections
10 fire safety citations on file: 3 on July 16, 2026, 2 on June 30, 2025, 5 on August 1, 2024.
Every fire safety citation10 citations
- D Install an approved automatic sprinkler system.
- D Properly select, install, inspect, or maintain portable fire extinguishes.
- D Install corridor and hallway doors that block smoke.
- F Inspect, test, and maintain automatic sprinkler systems.
- 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 Keep aisles, corridors, and exits free of obstruction in case of emergency.
- 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 Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Install corridor and hallway doors that block smoke.
- D Inspect, test, and maintain automatic sprinkler systems.
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) | 4.31 | 4.05 | 3.86 |
| Registered nurses | 1.05 | 0.98 | 0.69 |
| All nursing staff on weekends | 3.85 | 3.59 | 3.42 |
| Nurse aides | 2.64 | ||
| Licensed practical nurses | 0.61 | ||
| Nursing staff turnover (share who left in a year) | 47.5% | 54.8% | 45.8% |
| Registered nurse turnover | 18.8% | 48.3% | 42.9% |
| Administrators who left | 0 |
CMS expects 2.83 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 4.49 on weekdays and 3.85 on weekends, 14% 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 4.58 in April to June 2025 to 4.31 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 | 4.31 | 1.05 | 4.49 | 3.85 | 0.0% | 0 of 90 | 75 |
| Oct to Dec 2025 | 4.49 | 1.10 | 4.63 | 4.11 | 0.0% | 0 of 92 | 74 |
| Jul to Sep 2025 | 4.50 | 1.07 | 4.68 | 4.05 | 0.0% | 0 of 92 | 75 |
| Apr to Jun 2025 | 4.58 | 0.93 | 4.69 | 4.30 | 0.0% | 0 of 91 | 74 |
| 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 | 16.9 | 18.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 4.1 | 2.1 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.2 | 2.9 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 6.7 | 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 | 16.0 | 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 | 16.8 | 20.4 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.0 | 1.4 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.6 | 2.2 | 1.8 |
Owners and operators
Legal business name: NORTHERN MONTANA CARE CENTER INC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Northern Montana Care Center Inc | 5% or greater direct ownership interest | Organization | 03/01/2004 | |
| Northern Montana Health Care Inc | 5% or greater direct ownership interest | Organization | 03/01/2024 | |
| Northern Montana Health Care Inc | 5% or greater mortgage interest | Organization | 03/01/2024 | |
| Carlson, Andrew | Corporate director | Individual | 03/01/2024 | |
| Hamilton, Miles | Corporate director | Individual | 03/01/2024 | |
| Harada, Kevin | Corporate director | Individual | 03/01/2024 | |
| Healy, Debra | Corporate director | Individual | 03/01/2024 | |
| Kammerzell, Kirsten | Corporate director | Individual | 03/01/2024 | |
| Lien, Karen | Corporate director | Individual | 03/01/2024 | |
| Patrick, Jennifer | Corporate director | Individual | 03/01/2024 | |
| Stevens, Richard | Corporate director | Individual | 03/01/2024 | |
| Tuss, Paul | Corporate director | Individual | 03/01/2024 | |
| Henry, David | Corporate officer | Individual | 04/01/1994 | |
| Leeds, David | Corporate officer | Individual | 10/22/1991 | |
| Obresley, Christen | Corporate officer | Individual | 10/05/2016 | |
| Northern Montana Health Care Inc | Operational/managerial control | Organization | 03/01/2024 | |
| Derby, Adam | Operational/managerial control | Individual | 03/01/2024 | |
| Harada, Kevin | Operational/managerial control | Individual | 03/01/2024 | |
| Henry, David | Operational/managerial control | Individual | 03/01/2024 | |
| Obresley, Christen | Operational/managerial control | Individual | 03/01/2024 | |
| Northern Montana Health Care Inc | Adp of the SNF | Organization | 03/01/2024 | |
| Derby, Adam | Adp of the SNF | Individual | 03/18/2025 | |
| Harada, Kevin | Adp of the SNF | Individual | 03/18/2025 |
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.
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 July 16, 2026: "Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months."
- 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 July 16, 2026: "Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies."
- 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 July 16, 2026: "Develop and implement policies and procedures for flu and pneumonia vaccinations."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on June 30, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
Other nursing homes nearby
- Sweet Memorial Nursing Home Chinook, 20.5 mi · 2 of 5 stars · 44 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 Northern Montana Care Center's Medicare star rating?
- CMS rates Northern Montana Care Center 5 out of 5 stars overall, with 5 for health inspections, 5 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Northern Montana Care Center get at its last inspection?
- 3 health deficiencies at the standard inspection on July 16, 2026. The Montana average is 11.2.
- Has Northern Montana Care Center been fined?
- CMS lists no fines in the last three years.
- Does Northern Montana Care Center 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 Northern Montana Care Center?
- CMS lists 23 owners and managers. Legal business name: NORTHERN MONTANA CARE 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.