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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 Crest Nursing Home, Nursing Home in Butte, MT — Crest Nursing Home logo with a modern design Crest Nursing Home, Nursing Home in Butte, MT — A caregiver assisting a senior in a lush park Crest Nursing Home, Nursing Home in Butte, MT — Hands holding a red heart symbol Crest Nursing Home, Nursing Home in Butte, MT — An elderly man walking with a caregiver in a park Staff member engaging with a resident in a cozy setting

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.
3131 Amherst Ave, Butte, MT 59701 View map Calculator: See prices in your area
Crest Nursing Home accepts Medicare, Medicaid, and private pay.
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Crest Nursing Home accepts Medicare, Medicaid, and private pay.

Overview of Crest Nursing Home

Crest Nursing Home is a skilled nursing community in Butte, Montana. It is owned and operated by Christina Jayne Penn Management. The 103-bed home accepts Medicare, Medicaid, and private pay, providing families with multiple coverage options, whether a resident needs short-term rehabilitation or ongoing nursing care. The facility has a current occupancy rate of 43%. Residents stay for an average of 138 days, including post-acute rehab residents and those settling in for longer-term care.

Daily nursing support is attentive. Total nursing care averages 3 hours and 23 minutes per resident each day. There’s also a dedicated nursing aide support of roughly 2 hours and 52 minutes daily. This level of direct, hands-on care provides the foundation for rehabilitation and ongoing management of chronic disease.

The home’s location in Butte is car-dependent. Families should plan to drive for most visits and errands, but the surrounding area has convenient access to local services.

Dining includes a variety of meals designed to meet residents’ dietary needs. A chef and a dietitian oversee the menu. Alternative food items are available at each meal to accommodate different preferences and dietary needs. Residents also receive snacks three times daily.

Amenities on-site include a library, outdoor patio, guest Wi-Fi, private rooms, recreational lounge areas, and on-site laundry and housekeeping services. These help residents stay comfortable and connected to visiting family.

Facility Direct Line (406) 494-7035
Facility Direct Line (406) 494-7035

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.
▼ 6.8% Below MT avg. ▼ 6.8% 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 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 vs Montana averages

Rank #20 / 30Nurse hours — State benchmarkedThis home is ranked 20th out of 30 homes we track in Montana for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Montana average, with a ranking across 30 Montana facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Montana that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This home is ranked 20th out of 30 homes we track 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 29m

23% below state avg
Staff type
Hours / day / resident
vs 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
−29% State avg: 1h 10m per day · National avg: 42m 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.
27m
−25% State avg: 36m 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
−28% State avg: 3h 4m per day · National avg: 2h 24m 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 12m
−25% State avg: 4h 16m per day · National avg: 3h 30m 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
−37% 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.
36m
−15% State avg: 43m per day · National avg: 29m per day

All 6 underlying metrics fall below the state average

Capacity and availability

Residents per day (avg)
46
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
Bed community size
103-bed community Rank #23 / 103Bed count — State benchmarkedThis home is ranked 23rd out of 103 homes we track in Montana for bed count. Shows this facility's certified or reported bed count compared to other Montana facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Montana that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A larger shared setting that may offer more common spaces and organized community services.

About this community

Occupancy

Occupancy rate
45%
Rank #23 / 30Occupancy rate — State benchmarkedThis home is ranked 23rd out of 30 homes we track in Montana for occupancy. Shows this facility's occupancy rate versus the Montana average, with its Statewide rank out of 30. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Montana that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Lower than the Montana average: 61.7%
Occupied beds
46 / 103
Average occupied beds in Montana homes 55 beds

License Details

Facility TypeLong Term Care
StatusCurrent
IssuanceSeptember 16, 2025
License Number12565
CMS Certification Number275122
AccreditationsAmerican Healthcare Association Bronze National Quality Award

Ownership & Operating Entity

Crest Nursing Home is administered by Staci Bercier.

Therapy & Rehabilitation

1 service
Rehabilitation Services

Additional Policies & Features

Pets not allowed

Amenities & Lifestyle

Wi-Fi
Patio
Library
Housekeeping
Laundry
Cable Tv
Lounge

Contact Crest Nursing Home

CMS Health Inspection History

Inspections Since 2024 · 2 years of data
Total health inspections 3

Montana average 5.1

Last Health inspection on Apr 2025

Total health citations
6 Rank #1 / 31Health citations — State benchmarkedThis home is ranked 1st out of 31 homes we track in Montana for health citations. Shows this facility's total health deficiency citations benchmarked to the Montana State average, with a ranking across all 31 MT facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Montana that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Montana average 29.7

Citations per inspection
2 Rank #1 / 31Citations per inspection — State benchmarkedThis home is ranked 1st out of 31 homes we track in Montana for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Montana mean across 31 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Montana that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Montana average 5.72

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

4 of 6 citations resulted from standard inspections; and 2 of 6 resulted from complaint investigations.

Breakdown of citation severity (last 2 years)
Critical health citations
0
100% better than Montana average

Montana average: 0.3

Serious health citations
0
100% better than Montana average

Montana average: 2.2

0 critical citations Montana average: 0.3
0 serious citations Montana average: 2.2
6 moderate citations Montana average: 26.5
0 minor citations Montana average: 0.7
Citations history (last 2 years)
Administration moderate citation Apr 10, 2025
Corrected
Care Planning moderate citation Apr 10, 2025
Corrected
Quality of Care moderate citation Mar 25, 2025
Corrected
Care Planning moderate citation Mar 25, 2025
Corrected

Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 56
Employees 40
Contractors 16
Staff to resident ratio 1.22 : 1
34% fewer staff per resident than Montana average
Montana average ratio: 1.86 : 1 Montana average ratio: 1.86 : 1See full Montana ranking
Avg staff/day 25
Average shift 7.4 hours
14% worse than Montana average
Montana average: 8.6 hours Montana average shift: 8.6 hoursSee full Montana ranking
Total staff hours (quarter) 17,024

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 7 RN Staff are full-time employees. No contractors work on this role. 7
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 8 total: 3 full-time employees and 5 contractors. 8
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.6 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 20 CNA Staff are full-time employees. No contractors work on this role. 20
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.5 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

19.5%

3,326 contractor hours this quarter

Licensed Practical Nurse: 5 Respiratory Therapy Technician: 3 Qualified Social Worker: 2 Physical Therapy Aide: 1 Speech Language Pathologist: 1 Physical Therapy Assistant: 1 Medical Director: 1 Occupational Therapy Aide: 1 Occupational Therapy Assistant: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant200208,60492100%7.5
Licensed Practical Nurse3582,95692100%8.6
Registered Nurse7071,54692100%7
Other Dietary Services Staff3031,0619199%7.9
Administrator1014755863%8.2
Speech Language Pathologist0114126470%6.4
Mental Health Service Worker1014064852%8.5
Physical Therapy Aide0113895661%7
Clinical Nurse Specialist3033444953%6.8
Nurse Practitioner1013055054%6.1
Respiratory Therapy Technician0332286975%3.2
Qualified Social Worker022813538%2.3
Physical Therapy Assistant011722932%2.5
Medical Director011481415%3.4
Occupational Therapy Assistant0114267%7
Occupational Therapy Aide011381112%3.5
Nurse Aide in Training1011622%7.9
20 Certified Nursing Assistant
% of Days 100%
8 Licensed Practical Nurse
% of Days 100%
7 Registered Nurse
% of Days 100%
3 Other Dietary Services Staff
% of Days 99%
View All Staffing Data in Butte

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.

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. 7.5
33% better 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. 9.4
57% better than Montana average

Montana average: 21.8

Long-stay resident measures
Above average 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 12.9%
34% better than Montana average

Montana average: 19.4%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 11.1%
47% better 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 4.2%
83% better 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 1.8%
58% better than Montana average

Montana average: 4.3%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 10.3%
64% worse than Montana average

Montana average: 6.3%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 2.5%
9% better than Montana average

Montana average: 2.8%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 1.4%
78% better than Montana average

Montana average: 6.1%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 1.3%
73% better than Montana average

Montana average: 4.7%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 18.0%
6% better than Montana average

Montana average: 19.1%

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

Montana average: 93.8%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.8%
In line with Montana average

Montana average: 93.7%

Short-stay resident measures
Significantly above average Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 98.9%
29% better than Montana average

Montana average: 76.4%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than Montana average

Montana average: 1.8%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 91.1%
24% better than Montana average

Montana average: 73.8%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

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

Facility Characteristics

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

Total residents 46
Medicare
5
10.9% of residents
Medicaid
35
76.1% of residents
Private pay or other
6
13% of residents
Programs & Services
Residents Group

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

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Active Resident Council

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

Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.

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 #16 / 18Net patient revenue — State benchmarkedThis home is ranked 16th out of 18 homes we track in Montana. Shows this facility's net patient revenue compared to the Montana average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Montana that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
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 #15 / 18Payroll costs — State benchmarkedThis home is ranked 15th out of 18 homes we track in Montana. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Montana average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Montana that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
$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 #4 / 18Payroll % of net patient revenue — State benchmarkedThis home is ranked 4th out of 18 homes we track in Montana. Shows payroll as a percentage of net patient revenue versus the Montana average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Montana that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
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
How we calculate these figures

This home is administered by Staci Bercier.

This home is owned by Christina Jayne Penn Management Trust

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 275122

Show certification details

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%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Places of interest near Crest Nursing Home

Address 4.4 miles from city center Info Estimated distance in miles from Butte's city center to Crest Nursing Home's address, calculated via Google Maps.

Calculate Travel Distance to Crest Nursing Home

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Address

Compare Nursing Homes around Butte

Info below is compiled from CMS reports & the MT Dept. of Public Health & Human Services (DPHHS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. HC (Home Care): Professional care delivered in the person's own home, from companionship to skilled nursing. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Montana average is: 47.0% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Southwest Montana Veteran’s Home ★ ★ ★ ★ ★
NH
SNF
Butte
60
Facility 60
MT AVG 70
Rank #58 / 103
95.5%
Facility 95.5%
MT AVG 65.6%
Rank #3 / 30
+46%
5.68
Facility 5.68
MT AVG 4.53
Rank #5 / 30
 ★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ ★ ★ ★ ★ ☆ +62%+25%
$0
Facility $0
MT AVG $83.8k
Rank #1 / 31
18
Facility 18
MT AVG 29.7
Rank #8 / 31
6.0
Facility 6.0
MT AVG 5.7
Rank #20 / 31
157-
14
Facility 14
MT AVG 45
Rank #125 / 149
-
$7.4MFiscal year ending 12/2023
Facility $7.4MFiscal year ending 12/2023
MT AVG $8.2M
Rank #12 / 18
$5.1MFiscal year ending 12/2023
Facility $5.1MFiscal year ending 12/2023
MT AVG $3.7M
Rank #2 / 18
68.5%Fiscal year ending 12/2023
Facility 68.5%Fiscal year ending 12/2023
MT AVG 47%
Rank #1 / 18
275156
Crest Nursing Home ★ ★ ★ ★ ★
NH
SNF
Butte (Meaderville)
103
Facility 103
MT AVG 70
Rank #23 / 103
44.6%
Facility 44.6%
MT AVG 65.6%
Rank #23 / 30
-32%
3.49
Facility 3.49
MT AVG 4.53
Rank #20 / 30
 ★ ★ ★ ★ ★ ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ★ -20%-23%
$0
Facility $0
MT AVG $83.8k
Rank #1 / 31
6
Facility 6
MT AVG 29.7
Rank #1 / 31
2.0
Facility 2.0
MT AVG 5.7
Rank #1 / 31
-46--Christina Jayne Penn Management Trust
$4.9MFiscal year ending 12/2023
Facility $4.9MFiscal year ending 12/2023
MT AVG $8.2M
Rank #16 / 18
$2.6MFiscal year ending 12/2023
Facility $2.6MFiscal year ending 12/2023
MT AVG $3.7M
Rank #15 / 18
53.2%Fiscal year ending 12/2023
Facility 53.2%Fiscal year ending 12/2023
MT AVG 47%
Rank #4 / 18
275122
Copper Ridge Health and Rehab ★ ★ ★ ★ ☆
NH
HOS
SNF
Butte
186
Facility 186
MT AVG 70
Rank #4 / 103
36.3%
Facility 36.3%
MT AVG 65.6%
Rank #25 / 30
-45%
3.64
Facility 3.64
MT AVG 4.53
Rank #17 / 30
 ★ ★ ★ ★ ☆ ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ☆ +20%-20%
$9.3k
Facility $9.3k
MT AVG $83.8k
Rank #9 / 31
27
Facility 27
MT AVG 29.7
Rank #13 / 31
3.9
Facility 3.9
MT AVG 5.7
Rank #5 / 31
368-
34
Facility 34
MT AVG 45
Rank #94 / 149
Brian Ramos
$8.8MFiscal year ending 12/2023
Facility $8.8MFiscal year ending 12/2023
MT AVG $8.2M
Rank #7 / 18
$4.6MFiscal year ending 12/2023
Facility $4.6MFiscal year ending 12/2023
MT AVG $3.7M
Rank #3 / 18
52.4%Fiscal year ending 12/2023
Facility 52.4%Fiscal year ending 12/2023
MT AVG 47%
Rank #6 / 18
275060
Community Nursing Home of Anaconda ★ ★ ★ ☆ ☆
NH
HC
HOS
SNF
Anaconda
62
Facility 62
MT AVG 70
Rank #55 / 103
28.4%
Facility 28.4%
MT AVG 65.6%
Rank #27 / 30
-57%
5.78
Facility 5.78
MT AVG 4.53
Rank #4 / 30
 ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ☆ ★ ★ ★ ☆ ☆ +18%+28%
$0
Facility $0
MT AVG $83.8k
Rank #1 / 31
22
Facility 22
MT AVG 29.7
Rank #11 / 31
4.4
Facility 4.4
MT AVG 5.7
Rank #7 / 31
218-
73
Facility 73
MT AVG 45
Rank #23 / 149
----275065
Continental Care and Rehabilitation ★ ★ ☆ ☆ ☆
NH
MC
RC
SNF
Butte (Meaderville)
100
Facility 100
MT AVG 70
Rank #26 / 103
86.5%
Facility 86.5%
MT AVG 65.6%
Rank #8 / 30
+32%
4.64
Facility 4.64
MT AVG 4.53
Rank #8 / 30
 ★ ★ ☆ ☆ ☆ ★ ★ ★ ★ ☆ ★ ★ ★ ★ ☆ -41%+2%
$59.6k
Facility $59.6k
MT AVG $83.8k
Rank #20 / 31
50
Facility 50
MT AVG 29.7
Rank #24 / 31
7.1
Facility 7.1
MT AVG 5.7
Rank #24 / 31
287--Gary Plasschaert
$13.2MFiscal year ending 12/2023
Facility $13.2MFiscal year ending 12/2023
MT AVG $8.2M
Rank #2 / 18
$4.5MFiscal year ending 12/2023
Facility $4.5MFiscal year ending 12/2023
MT AVG $3.7M
Rank #5 / 18
34.3%Fiscal year ending 12/2023
Facility 34.3%Fiscal year ending 12/2023
MT AVG 47%
Rank #17 / 18
275103
Nursing Home Explorer

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

What neighborhood is Crest Nursing Home in?

Crest Nursing Home is in the Meaderville neighborhood of Butte.

What is the license number of Crest Nursing Home?

According to MT state health department records, Crest Nursing Home's license number is 12565.

What is the occupancy rate at Crest Nursing Home?

Crest Nursing Home's occupancy is 45%.

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 in MT.

Who is the administrator of Crest Nursing Home?

Staci Bercier is the administrator of Crest Nursing Home.

How many beds does Crest Nursing Home have?

Crest Nursing Home has 103 beds.

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