Beartooth Rehabilitation and Nursing LLC
350 W Pike Ave · Columbus, MT · 59019 · 4062905070
For profit - Corporation Chain: The Charly Bello Family, the Maze Family, the Swain Family, & Walter Myers
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
2 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
Total nurse staffing below 3.0 hours per resident-day
2.75 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 2.75 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.55 | 0.55–0.75 |
| Weekend hours / resident-day | 2.43 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 2 · $30,572 |
Inspection citations (43 in the current record)
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Immediate jeopardy · J February 10, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 27, 2026 · Quality of Life and Care
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Potential for harm · E February 10, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 20, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 10, 2026 · found via complaint
Respond appropriately to all alleged violations.
Corrected March 20, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 10, 2026
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected March 20, 2026 · Resident Rights
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Potential for harm · E February 10, 2026
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected March 20, 2026 · Resident Rights
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Potential for harm · D February 10, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 20, 2026 · Resident Assessment and Care Planning
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Potential for harm · E February 10, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected March 20, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 10, 2026
Provide activities to meet all resident's needs.
Corrected March 20, 2026 · Quality of Life and Care
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Potential for harm · D February 10, 2026
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected March 20, 2026 · Quality of Life and Care
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Potential for harm · D February 10, 2026
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Corrected March 20, 2026 · Quality of Life and Care
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Potential for harm · F February 10, 2026
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected March 25, 2026 · Nutrition and Dietary
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Potential for harm · F February 10, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 20, 2026 · Nutrition and Dietary
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Potential for harm · F February 10, 2026
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected March 20, 2026 · Administration
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Potential for harm · F February 10, 2026
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Corrected March 20, 2026 · Administration
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Potential for harm · F February 10, 2026
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 March 20, 2026 · Administration
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Potential for harm · D February 10, 2026
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected March 20, 2026 · Resident Assessment and Care Planning
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Potential for harm · E February 10, 2026
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected March 20, 2026 · Administration
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Potential for harm · F February 10, 2026
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected March 20, 2026 · Administration
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Potential for harm · F February 10, 2026
Provide and implement an infection prevention and control program.
Corrected March 20, 2026 · Infection Control
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Potential for harm · E February 10, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 20, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J September 4, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 3, 2025 · Quality of Life and Care
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Actual harm · G September 4, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected October 3, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G September 4, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected October 3, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 4, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected October 3, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 4, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected October 3, 2025 · Freedom from Abuse, Neglect, and Exploitation
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 10, 2026 | Fine | $12,968 |
| September 4, 2025 | Fine | $17,604 |
Better-scoring options nearby
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 275159 · certified since December 18, 2024. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.