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Southwest Montana Veterans Home

65 Veterans Circle, Butte, MT 59701 · Silver Bow County · (406) 792-3100

60 certified beds, about 57 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2021

CMS high performing icon Veterans home Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 275156 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on June 19, 2025, inspectors cited 9 health deficiencies (the Montana average is 11.2, the national average 9.2).

Of 18 health citations since May 2023, 1 was rated as actual harm or immediate jeopardy to residents.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 4.34 hours per resident per day, against 4.05 across Montana and 3.86 nationally. Registered nurses accounted for 1.49 of those hours.

53.9% of nursing staff left within the year CMS measured (Montana average 54.8%).

CMS links it to Eduro Healthcare, an affiliated group of 34 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.

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 18 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
12D
5E
0F
Potential for minimal harm
0A
0B
0C
June 19, 2025Standard inspection · 9 citations
  1. E
    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    F605 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 21, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure psychotropic medications were used to treat a residents' specific, diagnosed, and documented condition for 2 (#s 14 & 36); and failed to obtain a GDR signed by the prescribing doctor for five psychotropic medications for 1 (#23) of 13 sampled residents. This deficient practice failed to ensure the medication dosages were either clinically appropriate or a potential dose reduction was clinically contraindicated for the resident.
  2. E
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    F644 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 21, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure a PASRR Level II was completed for 1 (#32), and failed to ensure the residents' mental health diagnoses, for which they received psychotropic medication, were included on the PASRR for 2 (#s 14 & 36) of 13 sampled residents.
  3. E
    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.
    F700 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 21, 2025
    Inspectors wroteBased on observations, interviews, and record review, the facility failed to obtain physician orders, informed consents, signed statements of understandings, or develop a standardized process, including terminology, for the use of bed rails for 5 (#s 5, 23, 24, 33, and 41) of 13 sampled residents.
  4. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 21, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure there was an updated care plan pertaining to trauma informed care for 1 (#32) of 13 sampled residents. The resident had ongoing nightmares and unpleasant memories, and he did not like talking about his time in the war, so he kept to himself.
  5. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 21, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure ADL oral care was offered and performed for 1 (#30) resident out of 13 sampled residents. The resident was dependent on the help of staff, and he had noticeable halitosis when conversing, due to the lack of oral care.
  6. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 21, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure prompt treatment of a urinary tract infection for 1 (#49) of 13 sampled residents which resulted in the infection being untreated for a week after symptoms started.
  7. D
    Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
    F742 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 21, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure 1 (#32) resident of 13 sampled residents had the appropriate treatment and services for PTSD to allow the resident to attain his highest practicable mental well-being. This had the potential to affect other residents with similar PTSD concerns who did not frequently verbalize their concerns.
  8. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 21, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure contact precautions were followed for 1 (#13) of 13 sampled residents. This had the potential to result in the transmission of microorganisms from resident to resident.
  9. D
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    F921 · Environmental · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 21, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure biohazardous waste was stored properly (i.e.: biohazardous waste bags properly stored in the boxes, sealed with a puncture-resistant lid to prevent the attraction of insects or animals). This had the potential to result in a spread of disease or contamination; or an accidental poke of a needle if handled or disposed of improperly.
June 6, 2024Standard inspection, Complaint inspection · 3 citations
  1. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 9, 2024
    Inspectors wroteBased on interview, observation, and record review, the facility failed to allow the POA and decision-maker of the resident to make food preference requests that followed the physician orders, dietary preferences, and swallowing precautions for 1 (#15) of 17 residents.
  2. D
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    F644 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 9, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure a mental health diagnosis was included in a resident's admission PASARR assessment for 1 (#21) of 17 sampled residents.
  3. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 9, 2024
    Inspectors wroteBased on interview, observation, and record review, the facility failed to have a consistent process, evaluation, and management of the check-out process for allowing residents to leave the facility doors based on cognitive level, physical level, elopement risk, and wandering behavior, for 1 (#194) of 17 sampled residents, and this could increase risk of accidents or harm for any other residents exiting the facility, unattended, without signing out.
May 11, 2023Standard inspection · 6 citations
  1. G
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) June 1, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility staff failed to effectively identify, treat, and reassess the effectiveness of pain management, for 1 (#8) of 9 residents.
  2. E
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 1, 2023
    Inspectors wroteBased on observation, interview and record review, facility staff failed to update individualized care plans to show current focus areas, goals, and interventions to address the focus areas, for 4 (#s 3, 15, 30, and 36) of 12 sampled residents.
  3. E
    Provide activities to meet all resident's needs.
    F679 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 1, 2023
    Inspectors wroteBased on interview, and record review, facility staff failed to implement a resident-centered activity program, which incorporated the resident's individualized interests, hobbies, and cultural preferences, for 2 (#s 8 and 15) of 9 sampled residents.
  4. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 1, 2023
    Inspectors wroteBased on observation, interview, and record review, facility staff failed to sufficiently address a resident's pain for four days due to a facility process failure related to medication orders requiring wet signatures, notification to the physician, and pharmacy delays, for 1 (#8) of 1 sampled resident.
  5. 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.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 1, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to address, and ensure, an acceptable diagnosis and indication for the use of an antipsychotic medication were in place and documented in the resident's medical record, for 1 (#30) of 5 sampled resident.
  6. D
    Have a policy regarding use and storage of foods brought to residents by family and other visitors.
    F813 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 1, 2023
    Inspectors wroteBased on observation, interview, and record review, facility staff failed to assist a resident in safely storing food brought into the facility, and stored in a refrigerator in a resident's room, if the resident was not able to do so on his own; and, help the resident to understand safe food handling practices, for 1 (#15) for 9 sampled residents.

Fire safety inspections

13 fire safety citations on file: 8 on June 19, 2025, 3 on June 6, 2024, 2 on May 11, 2023.

Every fire safety citation13 citations
  1. F
    Address subsistence needs for staff and patients.
    E 15 · June 19, 2025 · Corrected (the home has a date of correction)
  2. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · June 19, 2025 · Corrected (the home has a date of correction)
  3. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · June 19, 2025 · Corrected (the home has a date of correction)
  4. 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.
    K 222 · June 19, 2025 · Corrected (the home has a date of correction)
  5. D
    Conform to length requirements for dead end corridors.
    K 251 · June 19, 2025 · Corrected (the home has a date of correction)
  6. D
    Have properly located and lighted "Exit" signs.
    K 293 · June 19, 2025 · Corrected (the home has a date of correction)
  7. D
    Install corridor and hallway doors that block smoke.
    K 363 · June 19, 2025 · Corrected (the home has a date of correction)
  8. D
    Have proper medical gas storage and administration areas.
    K 923 · June 19, 2025 · Corrected (the home has a date of correction)
  9. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · June 6, 2024 · Corrected (the home has a date of correction)
  10. D
    Install corridor and hallway doors that block smoke.
    K 363 · June 6, 2024 · Corrected (the home has a date of correction)
  11. D
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · June 6, 2024 · Corrected (the home has a date of correction)
  12. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · May 11, 2023 · Corrected (the home has a date of correction)
  13. F
    Have simulated fire drills held at unexpected times.
    K 712 · May 11, 2023 · Corrected (the home has a date of correction)

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.

MeasureThis homeMontanaUnited States
All nursing staff (RN, LPN and aides)4.344.053.86
Registered nurses1.490.980.69
All nursing staff on weekends3.813.593.42
Nurse aides2.14
Licensed practical nurses0.71
Nursing staff turnover (share who left in a year)53.9%54.8%45.8%
Registered nurse turnover50.0%48.3%42.9%
Administrators who left0

CMS expects 2.93 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 4.56 on weekdays and 3.81 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 11.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.33 in April to June 2025 to 4.34 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.341.494.563.81 11.9%0 of 9057
Oct to Dec 20254.661.674.914.01 11.4%0 of 9251
Jul to Sep 20255.322.135.584.64 17.4%0 of 9249
Apr to Jun 20255.332.115.564.75 10.2%0 of 9149
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Montana, Jan to Mar 20263.910.894.103.4611.6%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

JobMedianMiddle halfEmployed
Montana, all employers
CNAs (nursing assistants)$19.67$18.29 to $22.864,390
LPNs and LVNs$29.91$27.95 to $32.141,620
Registered nurses$41.00$38.56 to $48.4610,950
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

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.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeMontanaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
17.118.713.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
1.02.10.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
5.32.91.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
7.44.43.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.31.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
17.717.214.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
5.06.34.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
9.220.415.4
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.61.41.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.42.21.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Southwest Montana Veterans Home's Medicare short-stay residents. How to read these, and what Medicare pays for.

Went home or back to the community

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

US median of homes 51.5% · Montana: 7 better, 2 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 17 eligible stays.

Potentially preventable readmissions

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

US median of homes 10.7% · Montana: 0 better, 0 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 24 eligible stays.

Infections that led to a hospital stay

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

US median of homes 7.1% · Montana: 0 better, 0 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 13 eligible stays.

Self-care and mobility at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Montana58.5% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 19 residents counted.

Falls with major injury

0.0% this home

Median of homes: Montana0.3% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 21 residents counted.

New or worsened pressure ulcers

0.0% this home

Median of homes: Montana2.8% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 21 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Montana97.0% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 6 residents counted.

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: BUTTE NURSING AND REHAB CENTER LLC. CMS links this home to Eduro Healthcare, a group of 34 nursing homes averaging 2.5 stars overall.

NameRoleTypeShareSince
Monroe, DustinCorporate officerIndividual06/01/2022
Thompson, ChristopherCorporate officerIndividual04/05/2020
Thompson, ChristopherOperational/managerial controlIndividual04/05/2020

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.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 7 problems in this area, most recently on June 19, 2025: "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."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on June 19, 2025: "Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on May 11, 2023: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
  4. 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 June 19, 2025: "Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function."

Other nursing homes nearby

Montana contacts for a concern about a nursing home

These are the official offices in Montana. NursingHomeClear cannot take or act on complaints.

Common questions

What is Southwest Montana Veterans Home's Medicare star rating?
CMS rates Southwest Montana Veterans Home 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Southwest Montana Veterans Home get at its last inspection?
9 health deficiencies at the standard inspection on June 19, 2025. The Montana average is 11.2.
Has Southwest Montana Veterans Home been fined?
CMS lists no fines in the last three years.
Does Southwest Montana Veterans 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 Southwest Montana Veterans Home?
CMS lists 3 owners and managers, and links the home to Eduro Healthcare. Legal business name: BUTTE NURSING AND REHAB CENTER LLC.

Sources

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