Miles City · 59301
Intermountain Health Holy Rosary Hospital
2600 Wilson St
Miles City, MT 59301
Powder River Manor
Top Rated for Long-Term Care, 2026Is this your home? Get your free badge →
⌖ Broadus, MT · Powder River County
No photos yet
Medicare overall rating 5 of 5 stars
Certified beds41
Medicare / MedicaidMedicare & Medicaid
OwnershipGovernment (county)
About Powder River Manor
Powder River Manor is a 41-bed government-run nursing home in Broadus, MT. Medicare rates it 5 out of 5 stars overall (much above average); the average in Montana is 2.9. At its last full inspection (Apr 2026), inspectors found 6 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 5 hr 19 min a day with each resident, more than the Montana average of 4 hr 03 min. About 39% of its nursing staff left in the past year. Medicare fined it $48,318 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 namePowder River Manor
LocationPowder River County, Montana
Phone(406) 436-2646
Address104 N Trautman, Broadus, MT 59317 · Powder River County
CMS provider number275087
Ownership typeGovernment (county)
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceSeptember 12, 1977 (49 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
5 strengths and 1 thing to ask about in Medicare's inspection, fine and staffing records for this home.
Strengths
- Serious health citationsNone on recordNo citations for actual harm or immediate jeopardy since Sep 2025.Strength
- Health citations at last inspection6 (Apr 2026)Montana average: 11.2. Most citations are minor and corrected within weeks.Strength
- Nurse staffing per resident5 hr 19 min a dayMontana average: 4 hr 03 minStrength
- Registered nurse time per resident1 hr 22 min a dayMontana average: 59 minStrength
- Nursing staff turnover39% a yearMontana average: 55%Strength
Things to ask about
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- Fines and penalties2 fines totaling $48,318Federal penalties from the last three years, most recently in Mar 2025 (about 1 year 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 injury4.4%State average: 4.4%About average
- Pressure sores (bedsores)5.8%State average: 6.3%About average
- Given antipsychotic drugs0.0%State average: 20.4%Better than average
- Hospital stays per 1,000 resident days0.9State average: 1.4Better than average
Source: Medicare (CMS) quality measures, compared with the Montana average. Lower is better for every rate shown.
Who pays, and how full it is
Many residents here pay privately or through insurance. In Montana, Medicaid pays for 56% of resident days at a typical home.
- 29% Medicaid
- 2% Medicare
- 70% Private pay, insurance and other
Beds in use, on average54%Montana typical: 71%
Cost of care per resident day$564Montana typical: $374
Shares of resident days, from the home’s Medicare cost report for the year ending June 2025. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.
Ratings over time
Its overall Medicare rating is 5 stars now, the same as 5 stars in January 2019. It has ranged from 1 to 5 stars and changed 14 times.
Overall rating5★
Health inspections4★
Staffing5★
Quality of care5★
Nurse hours per resident per day5.3
20192020202120222023202420252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 5 | 3 | 5 | 5 | 4.6 |
| Jan 2020 | 5 | 4 | 5 | 4 | 4.9 |
| Jan 2021 | 4 | 3 | 5 | 2 | 4.2 |
| Jan 2022 | 5 | 4 | 5 | 5 | 3.8 |
| Jan 2023 | 5 | 4 | 5 | 4 | 3.9 |
| Jan 2024 | 1 | 2 | 1 | 2 | 3.9 |
| Feb 2025 | 2 | 2 | 1 | 5 | 5.0 |
| Feb 2026 | 4 | 2 | 5 | 5 | 5.2 |
| Sep 2026 | 5 | 4 | 5 | 5 | 5.3 |
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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