Billings · 59101
Billings Rehabilitation and Nursing
600 S 27th St
Billings, MT 59101
Awe Kualawaache Care Center
⌖ Crow Agency, MT · Big Horn County
No photos yet
Medicare overall rating 4 of 5 stars
Certified beds40
Medicare / MedicaidMedicare & Medicaid
OwnershipFor-profit (individual)
About Awe Kualawaache Care Center
Awe Kualawaache Care Center is a 40-bed for-profit nursing home in Crow Agency, MT. Medicare rates it 4 out of 5 stars overall (above average); the average in Montana is 2.9. At its last full inspection (Jun 2026), inspectors found 5 problems, fewer than the Montana average of 11.2. None of the problems in its recent inspections were found to have harmed residents. Nurses and aides spend about 4 hr 05 min a day with each resident, about the same as the Montana average of 4 hr 03 min. About 62% of its nursing staff left in the past year. It has had no federal fines in the last three years.
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
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Key details
Facility nameAwe Kualawaache Care Center
LocationBig Horn County, Montana
Phone(406) 638-9111
Address10131 S Heritage Rd, Crow Agency, MT 59022 · Big Horn County
CMS provider number275153
Ownership typeFor-profit (individual)
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceJune 9, 1998 (28 years)
✓ Medicare✓ Medicaid
Certified for Medicaid; ask whether a Medicaid bed is available.
Quality & inspections
Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.
What Medicare found
4 strengths in Medicare's inspection, fine and staffing records for this home. 2 care-quality measures are worse than the state average in the rehab and long-term care section below.
Strengths
- Serious health citationsNone on recordNo citations for actual harm or immediate jeopardy since Jun 2026.Strength
- Fines and penaltiesNoneNo federal fines or payment denials in the last three years.Strength
- Health citations at last inspection5 (Jun 2026)Montana average: 11.2. Most citations are minor and corrected within weeks.Strength
- Registered nurse time per resident1 hr 25 min a dayMontana average: 59 minStrength
About average
- Nurse staffing per resident4 hr 05 min a dayMontana average: 4 hr 03 minAbout average
- Nursing staff turnover62% a yearMontana average: 55%About average
Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Montana average. Problems may have been corrected since; ask the home about anything listed here. How we choose these
Short-term rehab or long-term care?
Medicare rates these separately, and many homes are better at one than the other.
Long-term care
For residents who live at the home for months or years.
- Falls with a major injury2.3%State average: 4.4%Better than average
- Pressure sores (bedsores)9.2%State average: 6.3%Worse than average
- Given antipsychotic drugs32.2%State average: 20.4%Worse than average
Source: Medicare (CMS) quality measures, compared with the Montana average. Lower is better for every rate shown.
Ratings over time
Its overall Medicare rating is 4 stars now, up from 1 star in January 2019. It has ranged from 1 to 4 stars and changed 8 times.
Overall rating4★
Health inspections5★
Staffing4★
Quality of care1★
Nurse hours per resident per day4.1
20192020202120222023202420252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 1 | 1 | 1 | 2 | – |
| Jan 2020 | 2 | 1 | 1 | 5 | – |
| Jan 2021 | 1 | 1 | – | 2 | – |
| Jan 2022 | 1 | 2 | 1 | 4 | – |
| Jan 2023 | 1 | 1 | 1 | 2 | – |
| Jan 2024 | 2 | 2 | 1 | 5 | 3.2 |
| Feb 2025 | 1 | 2 | 4 | 1 | 5.0 |
| Feb 2026 | 3 | 4 | 4 | 1 | 4.0 |
| Sep 2026 | 4 | 5 | 4 | 1 | 4.1 |
Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology
See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home
From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.
Inspection summary
How this facility compares to state and national averages on CMS-reported problems.
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Three-survey history
Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.
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