Beartooth Rehabilitation and Nursing is a for-profit nursing home in Columbus, MT. Medicare rates it 1 out of 5 stars overall (much below average); the average in Montana is 2.9.
Special Focus candidate. Medicare lists this home as a candidate for its Special Focus program because of a history of serious problems.
Inspections: 32 problems at its last full inspection (Feb 2026), more than the Montana average of 11.2. 4 recent citations were for residents being harmed or put in immediate danger.
Staffing: nurses and aides spend about 2 hr 57 min a day with each resident, less than the Montana average of 4 hr 03 min.
Fines: $50,592 in 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
Key details
Facility nameBeartooth Rehabilitation And Nursing LLC
Certified for Medicaid; ask whether a Medicaid bed is available.
Quality & inspections
Explore this facility's official Medicare inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Overall rating1 of 5Much below average
Health inspections1 of 5Much below average
Quality measures2 of 5Below average
Staffing4 of 5Above average
Ratings and inspection data on this page come directly from Medicare's public records and are never altered for any paid listing. Medicare data as of September 2026.
Special Focus Facility candidateYesMedicare lists this home as a candidate for its Special Focus program, which follows homes with a history of quality problems more closely.
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Abuse citationOn recordMedicare shows this icon when a home was cited for abuse, neglect or exploitation in recent inspections. Ask what happened and what changed.
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Serious health citations2 for immediate jeopardy and 2 for actual harmCitations where inspectors found residents were harmed or put in immediate danger, most recently in Feb 2026 (within the past year). All 4 were later corrected.
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Fines and penalties2 fines totaling $50,592; 1 Medicare payment denialFederal penalties from the last three years, most recently in Feb 2026 (within the past year). The national average is $30,972 per home.
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Health citations at last inspection32 (Feb 2026)Montana average: 11.2.
Worse than state average
Nurse staffing per resident2 hr 57 min a dayMontana average: 4 hr 03 min
Worse than state average
Registered nurse time per resident50 min a dayMontana average: 59 min
Worse than state 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.
★★★★★ Medicare quality rating: 2 of 5 (below average)
Falls with a major injury8.5%State average: 4.4%
Worse than average
Pressure sores (bedsores)2.4%State average: 6.3%
Better than average
Given antipsychotic drugs28.9%State average: 20.4%
Worse than average
Source: Medicare (CMS) quality measures, compared with the Montana average. Lower is better for every rate shown.
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.
All inspection citations
Every health and fire-safety citation from this home’s recent state inspections, combined, and how serious CMS rated each one. The “Health citations at last inspection” figure above counts only health citations from the most recent inspection.
Fire safety citation detail
Violations found during this facility's separate fire and life-safety inspection - things like sprinklers, exits, and emergency plans.
Deficiencies by category
How this facility's citations break down by type, so you can see whether problems concentrate in clinical care or in the building itself.
Care & clinical
Fire safety & building
Staffing detail
Reported nursing hours per resident per day, with state and national averages where available.
Resident outcome measures (this facility's actual rates)
This facility's own rates on things like falls, pressure ulcers, and hospital readmissions, based on real resident assessment data CMS collects.
Claims-based quality measures
Outcomes calculated from Medicare claims data rather than the facility's own reporting, including hospitalizations and ER visits.
Medicare Value-Based Purchasing performance
How this facility scored in Medicare's pay-for-performance program, which raises or lowers its Medicare payments based on hospital readmission rates.
Full comparison — state & national context
How this facility's key metrics stack up against state and national averages, side by side.
How health inspection ratings are scored
State-specific deficiency point thresholds for the health inspection rating.
Facility classifications
Special Focus Facility candidateAbuse citation on record
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