MONTANA MENTAL HEALTH NURSING HOME – LEWISTOWN, MT

CMS Verified | 2026-03-01

Montana Mental Health Nursing Home

800 CASINO CREEK DR, Lewistown, MT 59457
(406) 538-7451
117 beds
All Lewistown facilities
4.0*
Overall
2.0*
Health Inspection
5.0*
Quality Care
5.0*
Staffing
94.9
Score /100
#168
National Rank

#168
of 14703 facilities
National
98.9% position
#1
of 61 in MT
State Rank
#1
of 2 in Fergus
County Rank
#1
of 2 in Lewistown
City Rank
#1
of 2 in ZIP 59457
ZIP Rank






About Montana Mental Health Nursing HomeMontana Mental Health Nursing Home is located at 800 Casino Creek Dr, Lewistown, MT, reachable at (406) 538-7451. This Government – State facility operates 117.0 certified beds and serves an average of 69 residents per day. Medicare and Medicaid services have been provided since 1991-06-01. The facility currently holds a above average (4-star) overall rating from the Centers for Medicare & Medicaid Services (CMS).
Facility

Montana Mental Health Nursing Home

Address

800 Casino Creek Dr, Lewistown, MT 59457

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicaid
Facility Details
  • 117 Certified Beds
  • Ownership: Government – State
  • Resident Council: Resident
  • Automatic Sprinklers: Yes

Quick Verdict

Overall Quality
✅ Above Average (4★) overall rating
Health Inspection
⚠️ Below Average (2★) health inspection
Staffing
✅ Excellent (5★) staffing rating
Quality of Care
✅ Excellent (5★) quality of care
Compliance
❌ 19 fine(s) over 5 years
5-Year Trend
Improving over 5 years
94.9
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#168 of 14703 nationally – #1 of 61 in Montana

Who Is This Facility Best For?

Montana Mental Health Nursing Home offers a mid-range care option in Lewistown, MT. Above-average staffing levels make it a good option for residents needing intensive nursing care.

Overall Rating 2022-2026

Total Nurse Hours/Day 2022-2026

Current Ratings (2026)

Overall Rating

4 / 5
Health Inspection

2 / 5
Staffing Rating

5 / 5
Quality Measures (QM)

5 / 5
Long-Stay QM Rating

5 / 5
Short-Stay QM Rating

N/A

5-Year Rating Trends

Overall Rating

Health Inspection Rating

Quality of Care (QM)

Staffing Rating

Average Residents per Day

Occupancy % (Residents / Beds)

Staffing InsightMontana Mental Health Nursing Home currently provides 6 hours 54 minutes of total nurse staffing per resident per day, including 1 hour 45 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 5 out of 5 reflects strong nurse coverage. RN hours per resident have increased from 77 min/day (2022) to 105 min/day (2026), a positive sign of investment in skilled nursing. Total nursing staff turnover is high at 57.5%, which can affect care continuity.

Current Staffing Hours Per Resident Per Day (2026)

Total Nurse Staffing6 hours 54 minutes
Nurse Aide Hours5 hours 9 minutes
Licensed Practical Nurse (LPN) Hours0 minutes
Registered Nurse (RN) Hours1 hour 45 minutes
Physical Therapist Hours0 minutes

National average total nurse staffing is approximately 3.5 hours per day

Weekend Staffing Hours Per Resident Per Day (2026)

Weekend Total Nurse Hours6 hours 19 minutes
Weekend Registered Nurse (RN) Hours1 hour 15 minutes

Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.

5-Year Staffing Trends

Total Nurse Hours/Day

Registered Nurse (RN) Hours/Day

Licensed Practical Nurse (LPN) Hours/Day

Nurse Aide Hours/Day

Total Staff Turnover %

Registered Nurse (RN) Turnover %

Compliance SummaryIn the current reporting period, the facility received 1 fine(s) totaling $7,163. 15 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. There were 1 Medicare payment denial(s) in the current period.
Number of Fines (current period) 1
Total Fines Amount $7163.0
Payment Denials 1
Total Penalties 2
Abuse Flag on Record N
Total Weighted Health Survey Score 100.0 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#168
of 14,703
National
Top 5%
#1
of 61
MT State
Top 5% in MT
#1
of 2
️ Fergus County
Best in county
#1
of 2
️ Lewistown
Best in city
#1
of 2
ZIP 59457
Best in ZIP

Nationally, Montana Mental Health Nursing Home ranks 168th out of 14,703 facilities (composite score: 94.9/100), placing it in the top 5% nationwide. Within MT, it ranks 1st out of 61 nursing homes. In Lewistown, it ranks 1st out of 2 facilities. Among facilities sharing its ZIP code, it ranks 1st of 2. For 2026 staffing: total nurse hours rank #178 nationally and RN hours rank #350 nationally (#4 in MT).

How do we calculate these rankings?

Total Nurse Staffing – Year-by-Year National and State Ranks

Year Hours/Day National Rank MT State Rank Note
2022 5.34 #777 / 14,703 #5 / 61 Top 10%
2023 4.94 #1,195 / 14,703 #8 / 61 Top 10%
2024 4.80 #1,420 / 14,703 #10 / 61 Top 10%
2025 5.77 #497 / 14,703 #3 / 61 Top 5%
2026 6.90 #178 / 14,703 #2 / 61 Top 5%

Registered Nurse (RN) Hours – Year-by-Year National and State Ranks

Year Hours/Day National Rank MT State Rank Note
2022 1.28 #966 / 14,703 #7 / 61 Top 10%
2023 1.31 #791 / 14,703 #6 / 61 Top 10%
2024 1.55 #458 / 14,703 #4 / 61 Top 5%
2025 1.71 #362 / 14,703 #3 / 61 Top 5%
2026 1.75 #350 / 14,703 #4 / 61 Top 5%

Total Nurse Rank – National (lower number = better)

Registered Nurse Rank – National (lower number = better)

Frequently Asked Questions

Montana Mental Health Nursing Home is certified as a Medicaid facility and has been approved to provide these services since 1991-06-01. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (406) 538-7451 or your local Medicaid office to verify current eligibility.

Montana Mental Health Nursing Home holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 4 out of 5 stars. This is made up of three components: Health Inspection (2★), Staffing (5★), and Quality of Resident Care (5★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 94.9/100, placing it #168 of 14703 facilities nationally and #1 of 61 in Montana. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Montana Mental Health Nursing Home receives a reported average of 6 hours 54 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 1 hour 45 minutes; Licensed Practical Nurse (LPN) — 0 minutes; Nurse Aide — 5 hours 9 minutes. On weekends, total nurse staffing is 6 hours 19 minutes per resident per day. The CMS Staffing Rating for this facility is 5 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 57.5%. Families are encouraged to ask about current staffing schedules during their facility visit.

In the current reporting period, the facility received 1 fine(s) totaling $7,163. 15 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. There were 1 Medicare payment denial(s) in the current period. In the most recent CMS reporting period, the facility received 1 fine(s) totaling $7,163, and 1 Medicare payment denial(s). Total penalties: 2. The Total Weighted Health Survey Score is 100.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Montana Mental Health Nursing Home ranks 168th out of 14,703 facilities (composite score: 94.9/100), placing it in the top 5% nationwide. Within MT, it ranks 1st out of 61 nursing homes. In Lewistown, it ranks 1st out of 2 facilities. Among facilities sharing its ZIP code, it ranks 1st of 2. For 2026 staffing: total nurse hours rank #178 nationally and RN hours rank #350 nationally (#4 in MT). Our composite quality score of 94.9/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Lewistown, visit: https://nursinghomesnearme.org/montana/lewistown/

Contact and Location

ADR
Address

800 CASINO CREEK DR, Lewistown, MT 59457
Get directions on Google Maps

TEL
LLC
Legal Name

Legal Business Name Not Available

MAP
Browse by Location

All Montana ·
Fergus County ·
Lewistown ·
ZIP 59457

Facility Details

Number of Certified Beds 117
Average Residents / Day 69 (59% occupancy)
Ownership Type Government – State
Provider Type Medicaid
County Fergus County, MT
City Lewistown, MT
ZIP Code 59457
Approved Since June 1, 1991
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 27A052
Data Processing Date March 1, 2026
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org

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