Eastern Montana Veterans Home
2000 Montana Ave · Glendive, MT · 59330 · 4063778115
80 certified beds Government - State Chain: Eduro Healthcare
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $50,805 in fines in the last 24 months.
- Inspection results are getting worse cycle over cycle, not better.
Red flags
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 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
3 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$50,805 in federal fines in the last 24 months
3 fines — CMS fines are reserved for verified, serious non-compliance.
87% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
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: 4 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 4.33 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.68 | 0.55–0.75 |
| Weekend hours / resident-day | 3.96 | ≈ weekday level |
| Nursing turnover / year | 87% | median 45% |
| Fines (3-yr window) | 3 · $50,805 |
Inspection citations (31 in the current record)
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Actual harm · G December 10, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 18, 2026 · Quality of Life and Care
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Potential for harm · D December 10, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected January 18, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G June 19, 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 July 21, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G June 19, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 21, 2025 · Quality of Life and Care
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Potential for harm · D June 19, 2025 · 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 July 21, 2025 · Nursing and Physician Services
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Potential for harm · F June 19, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected July 21, 2025 · Infection Control
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Potential for harm · D February 13, 2025
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 April 14, 2025 · Resident Rights
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Potential for harm · D February 13, 2025
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 April 14, 2025 · Resident Rights
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Potential for harm · E February 13, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected April 14, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 13, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected April 14, 2025 · Resident Assessment and Care Planning
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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 April 14, 2025 · Resident Assessment and Care Planning
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Potential for harm · E February 13, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 14, 2025 · Quality of Life and Care
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Potential for harm · F February 13, 2025
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 April 14, 2025 · Nursing and Physician Services
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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 April 14, 2025 · Pharmacy Service
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Potential for harm · F February 13, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 14, 2025 · Nutrition and Dietary
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Actual harm · G October 24, 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 November 21, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 24, 2024 · found via complaint
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected November 21, 2024 · Resident Rights
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Potential for harm · D October 24, 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 November 21, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 24, 2024 · found via complaint
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected November 21, 2024 · Quality of Life and Care
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Potential for harm · D October 11, 2023 · found via complaint
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected December 22, 2023 · Quality of Life and Care
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No harm found · C October 11, 2023 · found via complaint
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected December 22, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G February 15, 2023
Provide enough food/fluids to maintain a resident's health.
Corrected March 28, 2023 · Quality of Life and Care
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Actual harm · G February 15, 2023
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 28, 2023 · Nutrition and Dietary
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Potential for harm · D February 15, 2023
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected March 28, 2023 · Resident Rights
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Potential for harm · D February 15, 2023
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 28, 2023 · 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 |
|---|---|---|
| December 10, 2025 | Fine | $12,438 |
| June 19, 2025 | Fine | $10,358 |
| October 24, 2024 | Fine | $28,009 |
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 275144 · certified since August 1, 1995. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.