Awe Kualawaache Care Center
10131 S Heritage Rd · Crow Agency, MT · 59022 · 4066389111
40 certified beds Non profit - Other
- Staffing hours comfortably above national benchmarks.
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
73% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 5 of 5 Staffing: 4 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 4.57 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.52 | 0.55–0.75 |
| Weekend hours / resident-day | 3.97 | ≈ weekday level |
| Nursing turnover / year | 73% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (18 in the current record)
-
Potential for harm · D May 8, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected May 30, 2025 · Resident Rights
-
Potential for harm · F May 8, 2025
Provide and implement an infection prevention and control program.
Corrected May 30, 2025 · Infection Control
-
Potential for harm · D December 4, 2024 · found via complaint
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected December 30, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D December 4, 2024 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected December 30, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D December 4, 2024 · found via complaint
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected December 30, 2024 · Nursing and Physician Services
-
Potential for harm · D July 30, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected August 23, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D July 30, 2024 · found via complaint
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected August 23, 2024 · Quality of Life and Care
-
Potential for harm · D July 30, 2024 · found via complaint
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected August 23, 2024 · Pharmacy Service
-
Potential for harm · E July 30, 2024 · found via complaint
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected August 23, 2024 · Administration
-
Potential for harm · E July 30, 2024 · found via complaint
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Corrected August 23, 2024 · Administration
-
Potential for harm · D April 25, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected May 16, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D April 25, 2024 · found via complaint
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected May 16, 2024 · Nursing and Physician Services
-
No harm found · B April 25, 2024
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected May 16, 2024 · Administration
-
Potential for harm · D April 27, 2023
Ensure each resident receives an accurate assessment.
Corrected May 31, 2023 · Resident Assessment and Care Planning
-
Potential for harm · E April 27, 2023
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected May 31, 2023 · Quality of Life and Care
-
Potential for harm · D April 27, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 31, 2023 · Quality of Life and Care
-
Potential for harm · F April 27, 2023
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected May 31, 2023 · Nursing and Physician Services
-
Potential for harm · D April 27, 2023
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected May 31, 2023 · Resident Assessment and Care Planning
Better-scoring options nearby
No better-scoring facility within 25 miles in the current data — this one leads its area. See the whole state.
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 275153 · certified since June 9, 1998. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.