Madison Valley Manor
211 N Main St · Ennis, MT · 59729 · 4066827271
32 certified beds Government - County
- 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.
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
78% 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: 5 of 5 Inspections: 5 of 5 Staffing: 4 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 6.72 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.97 | 0.55–0.75 |
| Weekend hours / resident-day | 6.19 | ≈ weekday level |
| Nursing turnover / year | 78% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (14 in the current record)
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Potential for harm · D May 8, 2025
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected June 12, 2025 · Resident Rights
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Potential for harm · D May 8, 2025
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected June 12, 2025 · Resident Rights
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Potential for harm · E May 8, 2025
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected June 12, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 8, 2025
Ensure each resident receives an accurate assessment.
Corrected June 12, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 8, 2025
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected June 12, 2025 · Quality of Life and Care
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Potential for harm · D May 8, 2025
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected June 12, 2025 · Nursing and Physician Services
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Potential for harm · F May 8, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 12, 2025 · Nutrition and Dietary
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Potential for harm · D May 8, 2025
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected June 12, 2025 · Administration
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Potential for harm · F May 8, 2025
Keep all essential equipment working safely.
Corrected June 12, 2025 · Environmental
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Potential for harm · D September 10, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected October 16, 2024 · Infection Control
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Potential for harm · E September 10, 2024 · found via complaint
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Corrected October 16, 2024 · Infection Control
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Potential for harm · E May 8, 2024
Ensure each resident receives an accurate assessment.
Corrected June 12, 2024 · Resident Assessment and Care Planning
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Potential for harm · D May 8, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 12, 2024 · Resident Assessment and Care Planning
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Potential for harm · E May 8, 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 June 12, 2024 · 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
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 275136 · certified since July 1, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.