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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.
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 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.
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.
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.
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.
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.
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.
This home is ranked 24th out of 34 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
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 | ▼ 41% State avg: 55m per day · National avg: 41m per day |
|
LPN / LVN
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 | ▲ 48% State avg: 30m per day · National avg: 52m per day |
|
Nurse Aide
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 | ▼ 16% State avg: 2h 32m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
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 | ▼ 12% State avg: 3h 33m per day · National avg: 3h 27m per day |
|
Physical Therapist
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 | ▼ 12% State avg: 4m per day · National avg: 4m per day |
|
Weekend RN
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 | ▼ 63% State avg: 41m per day · National avg: 29m per day |
Lower than the Montana average: 61.7%Crest Nursing Home is administrated by Staci Bercier.
Montana average 5.1
Last Health inspection on Apr 2025
Montana average 29.7
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.
100% better than Montana averageMontana average: 0.3
100% better than Montana averageMontana average: 2.2
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
34% fewer staff per resident than Montana average
14% worse than Montana average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 7 RN Staff are full-time employees. No contractors work on this role.
7
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7 hoursAssists with medical care and medications.
8 total: 3 full-time employees and 5 contractors.
8
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursHelps with daily care and mobility.
All 20 CNA Staff are full-time employees. No contractors work on this role.
20
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
3,326 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 20 | 0 | 20 | 8,604 | 92 | 100% | 7.5 |
| Licensed Practical Nurse | 3 | 5 | 8 | 2,956 | 92 | 100% | 8.6 |
| Registered Nurse | 7 | 0 | 7 | 1,546 | 92 | 100% | 7 |
| Other Dietary Services Staff | 3 | 0 | 3 | 1,061 | 91 | 99% | 7.9 |
| Administrator | 1 | 0 | 1 | 475 | 58 | 63% | 8.2 |
| Speech Language Pathologist | 0 | 1 | 1 | 412 | 64 | 70% | 6.4 |
| Mental Health Service Worker | 1 | 0 | 1 | 406 | 48 | 52% | 8.5 |
| Physical Therapy Aide | 0 | 1 | 1 | 389 | 56 | 61% | 7 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 344 | 49 | 53% | 6.8 |
| Nurse Practitioner | 1 | 0 | 1 | 305 | 50 | 54% | 6.1 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 228 | 69 | 75% | 3.2 |
| Qualified Social Worker | 0 | 2 | 2 | 81 | 35 | 38% | 2.3 |
| Physical Therapy Assistant | 0 | 1 | 1 | 72 | 29 | 32% | 2.5 |
| Medical Director | 0 | 1 | 1 | 48 | 14 | 15% | 3.4 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 42 | 6 | 7% | 7 |
| Occupational Therapy Aide | 0 | 1 | 1 | 38 | 11 | 12% | 3.5 |
| Nurse Aide in Training | 1 | 0 | 1 | 16 | 2 | 2% | 7.9 |
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.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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 averageMontana average: 11.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
9.4
57% better than Montana averageMontana average: 21.8
Percent of long-stay residents whose need for help with daily activities has increased
12.9%
34% better than Montana averageMontana average: 19.4%
Percent of long-stay residents whose ability to move independently worsened
11.1%
47% better than Montana averageMontana average: 20.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
4.2%
83% better than Montana averageMontana average: 25.2%
Percent of long-stay residents experiencing one or more falls with major injury
1.8%
58% better than Montana averageMontana average: 4.3%
Percent of long-stay high risk residents with pressure ulcers
10.3%
64% worse than Montana averageMontana average: 6.3%
Percent of long-stay residents with a urinary tract infection
2.5%
9% better than Montana averageMontana average: 2.8%
Percent of long-stay residents who lose too much weight
1.4%
78% better than Montana averageMontana average: 6.1%
Percent of long-stay residents who have depressive symptoms
1.3%
73% better than Montana averageMontana average: 4.7%
Percent of long-stay residents who received an antipsychotic medication
18.0%
6% better than Montana averageMontana average: 19.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
7% better than Montana averageMontana average: 93.8%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.8%
In line with Montana averageMontana average: 93.7%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.9%
29% better than Montana averageMontana average: 76.4%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Montana averageMontana average: 1.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
91.1%
24% better than Montana averageMontana average: 73.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
53% of new residents, usually for short-term rehab.
28% of new residents, often for short stays.
19% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
46Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
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.
Historical financial and operational data for Crest Nursing Home based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #19 / 31Payroll — State benchmarkedThis home is ranked 19th out of 31 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents typically stay for a few weeks or months before returning home or moving on.
4.4 miles from city center
Estimated distance in miles from Butte's city center to Crest Nursing Home's address, calculated via Google Maps.
Add your location
Crest Nursing Home is located in Butte, Montana.
Here are the financial assistance programs available to residents in Montana.
The information below is reported by the Montana Department of Public Health and Human Services, Quality Assurance Division.
| Crest 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. | Butte (Meaderville) | 103
Facility
103
MT AVG
70
Rank
#23 / 106 |
42.5%
Facility
42.5%
MT AVG
61.7%
Rank
#24 / 35 | -31% | 3.39
Facility
3.39
MT AVG
4.53
Rank
#24 / 34 | -20% | -25% | $0
Facility
$0
MT AVG
$83.8k
Rank
#1 / 35 | 6
Facility
6
MT AVG
29.7
Rank
#1 / 35 | 2.0
Facility
2.0
MT AVG
5.7
Rank
#1 / 35 | - | 44 |
0
Facility
0
MT AVG
43
Rank
#153 / 159 | Christina Jayne Penn Management Trust | $5.3M
Facility
$5.3M
MT AVG
$6.3M
Rank
#19 / 31 | $3.4M
Facility
$3.4M
MT AVG
$2.8M
Rank
#19 / 31 | 65.5%
Facility
65.5%
MT AVG
45.6%
Rank
#9 / 31 | 275122 | ||||
| Community Nursing Home of Anaconda |
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. | Butte | 62
Facility
62
MT AVG
70
Rank
#57 / 106 | - | - | 5.30
Facility
5.30
MT AVG
4.53
Rank
#6 / 34 | +18% | +17% | $0
Facility
$0
MT AVG
$83.8k
Rank
#17 / 35 | 22
Facility
22
MT AVG
29.7
Rank
#12 / 35 | 4.4
Facility
4.4
MT AVG
5.7
Rank
#7 / 35 | 2 | 17 |
73
Facility
73
MT AVG
43
Rank
#23 / 159 | - | - | - | - | 275065 | ||||
| Continental Care and Rehabilitation |
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. | Butte (Meaderville) | 100
Facility
100
MT AVG
70
Rank
#26 / 106 |
65.4%
Facility
65.4%
MT AVG
61.7%
Rank
#17 / 35 | +6% | 3.58
Facility
3.58
MT AVG
4.53
Rank
#18 / 34 | -41% | -21% | $59.6k
Facility
$59.6k
MT AVG
$83.8k
Rank
#22 / 35 | 50
Facility
50
MT AVG
29.7
Rank
#30 / 35 | 7.1
Facility
7.1
MT AVG
5.7
Rank
#26 / 35 | 2 | 89 |
0
Facility
0
MT AVG
43
Rank
#153 / 159 | Gary Plasschaert | $9.2M
Facility
$9.2M
MT AVG
$6.3M
Rank
#10 / 31 | $5.1M
Facility
$5.1M
MT AVG
$2.8M
Rank
#9 / 31 | 55.9%
Facility
55.9%
MT AVG
45.6%
Rank
#19 / 31 | 275103 |
Crest Nursing Home is in the Meaderville neighborhood of Butte.
According to MT state health department records, Crest Nursing Home's license number is 12565.
Crest Nursing Home's occupancy is 43%.
Staci Bercier is the administrator of Crest Nursing Home.
Crest Nursing Home has 103 beds.
Yes — there are 6 photos of Crest Nursing Home in the photo gallery on this page.
Crest Nursing Home is located at 3131 Amherst Ave.
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