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Nursing Home in Butte

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.

Crest Nursing Home

Nursing Home in Butte

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.

Crest Nursing Home

Overview of Crest Nursing Home
Crest Nursing Home is located in Butte, MT, and provides both short-term skilled nursing and long-term care. The facility focuses on individualized health care and rehabilitation services to help residents achieve their highest level of independence. Crest Nursing Home is committed to creating a comfortable environment for residents and their families.
(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.
5/5
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.
5/5
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.
2/5
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.
5/5
Montana average: 3.0/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
3h 23m per day

This home provides 13% less nursing time per resident than the Montana average.

Montana average: 3h 54m per day

Capacity and availability

Medium-capacity home

Offers a balance of services and community atmosphere.

Total beds 103

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Montana average
Occupancy rate 42.5%
Residents per day (avg) 46
Occupancy rate
42.5%
Residents per day (avg)
46

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.

Might be optimal for
Short stays Recovery Medicare-covered care

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

Privately-owned community
Operated by a business corporation.
Home revenue
$5.3M
Operating loss
-$243.7K
Privately-owned community Operated by a business corporation.
Home revenue
$5.3M
Operating loss
-$243.7K
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.2M
41% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.3M
Total costs $5.5M
Bed community size
103-bed community
A larger shared setting that may offer more common spaces and organized community services.

About this community

Occupancy

Occupancy rate
43%
In line with Montana average
Occupied beds
44 / 103
Average residents 55 per day

License Details

Facility TypeLong Term Care
StatusCurrent
IssuanceSeptember 16, 2025

Additional Licensing Details

License Number12565
CMS Certification Number275122
AccreditationsAmerican Healthcare Association Bronze National Quality Award

Ownership & Operating Entity

Crest Nursing Home is administrated by Bercier, Staci.

Therapy & Rehabilitation

1 service
Rehabilitation Services

Staffing & Medical

1 service
Skilled Nursing

Amenities & Lifestyle

9 amenities
Guest Meals
Guest Wi-Fi
Outdoor Patio Area
Library
Private Rooms Available
Housekeeping
Laundry
Cable-Ready Rooms
Recreational Lounge Areas
Specific ProgramsRehabilitation Therapy, Skilled Nursing, Restorative Nursing, Physical Therapy, Occupational Therapy, Speech Therapy, Respiratory Therapy, Amenities, Activities

Dining & Nutrition

Food DescriptionChef and Dietician directed menus with varying alternate food items available for all meals; snacks offered three times a day.

Contact Crest Nursing Home

Health Inspection History

Inspections
Total health inspections 3

Montana average 5.1


Last Health inspection on Apr 2025

Total health citations 6

Montana average 29.7

Citations per inspection
2

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 3 years)
Critical Health citations More info 0
100% better than Montana average

Montana average: 0.3


Serious Health citations More info 0
100% better than Montana average

Montana average: 2.2

0 critical citations More info Montana average: 0.3

0 serious citations More info Montana average: 2.2

6 moderate citations More info Montana average: 26.5

0 minor citations More info Montana average: 0.7
Citations history (last 3 years)
Administration moderate citation Info Issues related to how the facility is managed, including policies, procedures, and compliance with regulations. Apr 10, 2025
Corrected

Care Planning moderate citation Info Issues related to creating and updating personalized care plans for residents based on their needs and conditions. Apr 10, 2025
Corrected

Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Mar 25, 2025
Corrected

Care Planning moderate citation Info Issues related to creating and updating personalized care plans for residents based on their needs and conditions. Mar 25, 2025
Corrected

Compare Nursing Homes around Butte 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
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
103
42.5%
-31%
3.39
+33%
-25%
0
6
2.0
0
46
-
Christina Jayne Penn Management Trust
$5.1M
$2.2M
42.5%
275122
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
-
42.5%
-
3.39
-
-
0
6
2.0
0
46
37
Christina Jayne Penn Management Trust
$5.1M
$2.2M
42.5%
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
-
-
-
5.30
-
-
1
0
0.0
0
18
73
-
-
-
-
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
100
65.4%
+6%
3.58
-10%
-21%
1
50
7.1
2
85
-
Plasschaert, Gary
$9.2M
$4.5M
49.5%
275103
Copper Ridge Health and Rehab
-
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
-
-
-
-
-
-
-
-
-
0
0
0.0
0
-
38
-
-
-
-
-

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Address 4.4 miles from city center

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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 78
Employees 49
Contractors 29
Staff to resident ratio 1.70:1
0% compared with Montana average

Montana average ratio: 1.77:1

Avg staff/day 25
Average shift 7.5 hours
13% worse than Montana average

Montana average: 8.6 hours

Total staff hours (quarter) 16,964
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 16
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.4 hours

This role is partially covered by contractors.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 12
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.8 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 24
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.6 hours

This role is partially covered by contractors.

Contractor staffing

Total hours from contractors

14.3%

2,417 contractor hours this quarter

Registered Nurse: 8 Licensed Practical Nurse: 7 Respiratory Therapy Technician: 3 Physical Therapy Assistant: 3 Qualified Social Worker: 2 Physical Therapy Aide: 1 Speech Language Pathologist: 1 Certified Nursing Assistant: 1 Medical Director: 1 Occupational Therapy Aide: 1 Occupational Therapy Assistant: 1
Staff by category
Certified Nursing Assistant231247,91691100%7.6
Licensed Practical Nurse57122,86391100%8.8
Registered Nurse88161,3659099%7.4
Other Dietary Services Staff3031,17591100%7.9
Dental Services Staff1014636167%7.6
Administrator1014575560%8.3
Physical Therapy Aide0113945864%6.8
Nurse Aide in Training5053833235%8
Speech Language Pathologist0113765864%6.5
Nurse Practitioner1013705459%6.9
Clinical Nurse Specialist1013514752%7.5
Mental Health Service Worker1013514549%7.8
Respiratory Therapy Technician0332426571%3.6
Qualified Social Worker022802730%2.8
Physical Therapy Assistant033612730%2.2
Medical Director011421112%3.8
Occupational Therapy Assistant0114167%6.8
Occupational Therapy Aide011361011%3.6
24 Certified Nursing Assistant
% of Days 100%
12 Licensed Practical Nurse
% of Days 100%
16 Registered Nurse
% of Days 99%
3 Other Dietary Services Staff
% of Days 100%
1 Dental Services Staff
% of Days 67%
1 Administrator
% of Days 60%
1 Physical Therapy Aide
% of Days 64%
5 Nurse Aide in Training
% of Days 35%
1 Speech Language Pathologist
% of Days 64%
1 Nurse Practitioner
% of Days 59%
1 Clinical Nurse Specialist
% of Days 52%
1 Mental Health Service Worker
% of Days 49%
3 Respiratory Therapy Technician
% of Days 71%
2 Qualified Social Worker
% of Days 30%
3 Physical Therapy Assistant
% of Days 30%
1 Medical Director
% of Days 12%
1 Occupational Therapy Assistant
% of Days 7%
1 Occupational Therapy Aide
% of Days 11%

Facility Characteristics

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

Total census
46 residents
Residents by payment source
Medicare
5 residents (10.9%)
Medicaid
35 residents (76.1%)
Private pay or other
6 residents (13%)
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.

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
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
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%

Guides for Better Senior Living

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Big Sky Waiver

Montana Medicaid Big Sky Waiver

Age 65+ or disabled, Montana resident, Medicaid- eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Rural state; limited providers in some areas.

Montana Community First Choice

MT CFC

Age 65+ or disabled, Montana resident, Medicaid- eligible.

~$1,732/month (individual, Medicaid threshold).

$2,000 (individual).

Less intensive than waiver; rural focus.

Big Sky Rx

Montana Big Sky Rx

Age 65+ or disabled, Montana resident, enrolled in Medicare Part D, income below limit.

~$2,510/month (individual), ~$3,380/month (couple).

Not assessed.

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

Medicare Savings Program (MSP)

Montana Medicare Savings Program

Age 65+ or disabled, Montana resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

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

Montana Caregiver Support Program (via NFCSP)

Montana Caregiver Support Program

Caregivers of 60+ needing care or 55+ caregivers of others; Montana resident; functional needs (2+ ADLs).

Prioritizes ~$24,980/year (individual); no strict cap.

Not assessed; need-based.

10 AAAs; prioritizes low-income, rural caregivers.

Senior Community Service Employment Program (SCSEP)

Montana SCSEP

Age 55+, unemployed, low-income, Montana resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents; AARP partnership.

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

Montana VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, Montana resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand in rural areas.

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