Beartooth Rehabilitation and Nursing LLC
350 W Pike Ave, Columbus, MT 59019 · (406) 290-5070
For profit - Corporation
Abuse icon Medicare's Care Compare says: “This nursing home has been cited for abuse.” Medicare marks homes recently cited for harm or potential harm from abuse or neglect, and caps their health inspection rating at 2 stars.
Special Focus Facility candidate Medicare's data lists this home as a candidate for its Special Focus Facility program, which is for homes with a persistent record of serious problems.
Beartooth Rehabilitation and Nursing LLC has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in February 2026, found 18 citations, 1 for actual harm or immediate jeopardy (the Montana average is 11.2). It was fined 2 times in the last three years, $50,592 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 1 out of 5 stars · Much below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 1 out of 5 stars · Much below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 2 out of 5 stars · Below average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 4 out of 5 stars · Above average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on February 10, 2026 found 18 citations. What an inspection citation means
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.February 10, 2026 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.February 10, 2026 · F0801 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.February 10, 2026 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Administer the facility in a manner that enables it to use its resources effectively and efficiently.February 10, 2026 · F0835 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.February 10, 2026 · F0837 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.February 10, 2026 · F0838 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Have a plan that describes the process for conducting QAPI and QAA activities.February 10, 2026 · F0865 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Provide and implement an infection prevention and control program.February 10, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.February 10, 2026 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.February 10, 2026 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.February 10, 2026 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.February 10, 2026 · F0847 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.February 10, 2026 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.February 10, 2026 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide activities to meet all resident's needs.February 10, 2026 · F0679 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.February 10, 2026 · F0688 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.February 10, 2026 · F0742 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.February 10, 2026 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 19 citations.
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.February 10, 2026 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.February 10, 2026 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Respond appropriately to all alleged violations.February 10, 2026 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.February 10, 2026 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.September 4, 2025 · F0600 · Level of harm: Actual harm · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.September 4, 2025 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Respond appropriately to all alleged violations.September 4, 2025 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.September 4, 2025 · F0628 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Assess the resident when there is a significant change in conditionSeptember 4, 2025 · F0637 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.September 4, 2025 · F0640 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident receives an accurate assessment.September 4, 2025 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.September 4, 2025 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure services provided by the nursing facility meet professional standards of quality.September 4, 2025 · F0658 · Level of harm: Actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.September 4, 2025 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Have a plan that describes the process for conducting QAPI and QAA activities.September 4, 2025 · F0865 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Have the Quality Assessment and Assurance group have the required members and meet at least quarterlySeptember 4, 2025 · F0868 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.July 31, 2025 · F0577 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.July 31, 2025 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.July 31, 2025 · F0585 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Fines and payment denials
- Fine of $32,988February 10, 2026
- Fine of $17,604September 4, 2025
- Medicare payment denial for 41 daysStarting March 17, 2026
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Montana average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 2.95 | 4.05 | 3.86 |
| Registered nurses (RN) | 0.84 | 0.98 | 0.69 |
| Licensed practical nurses (LPN) | 0.25 | 0.50 | 0.86 |
| Nurse aides | 1.86 | 2.57 | 2.32 |
| Total nursing staff turnover | Not available | 54.8% | 45.8% |
About this home
| Ownership | For profit - Corporation |
| Certified beds | Not available |
| Average residents per day | 41.8 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Awe Kualawaache Care Center Crow Agency · ★★★★★ 4 out of 5 stars
- Laurel Health & Rehabilitation Center Laurel · ★★★★★ 1 out of 5 stars
- Livingston Health & Rehabilitation Center Livingston · ★★★★★ 1 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Beartooth Rehabilitation and Nursing LLC on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.