Central Montana Nursing & Rehabilitation Center
408 Wendell Ave, Lewistown MT 59457 · (406) 535-6229 · 54.35% estimated occupancy 1Updated: Aug 1, 2020 · By Sara Levinsohn
Central Montana Nursing & Rehabilitation Center is an average-sized nursing home located in Lewistown, Montana. We gave this nursing home an overall grade of B+. A grade in this range requires solid marks in most areas. Based on our ratings, this nursing home looks like a good fit for most people. This facility's strong profile was highlighted by its nursing grade, which you can find in the next section.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 85 Beds
CCRC :
For profit - Corporation
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Nurse Quality
This nursing home earned a strong overall grade as described above, but we especially wanted to emphasize its excellent nursing score. We gave them an A in this category. In calculating our nursing scores, we look at both the number of hours nurses spend with residents and the skill levels of those nurses. This place offers 3.4 hours of nursing care per patient on a daily basis, of which more than an hour of those were provided by registered nurses. This is one of the more highly skilled levels of nurses. In calculating our nursing ratings, we attach more significance to hours performed by registered nurses. Finally, we also assessed several nursing quality-based metrics and this facility excelled in some of these areas. With less than five percent of its residents sustaining pressure ulcers, it performed as well as any facility Montana in this category. This is generally a good indicator of quality nursing care. Pressure ulcers can generally be prevented by offering better nursing care, such as employing a protocol of turning residents at least once a day.
Facility Inspections
Turning to another one of this place's strengths, it also received a very impressive inspection score. Inspections turned out to be one of its best category grades. We gave this nursing home an A. Inspection scores are based on datapoints found on the a nursing home's recent inspections. Nursing homes that receive favorable grades in this area tend to have very few deficiencies on those reports. Most importantly, these places generally do not have any severe deficiencies which are associated with endangerment of patients. Although this nursing home had a few deficiencies on its report, none were serious based on CMS' scale. The fact that none of the deficiencies were severe made us feel better about this inspection report.
Short-term Care Quality
Turning to an additional strength for this nursing home, we gave them one of our better scores in our short-term care category as well, with a B+. Our short-term care scores are thought to be most meaningful for those requiring rehabilitation from their nursing home. Rehabilitation usually requires higher levels of highly-skilled nursing. Skilled nursing means not merely nursing, but also physical and respiratory therapy, as well as other variations of therapy. One of this facility's strengths is that it offers more than seven hours of care per week from registered nurses per patient. This is the gold standard in this area, as it's approximately 1.5 times higher than a typical nursing home's level of registered nurse staffing. The final metric we assessed in this category is the number of patients who eventually returned home from the nursing home. It performed better than most facilities in this area with 52.3 percent of its residents returning home. At most nursing homes, less than half of their short-stay residents are able to return home.
Long-term Care Quality
Switching gears to our next area, we awarded this nursing home a grade of D in long-term care. This was the facility's least impressive category score. However, you should not focus exclusively a single poor area. In a long-term care environment, the facility's primary goal is to keep patients healthy and safe. This is different than skilled nursing or short-term care where the goal is to rehabilitate residents. In addition to assessing the volume of care provided by aids and other staff, we looked at the number of residents vaccinated against pneumonia. This nursing home vaccinated 96.27329 percent of its patients, which is higher than most nursing homes. To our surprise, this place was able to keep its patients out of the hospital. It had only 0.31 hospitalizations per 1,000 long-term resident days. Sadly, some of its other scores in the category weren't as favorable as these.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Central Montana Nursing & Rehabilitation Center Quality Metrics
Minimizes Pressure Ulcers
This is the percentage of residents that sustained a pressure ulcer. Pressure ulcers are damage to the skin due to remaining in the same position for an excessive period of time.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This tells you the percent of patients who have had a major fall. Falls leading to serious injuries are routinely associated with poor nursing care. Closer supervision limits the number of major falls sustained by residents in a nursing home.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This is the percentage of residents that have had a urinary tract infection. UTI's are considered by many experts to be a measure of nursing care at a nursing home. UTI's are routinely associated with poor nursing care. Nevertheless, this metric could also be skewed for certain facilities due to varying reporting standards for UTI's.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This is the percentage of residents who were prescribed antipsychotic drugs. While antipsychotic medications may be helpful for many patients, it is important to confirm these drugs are being used appropriately. In limited cases, high levels of antipsychotic drug use may mean a facility is using these medications to control patient behavior.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This is an indication of the percentage of long-term patients who were given antianxiety medication. These medications are generally used to treat patients experiencing depression or anxiety.
Percent of Patients
Lower is Better
Managing Depression Among Residents
Measures the percentage of long-term stay patients showing depressive symptoms. Some experts believe this is a measure of patient quality of care.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This datapoint is a measure of the percentage of long-term patients who were vaccinated against pneumonia and flu.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This is the percentage of residents who required more assistance with activities of daily living over time.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This metric measures the percent of long-term residents who were able to retain mobility.
Percentage of Residents
Higher is Better
Hospitalizations
This indicates the number of times residents are hospitalized per thousand days of care.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This datapoint measures the number of times residents are rehospitalized per thousand days of short-term resident care.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: Facilitates Functional Improvement
This indicates the percent of short-term care residents who experienced functional improvements, such as with activities of daily living. High levels of autonomy with ADL's typically correlates with successful rehabilitation.
Percentage of Resident
Higher is Better