Show Inspection Reports
Total health inspections
3
Montana average 5.1
Last Health inspection on Jun 2025
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Southwest Montana Veteran’s Home
Nursing Home in Butte
CMS overall rating
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.
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.
Southwest Montana Veteran’s Home
Nursing Home in Butte
CMS overall rating
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.
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.
Settling at the tranquil community of Butte, MT, Southwest Montana Veteran’s Home offers skilled care and rehabilitation. Focusing on veterans and their spouses, the community features state-of-the-art amenities for a more comfortable environment. The community commits to enhancing the veterans’ quality of life, employing specialized rehab programs including physical, occupational, and speech therapies.
Southwest Montana Veteran’s Home aims to nurture the veterans’ and their loved ones’ potential and nourish their abilities and self-esteem. Activities are carefully curated to cater to its residents’ interests encouraging them to remain active and engaged. With a team of dedicated and well-trained professionals available around the clock, the community ensures a comfortable and safe residence. Residents enjoy a blissful and secure stay with wonderful amenities such as elegant dining halls, spacious suites, a therapy gym, and various spaces for entertainment.
Quality ratings
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.
Staffing hours breakdown
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.
Total nursing care / resident
This home is ranked 2nd out of 27 homes in Montana.
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 2nd out of 27 homes in Montana.Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
6h 47m per day
vs Montana avg
+74%
Standout metric
RN (Weekend) is +137% above state avg
| Staff type | Hours / day | 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.
| 2h 8m per day | ▲ 129% State avg: 56m per day · National avg: 41m 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 23m per day | ▼ 6% State avg: 2h 32m per day · National avg: 2h 21m per day |
|
Total Nursing (Weekend)
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.
| 4h 38m per day | ▲ 33% State avg: 3h 29m per day · National avg: 3h 26m 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.
| 6m per day | ▲ 50% State avg: 4m per day · National avg: 4m per day |
|
RN (Weekend)
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.
| 1h 37m per day | ▲ 137% State avg: 41m per day · National avg: 29m per day |
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
60
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
70.7%
Avg. Length of Stay
212 days
Occupancy rate
70.7%
Avg. Length of Stay
212 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
47% of new residents, usually for short-term rehab.
Typical stay
30 days
Private pay
45% of new residents, often for short stays.
Typical stay
7 - 8 months
Medicaid
8% of new residents, often for long-term daily care.
Typical stay
3 - 4 years
Finances and operations
Privately-owned community
Home revenue
$8.9M
Profit
$29.4K
Privately-owned community
Home revenue
$8.9M
Profit
$29.4K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$4.3M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.5M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$8.9M
60-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
Walk Score: 14 / 100
Car-dependent. Most errands require a car, with limited nearby walkable options.
About this community
Facility TypeLong Term Care
StatusCurrent
IssuanceMay 3, 2025
ExpirationApril 3, 2028
License Number13594
Southwest Montana Veteran’s Home is administrated by Kelly, Josh.
What does this home offer?
Minimum Age: 55
Inspection History
In Montana, the Department of Public Health and Human Services, Quality Assurance Division is the state body responsible for inspecting and licensing all senior residential care facilities.
3 visits/inspections
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
Latest inspection
Date
June 19, 2025
Routine18 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Montana average: 21 deficiencies
Inspection Report Summary for Southwest Montana Veteran’s Home
The most recent inspection on June 19, 2025, identified multiple deficiencies related to psychotropic medication use, PASRR assessments, care planning, infection control, bed rail use, and medical waste management. Earlier inspections showed a pattern of issues with care planning, medication management, resident supervision, and honoring resident rights, including substantiated complaints about unsafe unsupervised exits and missing mental health documentation. Inspectors cited concerns such as inconsistent check-out procedures for residents at risk of elopement, delayed treatment of infections, and incomplete care plans addressing trauma-informed care. No fines, immediate jeopardy findings, or license actions were listed in the available reports. The facility’s inspection history reflects ongoing challenges with regulatory compliance, with similar themes recurring over time.
Health Inspection History
Inspections
Total health citations
18
Montana average 29.7
Citations per inspection
6
Montana average 5.72
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
17 of 18 citations resulted from standard inspections; and 1 of 18 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Montana averageMontana average: 0.3
Serious Health citations
1
1
55% better than Montana averageMontana average: 2.2
0 critical citations
1 serious citation
17 moderate citations
0 minor citations
Citations history (last 3 years)
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jun 19, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jun 19, 2025
Corrected
Environmental moderate citation
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
Jun 19, 2025
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
Jun 19, 2025
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jun 19, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jun 19, 2025
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jun 19, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jun 19, 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.
Compare Nursing Homes around Butte The information below is reported by the Montana Department of Public Health and Human Services, Quality Assurance Division.
Filter by care type
| Southwest Montana Veteran’s 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). | Butte | 60 | 70.7% | +15% | 6.78 | +58% | +50% | 1 | 18 | 6.0 | 1 | 49 | - | 14 | - | $8.9M | $4.3M | 48.7% | 275156 | ||||
| Copper Ridge Health and Rehab |
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Butte (Nettie Street) | 186 | 33.7% | -45% | 3.45 | +16% | -24% | 2 | 27 | 3.9 | 3 | 62 | - | 34 | Ramos, Brian | $10.5M | $3.9M | 36.8% | 275060 | ||||
| St. James Healthcare Transitional Care Unit (TCU) | - |
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Butte (South Clark Street) | 129 | - | - | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | - | 72 | - | - | - | - | - |
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Places of interest near Southwest Montana Veteran’s Home
4.3 miles from city center
Estimated distance in miles from Butte's city center to Southwest Montana Veteran’s Home's address, calculated via Google Maps.
— 0.25 miles to nearest hospital (Charlie Dowd VA Clinic)
Calculate Travel Distance to Southwest Montana Veteran’s Home
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
115
Employees
70
Contractors
45
Staff to resident ratio
2.35:1
32% better than Montana averageMontana average ratio: 1.77:1
Avg staff/day
34
Average shift
9.2 hours
7% better than Montana averageMontana average: 8.6 hours
Total staff hours (quarter)
28,353
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
28
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
17
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
52
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
9.5%
2,686 contractor hours this quarter
Certified Nursing Assistant: 27
Registered Nurse: 9
Licensed Practical Nurse: 6
Occupational Therapy Assistant: 1
Medical Director: 1
Physical Therapy Assistant: 1
Staff by category
| Certified Nursing Assistant | 25 | 27 | 52 | 10,419 | 91 | 100% | 9.7 |
| Registered Nurse | 19 | 9 | 28 | 7,809 | 91 | 100% | 9.8 |
| Licensed Practical Nurse | 11 | 6 | 17 | 3,851 | 91 | 100% | 9.5 |
| Other Dietary Services Staff | 3 | 0 | 3 | 1,229 | 91 | 100% | 7.3 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 1,008 | 64 | 70% | 8 |
| Speech Language Pathologist | 2 | 0 | 2 | 909 | 67 | 74% | 7.8 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 503 | 63 | 69% | 7.8 |
| Physical Therapy Aide | 2 | 0 | 2 | 495 | 63 | 69% | 7.1 |
| Mental Health Service Worker | 1 | 0 | 1 | 480 | 60 | 66% | 8 |
| Qualified Social Worker | 1 | 0 | 1 | 347 | 47 | 52% | 7.4 |
| Physical Therapy Assistant | 0 | 1 | 1 | 219 | 29 | 32% | 7.6 |
| Medical Director | 0 | 1 | 1 | 33 | 15 | 16% | 2.2 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 29 | 18 | 20% | 1.6 |
52 Certified Nursing Assistant
% of Days
100%
28 Registered Nurse
% of Days
100%
17 Licensed Practical Nurse
% of Days
100%
3 Other Dietary Services Staff
% of Days
100%
2 Clinical Nurse Specialist
% of Days
70%
2 Speech Language Pathologist
% of Days
74%
1 Administrator
% of Days
70%
1 Nurse Practitioner
% of Days
70%
2 Respiratory Therapy Technician
% of Days
69%
2 Physical Therapy Aide
% of Days
69%
1 Mental Health Service Worker
% of Days
66%
1 Qualified Social Worker
% of Days
52%
1 Physical Therapy Assistant
% of Days
32%
1 Medical Director
% of Days
16%
1 Occupational Therapy Assistant
% of Days
20%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
49
Medicaid
18
36.7% of residents
Private pay or other
31
63.3% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Family Member Group
Family members meet regularly to discuss policies, care quality, and activities
Active Family Council
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
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.
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
13.2
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
13.2
18% worse than Montana averageMontana average: 11.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
22.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
22.3
In line with Montana averageMontana average: 21.8
Long-stay resident measures
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
Percent of long-stay residents whose need for help with daily activities has increased
22.1%
Percent of long-stay residents whose need for help with daily activities has increased
22.1%
14% worse than Montana averageMontana average: 19.4%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
20.0%
Percent of long-stay residents whose ability to move independently worsened
20.0%
In line with Montana averageMontana average: 20.8%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
24.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
24.8%
In line with Montana averageMontana average: 25.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
6.6%
Percent of long-stay residents experiencing one or more falls with major injury
6.6%
51% worse than Montana averageMontana average: 4.3%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
9.0%
Percent of long-stay high risk residents with pressure ulcers
9.0%
43% worse than Montana averageMontana average: 6.3%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
6.8%
Percent of long-stay residents with a urinary tract infection
6.8%
146% worse than Montana averageMontana average: 2.8%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
8.3%
Percent of long-stay residents who lose too much weight
8.3%
35% worse than Montana averageMontana average: 6.1%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
8.2%
Percent of long-stay residents who have depressive symptoms
8.2%
73% worse than Montana averageMontana average: 4.7%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
10.7%
Percent of long-stay residents who received an antipsychotic medication
10.7%
44% better than Montana averageMontana average: 19.1%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
47.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
47.0%
50% worse than Montana averageMontana average: 93.8%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.6%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.6%
In line with Montana averageMontana average: 93.7%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
0.64
Number of hospitalizations per 1,000 long-stay resident days.
0.64
50% better than Montana averageMontana average: 1.27
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.83
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.83
62% better than Montana averageMontana average: 2.17
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
41.8%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
41.8%
45% worse than Montana averageMontana average: 76.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
4.2%
Percent of short-stay residents who newly received an antipsychotic medication
4.2%
137% worse than Montana averageMontana average: 1.8%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
13.0%
Percentage of SNF residents who experience falls with major injury during their stay.
13.0%
1594% worse than Montana averageMontana average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
59.1%
Percentage of residents at or above expected ability to care for themselves at discharge.
59.1%
10% better than Montana averageMontana average: 53.7%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$9K
90% lower than Montana averageMontana average: $87K
Number of fines
1
57% fewer fines than Montana averageMontana average: 2.3
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Montana averageMontana average: 0.2
Fines amount comparison
Fines amount comparison
This facility
$9K
Montana average
$87K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 10, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 10, 2023
$9K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Southwest Montana Veteran’s Home based on CMS SNF Cost Reports.
Occupancy Rate
70.7%
↑ 8.6pp vs 2022
Net Income
$29.4K
↓ ~$40.3K vs 2022
Total Payroll
$5.3M
↑ ~$876.5K vs 2022
Profit Margin
0.3%
↓ 0.7pp vs 2022
Loading trend charts...
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