St. Luke Community Nursing Home
107 6th Ave S W, Ronan, MT 59864 · Lake County · (406) 676-4441
75 certified beds, about 37 residents a day · Non profit - Corporation · Medicare and Medicaid since 1978
CMS Care Compare ratings, data as of September 1, 2026 · CCN 275093 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 7, 2026, inspectors cited 1 health deficiency (the Montana average is 11.2, the national average 9.2).
Of 9 health citations since March 2024, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $44,252 in the last three years; the largest was $44,252, and the latest is dated March 27, 2025.
Nurses and nurse aides worked 4.42 hours per resident per day, against 4.05 across Montana and 3.86 nationally. Registered nurses accounted for 1.39 of those hours.
32.6% 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.
May 7, 2026Standard inspection · 1 citation
- C Provide and implement an infection prevention and control program.
Inspectors wroteBased on interview and record review, the facility failed to ensure all infection control policies, and the list of reportable communicable diseases, were updated or reviewed annually. This deficient practice had the potential to affect all residents in the facility related to infection control prevention.
March 27, 2025Standard inspection · 6 citations
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure staff utilized safety straps for sit-to-stand lifts, resulting in a fall with major injury, for 1 (#11); and placing residents requiring the use of the sit-to-stand lift at risk of falls, for 3 (#s 9, 20, and 23) of 4 sampled residents; and failed to ensure a resident was sufficiently assessed on an ongoing basis and monitored for the use of a Broda chair related to her fall risk and prevention, which may have led to a further decline in mobility, for 1 (#10) of 19 sampled residents.
- 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 safe labeling of food storage in accordance with professional standards for food service safety, placing residents at risk for consumption of expired or contaminated food and risk for food-borne illness; and failed to develop and implement policy and procedures regarding food storage and labeling. These deficient practices affected all residents receiving food services from the facility.
- F Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspectors wroteBased on interview and record review, the facility failed to maintain documentation of its ongoing QAPI program efforts which demonstrated how the facility determined contributing causes of problems to determine the root-cause of identified issues; failed to establish corrective action plans which included interventions to correct the problem to establish measurable outcomes for established goals; and failed to establish measurable goals in order to determine a process on how to monitor projects to ensure expected results of the established goals. This deficient practice placed all residents receiving care at the facility at risk for missed opportunities to identify and implement improvements that could enhance patient care, increased safety risks, and operational efficiency; [...]
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure staff changed gloves and performed hand hygiene when moving from a contaminated task to a clean task during the provision of ADL care for 2 (#s 9 and 11); failed to maintain a clean gait belt for 1 (#14) of 19 sampled residents; and failed to maintain a soiled/dirty area separate from the clean equipment and supplies; and failed to maintain cleanable surfaces in the laundry room. These deficient practices increased the risk of infection for all residents receiving services in the facility.
- E Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure medication error rates were under 5% for 2 (#s 17 and 24) of 9 sampled residents for medication errors. The medication errors placed residents at risk for overdose side effects of the medications, and the errors were not identified as a concern and continued over a period of time, per staff. The calculated medication error rate was 10%.
- D Keep residents' personal and medical records private and confidential.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure personal privacy resulting in a resident feeling uncomfortable and imprisoned, for 1 (#4) of 19 sampled residents, and the resident requested the camera, placed by the facility, to be removed from her room, but the facility stated if it was removed, her door would need to remain open, so her privacy was not respected.
March 14, 2024Standard inspection · 2 citations
- D Keep residents' personal and medical records private and confidential.
Inspectors wroteBased on observation, interview, and record review, the facility failed to protect a resident's right to privacy of their body for 1 (#8); and failed to have a process for evaluation and re-evaluation , or a policy, for video cameras and the continued use and impacts on personal privacy for 1 (#84) of 4 residents sampled for continuous video monitoring.
- D Make sure that a working call system is available in each resident's bathroom and bathing area.
Inspectors wroteBased on observation and resident interview, the facility failed to provide an emergency call light system for 2 (#s 10 & 27) of 2 residents sampled for call light concerns.
Fire safety inspections
12 fire safety citations on file: 5 on May 7, 2026, 2 on March 27, 2025, 5 on March 14, 2024.
Every fire safety citation12 citations
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have generator or other power source capable of supplying service within 10 seconds.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
- D Install smoke barrier doors that can resist smoke for at least 20 minutes.
- E Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D Inspect, test, and maintain automatic sprinkler systems.
- F Ensure that testing and maintenance of electrical equipment is performed.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Have properly installed hallway dispensers for alcohol-based hand rub.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Properly select, install, inspect, or maintain portable fire extinguishes.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| March 27, 2025 | Fine | $44,252 |
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) | 4.42 | 4.05 | 3.86 |
| Registered nurses | 1.39 | 0.98 | 0.69 |
| All nursing staff on weekends | 4.00 | 3.59 | 3.42 |
| Nurse aides | 2.54 | ||
| Licensed practical nurses | 0.49 | ||
| Nursing staff turnover (share who left in a year) | 32.6% | 54.8% | 45.8% |
| Registered nurse turnover | 16.7% | 48.3% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.25 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 4.59 on weekdays and 4.00 on weekends, 13% 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 4.73 in April to June 2025 to 4.42 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 | 4.42 | 1.39 | 4.59 | 4.00 | 0.0% | 0 of 90 | 37 |
| Oct to Dec 2025 | 4.66 | 1.46 | 4.86 | 4.15 | 0.0% | 0 of 92 | 36 |
| Jul to Sep 2025 | 5.20 | 1.61 | 5.53 | 4.37 | 0.0% | 0 of 92 | 32 |
| Apr to Jun 2025 | 4.73 | 1.56 | 4.99 | 4.06 | 0.0% | 0 of 91 | 32 |
| 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. If you work here, your report helps start one.
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 | 10.6 | 18.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.7 | 2.1 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 7.0 | 2.9 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.1 | 4.4 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 10.5 | 17.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.4 | 6.3 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 17.8 | 20.4 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.9 | 1.4 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.6 | 2.2 | 1.8 |
Short-term rehab results
For a stay to recover after a hospital visit, these are the results CMS publishes for St. Luke Community Nursing Home'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: ST LUKES COMMUNITY HOSPITAL.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Adams, Jason | Corporate director | Individual | 11/01/2023 | |
| Castor, Holly | Corporate director | Individual | 01/01/1992 | |
| Emerson, Leah | Corporate director | Individual | 01/01/2022 | |
| Grainey, Philip | Corporate director | Individual | 01/01/1986 | |
| McGinnis, Jennifer | Corporate director | Individual | 01/01/2011 | |
| Olsson, Martin | Corporate director | Individual | 01/01/1989 | |
| Pavlock, August | Corporate director | Individual | 07/01/2012 | |
| Todd, Steven | Corporate director | Individual | 09/01/2013 | |
| Vigil, Megan | Corporate officer | Individual | 01/01/2026 | |
| Perret, Jay | Operational/managerial control | Individual | 01/01/2026 | |
| Todd, Steven | Operational/managerial control | Individual | 09/01/2013 | |
| Perret, Jay | Adp of the SNF | Individual | 01/01/2026 | |
| Todd, Steven | Adp of the SNF | Individual | 03/30/2026 |
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.
- 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 May 7, 2026: "Provide and implement an infection prevention and control program."
- 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 March 27, 2025: "Keep residents' personal and medical records private and confidential."
- 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 March 27, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- 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 March 27, 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
- Polson Health & Rehabilitation Center Polson, 9.8 mi · 4 of 5 stars · 15 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 St. Luke Community Nursing Home's Medicare star rating?
- CMS rates St. Luke Community Nursing Home 5 out of 5 stars overall, with 5 for health inspections, 5 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did St. Luke Community Nursing Home get at its last inspection?
- 1 health deficiency at the standard inspection on May 7, 2026. The Montana average is 11.2.
- Has St. Luke Community Nursing Home been fined?
- Yes. CMS lists 1 fine totaling $44,252 in the last three years.
- Does St. Luke Community Nursing 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 St. Luke Community Nursing Home?
- CMS lists 13 owners and managers. Legal business name: ST LUKES COMMUNITY HOSPITAL.
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.