Lewistown · 0.6 mi
Valle Vista Rehabilitation and Nursing
4 of 5 · Medicare
View facility →Montana Mental Health Nursing Home
⌖ Lewistown, MT · Fergus County · Medicare data as of September 2026
No photos yet
Medicare overall rating 4 of 5 stars
Certified beds117
Medicare / MedicaidMedicaid only
OwnershipGovernment (state)
About Montana Mental Health Nursing Home
Montana Mental Health Nursing Home is a 117-bed government-run nursing home in Lewistown, MT. Medicare rates it 4 out of 5 stars overall (above average); the average in Montana is 2.9.
- Inspections: 12 problems at its last full inspection (Oct 2024), close to the Montana average of 11.2. None of its recent citations were for residents being harmed.
- Staffing: nurses and aides spend about 6 hr 57 min a day with each resident, more than the Montana average of 4 hr 03 min. About 54% of nursing staff left in the past year.
- Fines: no federal fines in the last three years.
- Stands out: Registered nurses spend about 1 hr 41 min a day with each resident, compared with 41 min nationally.
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
Key details
Facility nameMontana Mental Health Nursing Home
LocationFergus County, Montana
Phone(406) 538-7451
Address800 Casino Creek Dr, Lewistown, MT 59457 · Fergus County
Medicare provider number27A052
Ownership typeGovernment (state)
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceJune 1, 1991 (35 years)
✗ Medicare✓ Medicaid
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.
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.
What Medicare found
3 strengths and 1 thing to ask about in Medicare's inspection, fine and staffing records for this home. 1 care-quality measure is worse than the state average in the rehab and long-term care section below.
Strengths
- Serious health citationsNone since Oct 2024No citations for actual harm or immediate jeopardy since Oct 2024.Strength
- Nurse staffing per resident6 hr 57 min a dayMontana average: 4 hr 03 minStrength
- Registered nurse time per resident1 hr 41 min a dayMontana average: 59 minStrength
About average
- Health citations at last inspection12 (Oct 2024)Montana average: 11.2.About average
- Nursing staff turnover54% a yearMontana average: 55%About average
Things to ask about
This home hasn’t responded to these yet. Represent this home? Respond →
- Fines and penalties1 Medicare payment denialFederal penalties from the last three years, most recently in Oct 2024 (about 2 years ago). The national average is $30,972 per home.Ask about this
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 injury3.2%State average: 4.4%Better than average
- Pressure sores (bedsores)3.8%State average: 6.3%Better than average
- Given antipsychotic drugs83.8%State average: 20.4%Worse than average
- Hospital stays per 1,000 resident days1.1State average: 1.4About average
Source: Medicare (CMS) quality measures, compared with the Montana average. Lower is better for every rate shown.
What a stay may cost
- Medicare: this home isn’t certified for Medicare, so Medicare won’t pay for a stay here.
- Paying privately: ask the home for its daily rate and what it includes. As a guide, Montana’s Medicaid program uses about $343 a day (about $10,443 a month) as the average cost of nursing home care (July 2026); see the state’s figure.
- Medicaid: this home is certified for Medicaid, which pays for most long-term care once savings run low. Ask whether a Medicaid bed is available. Medicaid rules in Montana →
Medicare amounts from Medicare.gov. Prices vary with room type and care needs, so always confirm with the home.
Ratings over time
Its overall Medicare rating is 4 stars now, up from 2 stars in January 2019. It has ranged from 1 to 4 stars and changed 10 times.
Overall rating4★
Health inspections3★
Staffing5★
Quality of care3★
Nurse hours per resident per day7.0
20192020202120222023202420252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 2 | 1 | 5 | 5 | 5.1 |
| Jan 2020 | 2 | 1 | 5 | 5 | 5.2 |
| Jan 2021 | 2 | 1 | 5 | 5 | 5.7 |
| Jan 2022 | 2 | 1 | 5 | 5 | 5.3 |
| Jan 2023 | 2 | 1 | 5 | 5 | 4.9 |
| Jan 2024 | 1 | 1 | 4 | 4 | 4.8 |
| Feb 2025 | 4 | 2 | 5 | 5 | 5.8 |
| Feb 2026 | 4 | 2 | 5 | 5 | 6.9 |
| Sep 2026 | 4 | 3 | 5 | 3 | 7.0 |
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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View facility →Family reviews
No family reviews of this home yet. Reviews are separate from Medicare’s ratings and are checked before they’re published.