Rosebud Health Care Center

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Staffing

How full it usually is: this home is certified for 31 beds and averages 12.8 residents a day — about 41% occupied, or roughly 18 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 6.26 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 2.45 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.22 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 5.52 hrs/resident/day on weekends vs 6.56 on weekdays — 16% thinner on weekends. RN hours go from 2.59 to 2.11 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 46% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

• Potential for harm · F2025-12-18 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure food items were labeled and dated after the package was opened, failed to ensure food items in the freezer were stored off the floor, and failed to label and date items in the refrigerator in the resident's dining room. This deficient practice increased the risk of food borne illness for all residents who were served food from the kitchen. Findings include:During the initial tour of the kitchen on 12/15/25 at 2:24 p.m., the following were observed:- A plastic bag contained what appeared to be chow mein noodles, located in the dry storage area. The bag was not labeled with the contents and was dated 7/7.- Two plastic bags containing potato wedges were opened and not labeled or dated in the freezer.- A stainless steel pot was observed on the floor of the freezer. The pot was covered with aluminum foil and was torn near the edge of the pot which left the contents of the pot open to air. The pot was labeled, flank steak chili, dated 11/12. - A cardboard box which was labeled, beef, was observed on the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-12-18 · tag F0868 — widespread
  Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to ensure the Medical Director or designee attended Quality Assurance Performance Improvement (QAPI) meetings at least quarterly. This deficient practice limited the Medical Director's ability to fully participate and add value to the QAPI meetings. Findings include:During an interview on 12/17/25 at 3:31 p.m., staff member B stated the Medical Director participated in the QAPI program by notification of the meeting date and time, and was also provided the QAPI meeting documentation. Staff member B further stated that the information was shared with the Medical Director at monthly board meetings and medical staff meetings. Staff member B stated the facility's Medical Director was located in a different area of the state and the Medical Director did not attend the QAPI meetings.During an interview on 12/17/25 at 4:11 p.m., staff member G said he has not attended any of the facility's QAPI meetings. Staff member G stated he was misinformed and did not realize he was supposed to be an active member and participant in the QAPI…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-18 · tag F0883 — failed to offer flu and pneumonia vaccines — isolated
  Develop and implement policies and procedures for flu and pneumonia vaccinations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to consider a resident's cognitive abilities when obtaining informed consents for influenza vaccinations and failed to ensure the consent forms were completed accurately for 2 (#s 4 and 12). Findings include:1. During an observation and interview on 12/17/25 at 9:44 a.m., resident #4 was dressed and lying in her bed, looking toward the window. Resident #4 could not comprehend the surveyor's question regarding whether she had received an influenza vaccine. Resident #4 stated, Sometimes I get some shots, but was unable to communicate any additional details. Resident #4 stated, I don't know to all additional questions regarding vaccination consents or administration. At the time of the interview, resident #4 also was unable to relay the month of the year, the current season, or her geographic location.During an interview on 12/17/25 at 2:12 p.m., staff member C stated resident #4 was cognitively better in the mornings than the afternoons or evenings.Review of the facility's roster matrix showed resident #4 was…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-11-08 · tag F0585 — failed to handle grievances — isolated
  Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to implement and utilize a grievance process for the identification, investigation, anonymous submission, and resolution of resident grievances related to care and services for 1 (#3) of 11 sampled residents. Findings include: During an interview on 11/6/23 at 4:34 p.m., resident #3 stated she had been writing complaints about receiving warm milk, as well as eggs she had requested to be cooked over hard, and were served runny with yoke all over her plate. Resident #3 stated she wrote her complaints on a dietary card delivered with her meals, and it was then given to the dietary manager. During an interview on 11/7/23 at 10:50 a.m., staff member B stated she had the facility's formal grievance book, but no grievances had been filed in 2023. Staff member B stated resident #3 had two to three complaints a day regarding her meals. Staff member B stated resident #3 submitted her concerns on a dietary card at the end of her meal, and it was then given to the dietary manager to address. Staff member B stated it would take a…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-11-08 · tag F0604 — failed to not use physical restraints improperly — isolated
  Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to identify a concave mattress as a potential restraint, and did not complete a risk assessment, consent, or restraint monitoring for 1 (#5) of 11 sampled residents with a concave mattress in place. Findings include: During an observation on 11/6/23 at 3:15 p.m., a concave mattress was observed on resident #5's bed. During an interview on 11/7/23 at 8:12 a.m., staff member K reported resident #5 had the concave mattress on her bed, for a couple of months now. During an interview on 11/7/23 at 11:12 a.m., staff members B and C reported the concave mattress was not a restraint, and therefore would not require restraint documentation. Review of resident #5's progress notes, fall report, and care plan entry, dated 8/12/23, showed the concave mattress was placed on resident #5's bed on 8/12/23. The progress notes stated resident #5 required a Hoyer lift to get out of bed, but was able to independently reposition herself from side-to-side while in bed. Review of resident #5's medical record failed to show…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-11-08 · tag F0644 — isolated
  Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to complete and submit a revised pre-admission screening and record review (PASARR) for a resident with a newly identified diagnosis of schizophrenia for 1 (#8) of 11 sampled residents. Findings include: Review of resident #8's Annual MDS, with an ARD of 12/4/20, showed no psychiatric or mood disorder diagnoses. The MDS also failed to show hallucinations, delusions, or any behaviors which interferred with the resident's care or safety. Review of resident #8's Quarterly MDS, with an ARD of 8/20/23, showed the presence of hallucinations, depression, and schizophrenia. Review of resident #8's PASARR, completed on admission on [DATE], failed to show a diagnosis of schizophrenia. Hallucinations with an unknown history was the only mental health diagnosis documented at the time of resident #8's admission. During an interview on 11/8/23 at 10:07 a.m., staff member C stated she was responsible for submitting the PASARR form, and was not aware a revised form…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-11-08 · tag F0658 — failed to meet professional standards of care — isolated
  Ensure services provided by the nursing facility meet professional standards of quality.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure a psychiatric evaluation was performed and documented prior to including a diagnosis of schizophrenia for 1 (#8) of 11 sampled residents. Findings include: During an observation and interview on 11/6/23 at 4:33 p.m., resident #8 was sitting in her recliner with her dog. Resident #8 was well-groomed, and able to participate in the interview without difficulty. Resident #8 stated she had been a little depressed recently, and was taking a medication for it. Resident #8 also stated she was seeing a counselor for her depression. Review of resident #8's medication orders, dated between 6/13/23 and 11/6/23, showed the resident was started on risperdal, an atypical antipsychotic, for depression with psychosis and hallucinations. Review of resident #8's provider progress note, dated 5/11/23, showed the resident expressed concern with worsening depression, requested an antidepressant, and to see a counselor. Review of resident #8's provider progress note, dated 6/12/23, showed the resident reported hearing music…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-11-08 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to establish a process for when resident should be weighed, and failed to identify and intervene in a timely manner when weights were not completed for 2 (#s 2 and 5) of 11 sampled residents. Findings include: During an interview on 11/6/23 at 4:02 p.m., staff member K stated residents were weighed monthly, and sooner as needed or as ordered by the provider. 1. During an interview on 11/6/23 at 5:15 p.m., staff member D reported resident weights were completed with baths twice weekly, when the resident was out of bed. Staff member D stated resident #2 preferred a bed bath, in which case the staff would try to obtain a weight weekly. Staff member D reviewed the skin assessment log during the interview (11/6/23) and reported no weights for resident #2 had been documented in the medical record since 10/3/23. During an interview on 11/7/23 at 10:23 a.m., staff member L stated residents were weighed when they received a bath. Staff member L stated if the resident received a bed bath or refused a bath, the CNAs would document no…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

CMS files one row per role, so the 12 rows in the source record cover these 10 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

What families pay in MT