Wibaux County Nursing Home

Nursing Home in Montana

CMS overall rating Info The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Wibaux County Nursing Home

Nursing Home in Montana

CMS overall rating Info The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
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Wibaux County Nursing Home accepts Medicaid and private pay.

Overview of Wibaux County Nursing Home

Wibaux County Nursing Home is a Medicare-certified, 40-bed innovative and caring facility owned by The County of Wibaux. It provides skilled nursing and intermediate care, with both private and semi-private rooms available. The facility is dedicated to promoting health and supporting the comfort of aging individuals.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
1/5 ▼ 1.8 Montana average: 2.8/5
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
1/5 ▼ 1.6 Montana average: 2.6/5
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
4/5 ▲ 1.1 Montana average: 2.9/5
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
1/5 ▼ 2.0 Montana average: 3.0/5

Staffing hours breakdown

Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day — compared to Montana state averages

Total nursing care / resident Info This home is ranked 9th out of 25 homes in Montana.

Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 46m per day
Rank #9 / 25Nurse hours — state benchmarkedThis home is ranked 9th out of 25 homes in Montana.Shows adjusted nurse hours per resident per day benchmarked to the Montana average, with a ranking across 25 Montana SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.
This facility Montana avg (3h 54m per day)
vs Montana avg
-3%

5 of 5 metrics below state avg

Staff typeHours / dayvs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. 50m per day ▼ 11% State avg: 56m per day · National avg: 41m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. 8m per day ▼ 73% State avg: 30m per day · National avg: 52m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. 2h 12m per day ▼ 13% State avg: 2h 32m per day · National avg: 2h 20m per day
Total Nursing (Weekend) Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours. 2h 32m per day ▼ 27% State avg: 3h 29m per day · National avg: 3h 26m per day
RN (Weekend) Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent. 36m per day ▼ 12% State avg: 41m per day · National avg: 28m per day

Capacity and availability

Avg. Length of Stay
392 days

Who this home usually serves

TYPE OF STAY

Primarily short stays

Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.

Breakdown by payment type

Private pay

79% of new residents, often for short stays.

Typical stay 9 - 10 months

Medicaid

21% of new residents, often for long-term daily care.

Typical stay 3 years

Finances and operations

Governmental community
Operated by county authorities.
Home revenue
$2.9M
Operating deficit
-$554.5K
Governmental community Operated by county authorities.
Home revenue
$2.9M Rank #23 / 27Revenue — state benchmarkedThis home is ranked 23rd out of 27 homes in Montana.Shows this facility's annual revenue compared to the Montana SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.
Operating deficit
-$554.5K
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations. Rank #23 / 27Payroll — state benchmarkedThis home is ranked 23rd out of 27 homes in Montana.Shows total annual staff payroll benchmarked to the Montana average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
$932.4K
31.9% of revenue Rank #18 / 27Payroll % — state benchmarkedThis home is ranked 18th out of 27 homes in Montana.Shows payroll as a percentage of revenue versus the Montana average. Well-run SNFs often land around 55–65%. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$2.5M
Total costs $3.5M
Bed community size
40-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
Years in operation
1 year in operation
A newer community that may feature more recent facilities and programs.

About this community

Occupancy

Occupancy rate
72%
Rank #5 / 26Occupancy rate — state benchmarkedThis home is ranked 5th out of 26 homes in Montana.Shows this facility's occupancy rate versus the Montana average, with its statewide rank out of 26. Higher occupancy signals strong local demand and financial stability.
Higher than the Montana average: 61.7%
Occupied beds
29 / 40
Average residents 55 per day

License Details

Facility TypeLong Term Care
StatusCurrent
IssuanceMarch 18, 2025
License Number12972
CMS Certification Number275079

Ownership & Operating Entity

Wibaux County Nursing Home is administrated by Bertelsen, Tina.

Payment & Insurance

1 service
Accept Medicaid

Therapy & Rehabilitation

2 services
Rehabilitation Services
Respite Care

Staffing & Medical

1 service
24-Hour Staffing

Additional Services

1 service
Intermediate Care

Amenities & Lifestyle

Aromatherapy
Comfortable Rooms
Community Involvement
Pharmacy Delivery
Transportation Services
Relaxed Dining
Warm
Cozy Living Room
Remodeled Dining Rooms For Space For Large Groups And Activities
Patio Area
Gazebo Area
Activity Programs
Beauty/Barber Shop Services
Specific ProgramsSecured Memory Care, Adult Day Care, End of Life/Palliative Care, Amenities, Activities, Salon Services

Dining & Nutrition

Food DescriptionThe facility offers a newly remodeled dining room with space for large groups and activities.

Contact Wibaux County Nursing Home

Access & Eligibility

Ways to qualify for care at this community, including accepted programs.

Medicaid Accepted

This facility is certified for eligible Medicaid services.

Inspection History

In Montana, the Department of Public Health and Human Services, Quality Assurance Division is the state body responsible for inspecting and licensing all senior residential care facilities.

Health Inspection History

Inspections
Total health inspections 5

Montana average 5.1


Last Health inspection on Sep 2025

Total health citations
26 Rank #11 / 26Health citations — state benchmarkedThis home is ranked 11th out of 26 homes in Montana.Shows this facility's total health deficiency citations benchmarked to the Montana state average, with a ranking across all 26 MT SNFs. Lower citation counts earn a better rank.

Montana average 29.7

Citations per inspection
5.2 Rank #10 / 26Citations per inspection — state benchmarkedThis home is ranked 10th out of 26 homes in Montana.Shows average deficiency citations per CMS inspection for this facility versus the Montana mean across 26 SNFs with citation data. Lower is better.

Montana average 5.72


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

11 of 26 citations resulted from standard inspections; 8 of 26 resulted from complaint investigations; and 7 of 26 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical Health citations More info
1
233% worse than Montana average

Montana average: 0.3


Serious Health citations More info 2
9% better than Montana average

Montana average: 2.2

1 critical citation More info Montana average: 0.3

2 serious citations More info Montana average: 2.2

22 moderate citations More info Montana average: 26.5

1 minor citation More info Montana average: 0.7
Citations history (last 3 years)
Abuse/Neglect serious citation Info Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment. Sep 24, 2025
Corrected

Administration moderate citation Info Issues related to how the facility is managed, including policies, procedures, and compliance with regulations. Sep 24, 2025
Corrected

Nursing Services moderate citation Info Issues related to the availability and quality of nursing staff and the care they provide. Sep 24, 2025
Corrected

Quality of Care critical citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Sep 24, 2025
Corrected

Financial Assistance for
Nursing Home in Montana

Wibaux County Nursing Home is located in Wibaux, Montana.
Here are the financial assistance programs available to residents in Montana.

Get Financial aid guidance

Big Sky Waiver

Montana Medicaid Big Sky Waiver

Age 65+ or disabled
General Montana resident, Medicaid- eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
MT

Rural state; limited providers in some areas.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Home modifications ($1,500 avg.) Meals ($6/meal)

Montana Community First Choice

MT CFC

Age 65+ or disabled
General Montana resident, Medicaid- eligible.
Income Limits ~$1,732/month individual, Medicaid threshold
Asset Limits $2,000 individual
MT

Less intensive than waiver; rural focus.

Benefits
Personal care (up to 40 hours/month) Homemaker services Respite (varies)

Big Sky Rx

Montana Big Sky Rx

Age 65+ or disabled
General Montana resident, enrolled in Medicare Part D, income below limit.
Income Limits (2025) ~$2,510/month (individual), ~$3,380/month (couple).
Asset Limits Not assessed.
MT

Covers up to $38.75/month premium; statewide via AAAs.

Benefits
Prescription drug premium assistance (~$465/year) Reducing out-of-pocket costs

Medicare Savings Program (MSP)

Montana Medicare Savings Program

Age 65+ or disabled
General Montana resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
MT

Three tiers; no waitlist; includes Extra Help for Part D.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Montana Caregiver Support Program (via NFCSP)

Montana Caregiver Support Program

Age
General Caregivers of 60+ needing care or 55+ caregivers of others; Montana resident; functional needs (2+ ADLs).
Income Limits (2025) Prioritizes ~$24,980/year (individual); no strict cap.
Asset Limits Not assessed; need-based.
MT

10 AAAs; prioritizes low-income, rural caregivers.

Benefits
Respite (4-6 hours/week or 5 days/year) Adult day care ($50/day) Training Supplies (~$500/year)

Senior Community Service Employment Program (SCSEP)

Montana SCSEP

Age 55+
General unemployed, low-income, Montana resident.
Income Limits (2025) ~$1,983/month 125% FPL
Asset Limits Not specified; income-focused.
MT

Priority for veterans, rural residents; AARP partnership.

Benefits
Paid training (~20 hours/week at ~$7.25/hour) Job placement

VA Aid and Attendance (A&A) and Housebound Benefits

Montana VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General Montana resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
MT

High veteran demand in rural areas.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Places of interest near Wibaux County Nursing Home

Address 0.0 miles from city center Info Estimated distance in miles from Wibaux's city center to Wibaux County Nursing Home's address, calculated via Google Maps.

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Address

Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 34
Employees 15
Contractors 19
Staff to resident ratio 1.36:1
23% worse than Montana average

Montana average ratio: 1.77:1

Avg staff/day 10
Average shift 9.1 hours
6% better than Montana average

Montana average: 8.6 hours

Total staff hours (quarter) 8,309
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 8
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.8 hours

This role is partially covered by contractors.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 2
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.3 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 18
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.6 hours

This role is partially covered by contractors.

Contractor staffing

Total hours from contractors

45.8%

3,809 contractor hours this quarter

Certified Nursing Assistant: 12 Registered Nurse: 3 Diagnostic X-ray Services Staff: 1 Licensed Practical Nurse: 1 Feeding Assistant: 1 Medical Director: 1
Staff by category
Certified Nursing Assistant612185,2188998%9.6
Registered Nurse5381,67491100%9.8
Administrator2025475156%9.4
Nurse Practitioner1014795864%8.3
Licensed Practical Nurse1123584246%7.3
Diagnostic X-ray Services Staff01118910%2
Feeding Assistant011131314%1
Medical Director011333%1
18 Certified Nursing Assistant
% of Days 98%
8 Registered Nurse
% of Days 100%
2 Administrator
% of Days 56%
1 Nurse Practitioner
% of Days 64%
2 Licensed Practical Nurse
% of Days 46%
1 Diagnostic X-ray Services Staff
% of Days 10%
1 Feeding Assistant
% of Days 14%
1 Medical Director
% of Days 3%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 25
Medicaid
12
48% of residents
Private pay or other
13
52% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 17.0
52% worse than Montana average

Montana average: 11.2

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 30.2
38% worse than Montana average

Montana average: 21.8

Long-stay resident measures
Significantly below average Montana avg: 3.0 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 28.4%
46% worse than Montana average

Montana average: 19.4%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 29.3%
41% worse than Montana average

Montana average: 20.8%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 32.8%
30% worse than Montana average

Montana average: 25.2%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 14.7%
238% worse than Montana average

Montana average: 4.3%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 7.7%
22% worse than Montana average

Montana average: 6.3%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 8.3%
200% worse than Montana average

Montana average: 2.8%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 5.1%
17% better than Montana average

Montana average: 6.1%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 4.0%
16% better than Montana average

Montana average: 4.7%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 23.9%
25% worse than Montana average

Montana average: 19.1%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.1%
6% better than Montana average

Montana average: 93.8%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
7% better than Montana average

Montana average: 93.7%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.04
18% better than Montana average

Montana average: 1.27

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 2.30
6% worse than Montana average

Montana average: 2.17

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 75.0%
In line with Montana average

Montana average: 76.4%

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database (Data as of Jan 2026)

Total fines amount $26K
70% lower than Montana average

Montana average: $87K

Number of fines 1
57% fewer fines than Montana average

Montana average: 2.3

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than Montana average

Montana average: 0.2

Fines amount comparison
Fines amount comparison
This facility $26K
Montana average $87K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

1 penalty in the past 3 years

Sep 24, 2025 · $26K

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Sep 24, 2025
$26K

Last updated: Jan 2026

Compare Nursing Homes around Montana The information below is reported by the Montana Department of Public Health and Human Services, Quality Assurance Division.

5 facilities compared · CMS & MT Dept. of Health data · Updated Apr 2026

Filter by care type
Eureka of Cascadia, LLC dba Mountain View of Cascadia
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Eureka49 69.3% +12%3.56 +30%-21%0134.3047--Carvey, Dianna$3.8M$1.5M40%275084
Wibaux County Nursing Home
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Wibaux40 72.4% +17%3.77 +53%-17%0265.2328--County Of Wibaux$2.9M$0.9M31.9%275079
Avantara Billings
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Billings (East Central)160 65.6% +6%3.57 +23%-21%3496.15105A+ 72 Caldwell, Sarah$7.6M$3.5M46.8%275029
Central Montana Nursing and Rehabilitation Center -
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Lewistown62 35.5% -42%------000.00-- 39 Central Montana Snf Operations Holdings Llc$1.1M$0.3M27.3%275064
Libby of Cascadia, LLC dba Libby Care Center -
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Libby101--------000.00--------

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