Crest Nursing Home
Nursing Home & Skilled Nursing · Butte, MT
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Crest Nursing Home

Nursing Home & Skilled Nursing · Butte, MT
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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Crest Nursing Home accepts Medicare, Medicaid, and private pay.

Overview of Crest Nursing Home

Located in Butte, Montana, Crest Nursing Home stands as a reliable haven for those seeking top-notch nursing home care. With a specialized focus on short-term skilled nursing and rehabilitation post-hospitalization, as well as long-term skilled nursing care, this facility prides itself on a compassionate and individualized approach to senior well-being. In fact, their commitment to providing exceptional care has earned them not only accolades but also high nursing home ratings, a testament to their dedication.
Residents can access an array of services, from audiologist and optometrist care to dental and podiatrist services, as well as grooming options like salon and barber services. This community also fosters social connections and well-being. With engaging activities, wellness programs, spiritual services, and even social outings, residents are surrounded by a vibrant community that genuinely cares.

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.
▲ 69.5% Above MT avg. ▲ 69.5% Above MT avg.MT average: 2.9Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▲ 75.6% Above MT avg. ▲ 75.6% Above MT avg.MT average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▼ 37.9% Below MT avg. ▼ 37.9% Below MT avg.MT average: 3.2Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▲ 68.6% Above MT avg. ▲ 68.6% Above MT avg.MT average: 3.0Click the badge to see the full State ranking.Click here to see the full State ranking.

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 24th out of 37 homes in Montana for nurse hours. 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 23m per day
Rank #24 / 37Nurse hours — State benchmarkedThis home is ranked 24th out of 37 homes in Montana for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Montana average, with a ranking across 37 Montana facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Montana that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
This facility Montana avg (4h 32m per day)
vs Montana avg
-25%

6 of 6 metrics below state avg

Staff typeHours / Day / Residentvs 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. 33m per day ▼ 16% State avg: 39m 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. 44m per day ▼ 40% State avg: 1h 13m 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 8m per day ▼ 19% State avg: 2h 39m per day · National avg: 2h 21m per day
Weekend Total Nursing 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. 3h 8m per day ▼ 23% State avg: 4h 5m per day · National avg: 3h 26m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation. 3m per day ▼ 32% State avg: 5m per day · National avg: 4m per day
Weekend RN 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. 15m per day ▼ 49% State avg: 30m per day · National avg: 29m per day

Capacity and availability

Medium-capacity home

Offers a balance of services and community atmosphere.

Total beds 103
Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
138 days
Walk Score
Walk Score: 37 / 100 Rank #92 / 159Walk Score — State benchmarkedThis home is ranked 92nd out of 159 homes in Montana for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Montana facilities. Higher scores benefit residents, families, and staff.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Montana that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

License Details

AccreditationsAmerican Healthcare Association Bronze National Quality Award

Therapy & Rehabilitation

1 service
Rehabilitation Services

Amenities & Lifestyle

Exercise Classes
Cards
Bingo And Game Nights
Movie Night
Wii Games
Holiday Parties
Scheduled Exercise Groups
Scheduled Pub Nights
Cooking Classes
Baking Activities
Card Clubs
Monthly Parties
Religious Activities
Yoga
Book Clubs
Quilting Class
Social Outings
Rug-Making Class
ActivitiesActivities and events including exercise classes, musical entertainment, game nights, movie nights, arts and crafts, and more

Contact Crest Nursing Home

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

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

Quality of care over time

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

Long-stay resident measures
Significantly above average Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 2.74
22% worse than Montana average

Montana average: 2.25

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 0.81
49% better than Montana average

Montana average: 1.59

Short-stay resident measures
Above average Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 20.1%
13% better than Montana average

Montana average: 23.2%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 9.0%
20% better than Montana average

Montana average: 11.2%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.6%
18% better than Montana average

Montana average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 46.7%
13% worse than Montana average

Montana average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 39.1%
23% worse than Montana average

Montana average: 50.6%

Breakdown by payment type

Medicare

53% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

28% of new residents, often for short stays.

Typical stay 3 months

Medicaid

19% of new residents, often for long-term daily care.

Typical stay 1 - 2 years

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$4.9M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$425.2K
For-profit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$4.9M Rank #28 / 34Revenue — State benchmarkedThis home is ranked 28th out of 34 homes in Montana for revenue. Shows this facility's annual revenue compared to the Montana average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Montana that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$425.2K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$181.5K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #25 / 34Payroll — State benchmarkedThis home is ranked 25th out of 34 homes in Montana for payroll. 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.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Montana that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$2.6M 53.2% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #8 / 34Payroll % — State benchmarkedThis home is ranked 8th out of 34 homes in Montana for payroll %. Shows payroll as a percentage of revenue versus the Montana average. Well-run Montana facilities typically land around 65–72% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Montana that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$2.7M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$5.3M

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Most new residents arrive under Medicare (53% of admissions), and a typical Medicare stay runs around 1 - 2 months.

Admissions
120 total

Coverage residents most often arrive under.

Medicare 53%
Private pay 28%
Medicaid 19%
Discharges
116 total

Coverage residents most often leave under.

Medicare 54%
Private pay 23%
Medicaid 22%

Compare Nursing Homes around Butte

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

CMS & MT Dept. of Health data

Southwest Montana Veteran’s Home
NH
SNF
Butte
60
Facility 60
MT AVG 70
Rank #58 / 103
84.7%
Facility 84.7%
MT AVG 61.5
Rank #8 / 32
+38%
6.78
Facility 6.78
MT AVG 4.53
Rank #3 / 37
+62%+50%
$0
Facility $0
MT AVG $83.8k
Rank #1 / 38
18
Facility 18
MT AVG 29.7
Rank #8 / 38
6.0
Facility 6.0
MT AVG 5.7
Rank #24 / 38
151-
14
Facility 14
MT AVG 43
Rank #128 / 159
-
$7.4MFiscal year ending 12/2023
Facility $7.4MFiscal year ending 12/2023
MT AVG $6.3M
Rank #17 / 34
$5.1MFiscal year ending 12/2023
Facility $5.1MFiscal year ending 12/2023
MT AVG $2.8M
Rank #12 / 34
68.5%Fiscal year ending 12/2023
Facility 68.5%Fiscal year ending 12/2023
MT AVG 45.6%
Rank #14 / 34
275156
Crest Nursing Home
NH
SNF
Butte (Meaderville)
103
Facility 103
MT AVG 70
Rank #23 / 103
42.6%
Facility 42.6%
MT AVG 61.5
Rank #23 / 32
-31%
3.39
Facility 3.39
MT AVG 4.53
Rank #24 / 37
-20%-25%
$0
Facility $0
MT AVG $83.8k
Rank #1 / 38
6
Facility 6
MT AVG 29.7
Rank #1 / 38
2.0
Facility 2.0
MT AVG 5.7
Rank #1 / 38
-44-
0
Facility 0
MT AVG 43
Rank #153 / 159
Christina Jayne Penn Management Trust
$4.9MFiscal year ending 12/2023
Facility $4.9MFiscal year ending 12/2023
MT AVG $6.3M
Rank #28 / 34
$2.6MFiscal year ending 12/2023
Facility $2.6MFiscal year ending 12/2023
MT AVG $2.8M
Rank #25 / 34
53.2%Fiscal year ending 12/2023
Facility 53.2%Fiscal year ending 12/2023
MT AVG 45.6%
Rank #8 / 34
275122
Copper Ridge Health and Rehab
NH
MC
Butte (Nettie Street)
186
Facility 186
MT AVG 70
Rank #4 / 103
36.0%
Facility 36.0%
MT AVG 61.5
Rank #25 / 32
-41%
3.45
Facility 3.45
MT AVG 4.53
Rank #20 / 37
+20%-24%
$9.3k
Facility $9.3k
MT AVG $83.8k
Rank #11 / 38
27
Facility 27
MT AVG 29.7
Rank #16 / 38
3.9
Facility 3.9
MT AVG 5.7
Rank #5 / 38
367-
34
Facility 34
MT AVG 43
Rank #97 / 159
Brian Ramos
$8.8MFiscal year ending 12/2023
Facility $8.8MFiscal year ending 12/2023
MT AVG $6.3M
Rank #8 / 34
$4.6MFiscal year ending 12/2023
Facility $4.6MFiscal year ending 12/2023
MT AVG $2.8M
Rank #10 / 34
52.4%Fiscal year ending 12/2023
Facility 52.4%Fiscal year ending 12/2023
MT AVG 45.6%
Rank #19 / 34
275060
Community Nursing Home of Anaconda
NH
HC
HOS
SNF
Butte
62
Facility 62
MT AVG 70
Rank #55 / 103
27.1%
Facility 27.1%
MT AVG 61.5
Rank #28 / 32
-56%
5.30
Facility 5.30
MT AVG 4.53
Rank #6 / 37
+18%+17%
$0
Facility $0
MT AVG $83.8k
Rank #1 / 38
22
Facility 22
MT AVG 29.7
Rank #12 / 38
4.4
Facility 4.4
MT AVG 5.7
Rank #8 / 38
217-
73
Facility 73
MT AVG 43
Rank #23 / 159
----275065

Financial Assistance for
Nursing Home in Montana

Crest Nursing Home is located in Butte, 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)

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)

Frequently Asked Questions about Crest Nursing Home

Is Crest Nursing Home in a walkable area?

Crest Nursing Home has a walk score of 37. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the occupancy rate at Crest Nursing Home?

Crest Nursing Home's occupancy is 42.5%.

Are pets allowed at Crest Nursing Home?

No, Crest Nursing Home has a no-pet policy.

Does Crest Nursing Home operate as a for-profit or non-profit?

Crest Nursing Home is registered as a for-profit.

Are there photos of Crest Nursing Home?

Yes — there are 2 photos of Crest Nursing Home in the photo gallery on this page.

What is the phone number of Crest Nursing Home?

(714) 827-2440 will put you in contact with the team at Crest Nursing Home.

Is Crest Nursing Home Medicare or Medicaid certified?

Crest Nursing Home is not currently listed as a CMS-certified provider of Medicare or Medicaid.

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