Blackfeet Care Center
728 S Government Sq · Browning, MT · 59417 · 4063382686
47 certified beds For profit - Individual
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $87,690 in fines in the last 24 months.
- Inspection results are getting worse cycle over cycle, not better.
- Staffing hours comfortably above national benchmarks.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation 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.
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.
$87,690 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
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: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.10 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.86 | 0.55–0.75 |
| Weekend hours / resident-day | 3.80 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 2 · $87,690 |
Inspection citations (32 in the current record)
-
Immediate jeopardy · J March 26, 2026 · found via complaint
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected April 17, 2026 · Pharmacy Service
-
Potential for harm · D March 26, 2026
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected April 17, 2026 · Resident Rights
-
Potential for harm · D March 26, 2026
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Corrected April 29, 2026 · Resident Rights
-
Potential for harm · D March 26, 2026
Ensure each resident receives an accurate assessment.
Corrected April 17, 2026 · Resident Assessment and Care Planning
-
Potential for harm · E March 26, 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 April 17, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D March 26, 2026
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected April 17, 2026 · Nursing and Physician Services
-
Potential for harm · E March 26, 2026
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected May 1, 2026 · Nursing and Physician Services
-
Potential for harm · D March 26, 2026
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected April 17, 2026 · Pharmacy Service
-
Potential for harm · D March 26, 2026
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
Corrected May 1, 2026 · Nursing and Physician Services
-
Potential for harm · F March 26, 2026
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected April 17, 2026 · Administration
-
Potential for harm · D March 26, 2026
Provide and implement an infection prevention and control program.
Corrected April 17, 2026 · Infection Control
-
Potential for harm · E March 26, 2026 · found via complaint
Respond appropriately to all alleged violations.
Corrected April 17, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E June 18, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected July 9, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D June 18, 2025 · 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 July 9, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D June 18, 2025 · found via complaint
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected July 9, 2025 · Quality of Life and Care
-
Actual harm · G January 30, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 20, 2025 · Quality of Life and Care
-
Potential for harm · D January 30, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected February 20, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D January 30, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected February 20, 2025 · Resident Rights
-
Potential for harm · D January 30, 2025
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Corrected February 20, 2025 · Quality of Life and Care
-
Potential for harm · F January 30, 2025
Provide and implement an infection prevention and control program.
Corrected February 20, 2025 · Infection Control
-
Potential for harm · E January 4, 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 February 22, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E January 4, 2024
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected February 22, 2024 · Resident Rights
-
Potential for harm · D January 4, 2024
Ensure each resident receives an accurate assessment.
Corrected February 22, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D January 4, 2024
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 February 22, 2024 · Quality of Life and Care
-
Potential for harm · E January 4, 2024
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected February 22, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 26, 2026 | Fine | $58,775 |
| January 30, 2025 | Fine | $28,915 |
Better-scoring options nearby
No better-scoring facility within 25 miles in the current data. 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 275133 · certified since July 20, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.