Sweet Memorial Nursing Home
125 Airport Rd, Chinook, MT 59523 · Blaine County · (406) 357-2549
42 certified beds, about 36 residents a day · Non profit - Corporation · Medicare and Medicaid since 1989
Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 275127 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on January 29, 2026, inspectors cited 13 health deficiencies (the Montana average is 11.2, the national average 9.2).
Of 44 health citations since December 2023, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $28,243 in the last three years; the largest was $28,243, and the latest is dated February 5, 2026.
Nurses and nurse aides worked 3.95 hours per resident per day, against 4.05 across Montana and 3.86 nationally. Registered nurses accounted for 0.95 of those hours.
51.1% 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.
1212/23
1312/24
608/25
1301/26
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 44 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
22D
19E
2F
Potential for minimal harm
0A
0B
0C
January 29, 2026Standard inspection · 13 citations
- G Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on observation, interview, and record review, the facility failed to routinely monitor and document a resident's weight in the resident's record, failed to ensure comprehensive quarterly nutritional assessments were completed timely to analyze and evaluate related factors for a severe weight loss, and failed to revise a residents care plan to prevent an avoidable weight loss for 2 (#s 15 and 20) of 20 residents sampled. Resident #15 had a severe 9.75% weight loss in the last three months, and 17% in the last six months. Resident #20 had a severe 6% weight loss in 29 days, and a severe 8% weight loss of her body weight in 92 days. This deficient practice had the potential to affect all residents at risk for nutritional deficit.
- E 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, interview, and record review, the facility failed to develop and implement comprehensive, person-centered care plans for the use side rails for 2 (#4 and #8); failed to comprehensively care plan the use of enhanced barrier precautions for 1 (#7); and failed to implement care plan interventions to address an identified weight loss 1 (#6) of 20 sampled residents. The deficient practices increased the risk of negatively impacting the residents' quality of life.
- E Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a Medication Aide II (MAII) in training had direct supervision of a licensed nurse while passing medications; and failed to ensure staff administered medications following the professional standards of medication administration rights for 3 (#s 1, 10 and 31) of 20 residents sampled. This deficient practice increased the risk of medication administration errors.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the infection prevention and control program was reviewed at least annually and failed to ensure current standards of practice were followed when enhanced barrier precautions were not implemented for residents with suprapubic indwelling catheters for 2 (#s 7 and 26) of 20 sampled residents. This deficient practice failed to ensure the current standards of practice were followed to prevent and control infections, and it increased the risk of transmission of multidrug-resistant organisms.
- D Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Inspectors wroteBased on the observation, interview, and record review, the facility failed to ensure a physical restraint used for a resident with a seatbelt was used to treat a documented medical symptom, failed to assess the resident's ability to release the seatbelt, and failed to ensure the restraint was used for the least amount of time with appropriate monitoring and re-evaluation for 1 (#3) of 20 sampled residents. The deficient practice increased the risk for decreased mobility and injury.
- D Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure it did not use psychopharmacological medications as chemical restraints, ensure medications were prescribed for appropriate diagnosis management, or provide informed consent for the medications for 1 (#2) of 20 sampled residents.
- D 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 interview and record review, the facility failed to update care plan goals and interventions for 1 (#2) for interventions for psychotropic medication use and 1 (#15) for severe weight changes of 20 sampled residents.
- D 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 assess a resident for safety with smoking and failed to develop a smoking care plan for 1 (#20) of 20 residents sampled. This deficient practice had the potential to affect the safety of all residents who smoked.
- D Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Inspectors wroteBased on observation, interview, and record review, the facility failed to identify and implement interventions to prevent triggers contributing to the overstimulation of the resident who had dementia; and implement the least restrictive and effective interventions for corresponding dementia behaviors, for 1 (#2) of 20 sampled residents.
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure it did not use psychopharmacological medications as chemical restraints, ensure medications were prescribed for appropriate diagnosis management, and provide informed consent for the medications for 1 (#2) of 20 sampled residents.
- D Provide routine and 24-hour emergency dental care for each resident.
Inspectors wroteBased on observation, interview, and record review, the facility failed to obtain routine dental care to meet the needs of a resident who had poorly fitted dentures for 1 (#8) of 20 sampled residents. This deficient practice resulted in the resident remaining without usable dentures and placed the resident at risk for decreased oral intake and weight loss.
- D Provide or get specialized rehabilitative services as required for a resident.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure an occupational therapy evaluation was completed to assess wheelchair positioning and the need for a seatbelt following resident falls and instead implemented a seatbelt without the proper evaluation when the family declined therapy due to the cost, for 1 (#3) of 20 sampled residents. The deficient practice resulted in the use of a positioning device without an appropriate assessment to ensure the resident's safety and effectiveness.
- D Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Inspectors wroteBased on interview and record review, the facility failed to ensure the Facility Assessment was reviewed and updated annually, and when necessary to update memorandums of understandings for laboratory services, and emergency operations plan. This deficient practice increased the risk of negative outcomes for residents residing at the facility.
August 7, 2025Complaint inspection · 6 citations
- E Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on interview and record review, the facility failed to ensure vulnerable residents were free from physical abuse by another resident for 5 (#s 9, 13, 34, 73, and 98); and protect residents from misappropriation of medications for four (#s 34, 40, 57 and 67) of 16 sampled residents. Resident #9 was involved in 5 resident-to-resident altercations within the last five months.
- E Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on interviews and record reviews, the facility failed to report initial allegations or final summaries of abuse or misappropriation of property to the State Survey Agency in the required timelines established by the federal regulations, to meet the initial or final summary reporting requirements, for 7 (#s 5, 9, 13, 21, 34, 73, and 98) of 16 sampled residents.
- E Respond appropriately to all alleged violations.
Inspectors wroteBased on observation, interview, and record review, the facility failed to thoroughly investigate resident-to-resident altercations, alleged to be abuse, for 5 (#s 9, 13, 34, 73, and 98) and failed to investigate bruising of unknown origin, for 1 (#5) of 16 sampled.
- 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 interview and record review, the facility failed to revise and individualize comprehensive care plans to reflect the individualized needs or interventions to protect residents, for 6 (#s 5, 9, 13, 34, 73, 98) of 16 sampled residents, and the staff responsible for updating the care plans were not aware of what to add to the care plans for resident concerns related to abuse or protecting the resident.
- E Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on interview, and record review, the facility failed to maintain a system to store and monitor controlled drugs was in a manner to contain sufficient detail to enable an accurate reconciliation; and prevent diversion for 5 (#'s 34, 40, 46, 57, and 67) of 16 sampled residents. 1. Review of a facility investigation file showed the facility began an investigation for missing medications in May of 2025. 2. During an interview on 8/5/25 at 9:11 a.m., staff members B and C were present for the interview. Staff member B said beginning in May 2025, resident #46 ran out of Seroquel about 14 days earlier than she should have. This was the first missing medication identified. Staff member B said she emailed the Drug Enforcement Agency for guidance but has not received any feedback from them. 3. [...]
- D Provide medically-related social services to help each resident achieve the highest possible quality of life.
Inspectors wroteBased on interview and record review, the facility failed to ensure the residents' highest practicable level of physical and psychosocial well-being was met for 2 (#s 13 and 34) related to medically related social services, of 16 sampled residents. Resident #34 felt isolated after her move, and #13 was upset over an abuse event; neither resident had a social service follow-up after the abuse event.
December 5, 2024Standard inspection, Complaint inspection · 13 citations
- E Respond appropriately to all alleged violations.
Inspectors wroteBased on observation, interview, and record review, the facility failed to thoroughly investigate resident to resident altercations, alleged to be abuse, for 3 (#s 19, 29, and 30) of 19 sampled and supplemental residents.
- 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 an individualized comprehensive care plan to reflect the discontinuation of a catheter for 1 (#18); the use of oxygen for 1 (#15); the use of bed rails for 3 (#s 12, 18, and 27) of 12 sampled residents; and failed to involve the resident or the resident's representative in the care planning process for 1 (#20) of 12 sampled residents.
- E Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the medication error rate was less than 5% for 3 (#s 5, 23, and 30) of 19 sampled and supplemental residents. The calculated medication error rate was 8.16%.
- E Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Inspectors wroteBased on observation and interview, the facility failed to provide proper oversight for the use of personal refrigerators in a resident's rooms for 3 (#s 1, 3, and 4) of 3 sampled residents with personal refrigerators. The deficient practice put any resident with a personal refrigerator at risk for consuming food not stored at safe temperatures and consuming outdated food.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation and interview, the facility staff failed to perform hand hygiene when passing medications to residents for 3 (#s 13, 21, and 23) of 19 sampled and supplemental residents.
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a vulnerable resident was free from physical abuse by another resident for 2 (#s 29 and 30) of 19 sampled residents and supplemental residents. Resident #30 was struck on two separate occasions by resident #29.
- D Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased on interview and record review the facility failed to provide a copy of the baseline care plan to the resident or resident's representative for 1 (#20) of 12 sampled 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 interview and record review, the facility failed to create a comprehensive resident centered care plan for 1 (#20) of 12 sampled residents.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview, and record review, the facility failed to identify and assess wheelchair positioning needs for 1 (#20) of 12 sampled residents. This deficient practice caused the resident discomfort due to a poor fitting wheelchair.
- D Provide appropriate foot care.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident received proper foot care for 1 (#20) of 12 sampled residents. The deficient practice resulted in the resident experiencing pain due to a callus.
- 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.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure an as needed antipsychotic medication was limited to 14 days unless evaluated by the physician, and reordered, for 1 (#29) of 5 sampled residents reviewed for unnecessary medications.
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation and interview, the facility failed to discard numerous containers of Half and Half stored in the facility's walk-in cooler, by the use by date.
- D Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on interview and record review, the facility failed to ensure residents were screened for the pneumococcal vaccines (Prevnar 13, Prevnar 20, and PPSV23), and failed to offer or obtain a declination for the vaccines, for 2 (#s 16 and 27) of 5 residents sampled for immunizations (influenza, COVID-19, and pneumococcal).
December 6, 2023Standard inspection, Complaint inspection · 12 citations
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, the facility staff failed to complete proper hand hygiene during resident medication pass, properly wear masks during a facility outbreak of COVID-19, and sanitize a mechanical lift after resident use, prior to storing. This deficient practice has the potential to spread infection to all residents in the facility.
- F Implement a program that monitors antibiotic use.
Inspectors wroteBased on interview and record review, the facility failed to have an antibiotic stewardship program in place. This deficient practice had the potential to affect all residents residing in the facility.
- 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 staff failed to keep residents free from physical restraints for 3 (#s 12, 28, and 36) of 19 sampled residents. This deficient practice caused the residents the inability to move independently.
- E Respond appropriately to all alleged violations.
Inspectors wroteBased on observation, interview, and record review the facility failed to complete a thorough investigation involving elopement for 2 (#s 19 and 26); and falls for 1 (#36) of 19 sampled residents. This deficient practice failed to included interventions to prevent further elopements or falls, root cause analysis, or staff education.
- E Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased on observation, interview, and record review, the facility failed to implement a baseline care plan within 48 hours of resident admissions for 3 (#s 33, 36 and 142) of 19 sampled residents. This deficient practice had the potential for the residents not to receive the required care needed.
- E 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, interview, and record review, the facility failed to complete a person-centered, comprehensive care plan for 2 (#s 3 and 29) for UTI and indwelling catheter interventions; interventions for repeated falls for 1 (#17); and elopement interventions for 1 (#26) of 19 sampled residents.
- 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, facility staff failed to revise and implement new focus, goals, and interventions on care plans for 7 (#s 1, 12, 17, 19, 28, 33, and 36) of 19 sampled residents.
- 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 keep residents safe from falls for 2 (#s 12 and 142); and elopements for 2 (#s 19 and 26) of 19 sampled residents.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, interview, and record review, facility staff failed to identify and address dignity concerns for 1 (#16) of 19 sampled residents.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on observation, interview, and record review, the facility failed to accuately code a restraint on a resident's Minimum Data Set for 1 (#36) of 19 sampled residents.
- 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.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide on-going daily care and monitoring of indwelling urinary catheters based on recommended standards, which increased the risk of catheter associated urinary tract infections for 2 (#s 3 and 29) of 19 sampled residents.
- D Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observation and interview, the facility failed to label a vinegar bottle with the date opened, the mixture concentration, and the individual mixing the concentration for 1 (#29) of 19 sampled residents.
Fire safety inspections
16 fire safety citations on file: 4 on January 29, 2026, 6 on December 5, 2024, 6 on December 6, 2023.
Every fire safety citation16 citations
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Have generator or other power source capable of supplying service within 10 seconds.
- 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 Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F Install emergency lighting that can last at least 1 1/2 hours.
- F Have power receptacles that are properly grounded.
- 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.
- D Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Meet requirements for the installation and maintenance of electrical systems.
- F Ensure that testing and maintenance of electrical equipment is performed.
- E Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Install corridor and hallway doors that block smoke.
- D Meet requirements for the installation and maintenance of electrical systems.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| February 5, 2026 | Fine | $28,243 |
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) | 3.95 | 4.05 | 3.86 |
| Registered nurses | 0.95 | 0.98 | 0.69 |
| All nursing staff on weekends | 3.39 | 3.59 | 3.42 |
| Nurse aides | 2.95 | ||
| Licensed practical nurses | 0.05 | ||
| Nursing staff turnover (share who left in a year) | 51.1% | 54.8% | 45.8% |
| Registered nurse turnover | 50.0% | 48.3% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.35 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 4.18 on weekdays and 3.39 on weekends, 19% 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 3.87 in April to June 2025 to 3.95 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 | 3.95 | 0.95 | 4.18 | 3.39 | 0.0% | 0 of 90 | 36 |
| Oct to Dec 2025 | 3.64 | 0.95 | 3.77 | 3.29 | 0.0% | 0 of 92 | 38 |
| Jul to Sep 2025 | 3.88 | 0.84 | 4.07 | 3.38 | 0.0% | 0 of 92 | 37 |
| Apr to Jun 2025 | 3.87 | 0.93 | 4.04 | 3.45 | 3.4% | 0 of 91 | 37 |
| 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 | 14.3 | 18.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.7 | 2.1 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.9 | 2.9 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 9.2 | 4.4 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 12.6 | 17.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.8 | 6.3 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 9.1 | 20.4 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.5 | 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 |
Owners and operators
Legal business name: SWEET MEMORIAL NURSING HOME.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Kleinjan, Arthur | Managing control - governing body | Individual | 01/01/1984 | |
| Friede, Danny | Corporate director | Individual | 01/01/2008 | |
| Overcast, Denny | Corporate director | Individual | 01/01/2009 | |
| Kleinjan, Arthur | Corporate officer | Individual | 01/01/1984 | |
| Nesslar, Heather | Operational/managerial control | Individual | 07/29/2014 | |
| Robertson, Carley | Operational/managerial control | Individual | 06/01/2013 | |
| Shackelford, Rebecca | Operational/managerial control | Individual | 12/02/2019 | |
| Nesslar, Heather | Adp of the SNF | Individual | 07/29/2014 | |
| Robertson, Carley | Adp of the SNF | Individual | 06/01/2013 | |
| Shackelford, Rebecca | Adp of the SNF | Individual | 12/02/2019 |
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.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 10 problems in this area, most recently on January 29, 2026: "Provide enough food/fluids to maintain a resident's health."
- When is the care plan meeting, and can family attend it?Inspectors cited 10 problems in this area, most recently on January 29, 2026: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 9 problems in this area, most recently on January 29, 2026: "Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 5 problems in this area, most recently on January 29, 2026: "Provide and implement an infection prevention and control program."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.39 hours per resident per day, below the Montana average of 3.59.
Other nursing homes nearby
- Northern Montana Care Center Havre, 20.5 mi · 5 of 5 stars · 9 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 Sweet Memorial Nursing Home's Medicare star rating?
- CMS rates Sweet Memorial Nursing Home 2 out of 5 stars overall, with 2 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Sweet Memorial Nursing Home get at its last inspection?
- 13 health deficiencies at the standard inspection on January 29, 2026. The Montana average is 11.2.
- Has Sweet Memorial Nursing Home been fined?
- Yes. CMS lists 1 fine totaling $28,243 in the last three years.
- Does Sweet Memorial 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 Sweet Memorial Nursing Home?
- CMS lists 10 owners and managers. Legal business name: SWEET MEMORIAL NURSING HOME.
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.