Rosebud Health Care Center
383 N 17th Ave, Forsyth, MT 59327 · Rosebud County · (406) 346-4243
31 certified beds, about 13 residents a day · Non profit - Corporation · Medicare and Medicaid since 1977
CMS Care Compare ratings, data as of September 1, 2026 · CCN 275072 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on December 18, 2025, inspectors cited 3 health deficiencies (the Montana average is 11.2, the national average 9.2).
None of its 8 health citations since November 2023 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 6.26 hours per resident per day, against 4.05 across Montana and 3.86 nationally. Registered nurses accounted for 2.45 of those hours.
45.7% 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 8 health citations on file.
December 18, 2025Standard inspection · 3 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 food items were labeled and dated after the package was opened, failed to ensure food items in the freezer were stored off the floor, and failed to label and date items in the refrigerator in the resident's dining room. This deficient practice increased the risk of food borne illness for all residents who were served food from the kitchen.
- F Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Inspectors wroteBased on interview and record review, the facility failed to ensure the Medical Director or designee attended Quality Assurance Performance Improvement (QAPI) meetings at least quarterly. This deficient practice limited the Medical Director's ability to fully participate and add value to the QAPI meetings.
- D Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on observation, interview, and record review, the facility failed to consider a resident's cognitive abilities when obtaining informed consents for influenza vaccinations and failed to ensure the consent forms were completed accurately for 2 (#s 4 and 12).
October 10, 2024Standard inspection · 0 citations
November 8, 2023Standard inspection · 5 citations
- 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 interview and record review, the facility failed to implement and utilize a grievance process for the identification, investigation, anonymous submission, and resolution of resident grievances related to care and services for 1 (#3) of 11 sampled residents.
- 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 identify a concave mattress as a potential restraint, and did not complete a risk assessment, consent, or restraint monitoring for 1 (#5) of 11 sampled residents with a concave mattress in place.
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on interview and record review, the facility failed to complete and submit a revised pre-admission screening and record review (PASARR) for a resident with a newly identified diagnosis of schizophrenia for 1 (#8) of 11 sampled residents.
- 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 ensure a psychiatric evaluation was performed and documented prior to including a diagnosis of schizophrenia for 1 (#8) of 11 sampled residents.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interview and record review, the facility failed to establish a process for when resident should be weighed, and failed to identify and intervene in a timely manner when weights were not completed for 2 (#s 2 and 5) of 11 sampled residents.
Fire safety inspections
6 fire safety citations on file: 1 on December 18, 2025, 2 on October 10, 2024, 3 on November 8, 2023.
Every fire safety citation6 citations
- F Have generator or other power source capable of supplying service within 10 seconds.
- D Properly select, install, inspect, or maintain portable fire extinguishes.
- D Have proper medical gas storage and administration areas.
- F Ensure that testing and maintenance of electrical equipment is performed.
- 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 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) | 6.26 | 4.05 | 3.86 |
| Registered nurses | 2.45 | 0.98 | 0.69 |
| All nursing staff on weekends | 5.52 | 3.59 | 3.42 |
| Nurse aides | 3.22 | ||
| Licensed practical nurses | 0.59 | ||
| Nursing staff turnover (share who left in a year) | 45.7% | 54.8% | 45.8% |
| Registered nurse turnover | 33.3% | 48.3% | 42.9% |
| Administrators who left | not reported |
CMS expects 2.98 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 6.56 on weekdays and 5.52 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 6.33 in April to June 2025 to 6.26 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 | 6.26 | 2.45 | 6.56 | 5.52 | 0.9% | 0 of 90 | 13 |
| Oct to Dec 2025 | 5.54 | 2.52 | 5.86 | 4.73 | 2.4% | 0 of 92 | 14 |
| Jul to Sep 2025 | 5.98 | 2.59 | 6.22 | 5.35 | 2.0% | 0 of 92 | 14 |
| Apr to Jun 2025 | 6.33 | 2.63 | 6.57 | 5.74 | 1.5% | 0 of 91 | 13 |
| 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 | 20.4 | 18.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.1 | 2.1 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.9 | 2.9 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 11.5 | 4.4 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 13.3 | 17.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.0 | 6.3 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 26.8 | 20.4 | 15.4 |
Short-term rehab results
For a stay to recover after a hospital visit, these are the results CMS publishes for Rosebud Health Care Center's Medicare short-stay residents. How to read these, and what Medicare pays for.
CMS reports none of these results for this home: The data for this measure is missing or was not submitted. Call the facility to discuss this quality measure.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Owners and operators
Legal business name: ROSEBUD COMMUNITY HOSPITAL INC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Holland, Gayle | Corporate director | Individual | 06/01/2007 | |
| Johnstone, Robert | Corporate director | Individual | 11/24/2020 | |
| Killen, Gerald | Corporate director | Individual | 06/22/2016 | |
| Lee, Robert | Corporate director | Individual | 06/01/2008 | |
| Maciag, Jeanne | Corporate director | Individual | 07/26/2018 | |
| Nile, Nancy | Corporate director | Individual | 06/01/2012 | |
| Schwarzkoph, Cherly | Corporate director | Individual | 06/01/2010 | |
| Watson, Dan | Corporate director | Individual | 09/25/2024 | |
| Crose, Hunter | Operational/managerial control | Individual | 09/01/2022 | |
| Price, Mindy | Operational/managerial control | Individual | 07/01/2018 | |
| Crose, Hunter | Adp of the SNF | Individual | 03/14/2025 | |
| Price, Mindy | Adp of the SNF | Individual | 02/20/2025 |
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 2 problems in this area, most recently on November 8, 2023: "Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed."
- 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 December 18, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 1 problem in this area, most recently on December 18, 2025: "Have the Quality Assessment and Assurance group have the required members and meet at least quarterly"
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on December 18, 2025: "Develop and implement policies and procedures for flu and pneumonia vaccinations."
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 Rosebud Health Care Center's Medicare star rating?
- CMS rates Rosebud Health Care Center 5 out of 5 stars overall, with 5 for health inspections, 5 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Rosebud Health Care Center get at its last inspection?
- 3 health deficiencies at the standard inspection on December 18, 2025. The Montana average is 11.2.
- Has Rosebud Health Care Center been fined?
- CMS lists no fines in the last three years.
- Does Rosebud Health 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 Rosebud Health Care Center?
- CMS lists 12 owners and managers. Legal business name: ROSEBUD COMMUNITY HOSPITAL 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.