Clark Fork Valley Nursing Home

10 Kruger Rd · Plains, MT · 59859 · 4068264800

28 certified beds Non profit - Corporation Hospital-based

  • Inspection results have improved across recent cycles.

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.

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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.

$62,871 in federal fines in the last 24 months

1 fine — CMS fines are reserved for verified, serious non-compliance.

Score breakdown

Inspection record 30% of score 65
Serious harm & abuse 20% 94
Staffing 20% 77
Federal penalties 15% 63
Trend 10% 92
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 5 of 5 Inspections: 4 of 5 Staffing: 5 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.703.48 min · 4.1 strong
RN hours / resident-day0.960.55–0.75
Weekend hours / resident-day3.27≈ weekday level
Nursing turnover / year41%median 45%
Fines (3-yr window)1 · $62,871

Inspection citations (19 in the current record)

  • Potential for harm · D April 9, 2026

    Respond appropriately to all alleged violations.

    Corrected May 10, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D April 9, 2026

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected May 10, 2026 · Resident Assessment and Care Planning

  • Actual harm · G February 13, 2025

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

    Corrected March 14, 2025 · Quality of Life and Care

  • Potential for harm · E February 13, 2025

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected March 6, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E February 13, 2025

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected March 6, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E February 13, 2025

    Respond appropriately to all alleged violations.

    Corrected March 6, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E February 13, 2025

    Ensure each resident receives an accurate assessment.

    Corrected March 6, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D February 13, 2025

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected March 15, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D February 13, 2025

    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 6, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D February 13, 2025

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected March 6, 2025 · Quality of Life and Care

  • Potential for harm · D February 13, 2025

    Provide enough food/fluids to maintain a resident's health.

    Corrected March 6, 2025 · Quality of Life and Care

  • Potential for harm · D February 13, 2025

    Provide care or services that was trauma informed and/or culturally competent.

    Corrected March 6, 2025 · Quality of Life and Care

  • Potential for harm · D February 13, 2025

    Provide medically-related social services to help each resident achieve the highest possible quality of life.

    Corrected March 6, 2025 · Quality of Life and Care

  • Potential for harm · D February 13, 2025

    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 March 6, 2025 · Pharmacy Service

  • Potential for harm · E February 13, 2025

    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 March 6, 2025 · Pharmacy Service

  • Potential for harm · F February 13, 2025

    Provide and implement an infection prevention and control program.

    Corrected March 6, 2025 · Infection Control

  • No harm found · C February 13, 2025

    The resident has the right to receive notices in a format and a language he or she understands.

    Corrected March 12, 2025 · Resident Rights

  • No harm found · C February 13, 2025

    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

    Corrected March 6, 2025 · Resident Rights

  • Potential for harm · E February 29, 2024

    Implement a program that monitors antibiotic use.

    Corrected April 12, 2024 · Infection Control

Federal penalties

DateTypeAmount / length
February 13, 2025Fine$62,871

Better-scoring options nearby

No better-scoring facility within 25 miles in the current data — this one leads its area. See the whole state.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 275107 · certified since January 1, 1985. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.