Sidney Health Center Extended Care
104 14th Ave Nw · Sidney, MT · 59270 · 4064882300
93 certified beds Non profit - Corporation
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: $60,401 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.
$60,401 in federal fines in the last 24 months
1 fine — 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: 1 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 4.37 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.90 | 0.55–0.75 |
| Weekend hours / resident-day | 3.96 | ≈ weekday level |
| Nursing turnover / year | 51% | median 45% |
| Fines (3-yr window) | 1 · $60,401 |
Inspection citations (22 in the current record)
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Immediate jeopardy · K December 4, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 9, 2026 · Quality of Life and Care
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Potential for harm · F December 4, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 9, 2026 · Nutrition and Dietary
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Potential for harm · F December 4, 2025
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected January 9, 2026 · Administration
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Potential for harm · F December 4, 2025
Provide and implement an infection prevention and control program.
Corrected January 9, 2026 · Infection Control
-
Potential for harm · D December 4, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected January 9, 2026 · Infection Control
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Potential for harm · D December 4, 2025
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected January 9, 2026 · Infection Control
-
Potential for harm · D December 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 February 10, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E December 4, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected January 9, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E December 4, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected January 9, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E December 4, 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 January 9, 2026 · Resident Assessment and Care Planning
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Actual harm · G October 10, 2024 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected November 22, 2024 · Quality of Life and Care
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Potential for harm · D October 10, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected November 22, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 10, 2024 · found via complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected November 22, 2024 · Resident Assessment and Care Planning
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Potential for harm · F October 10, 2024 · found via complaint
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 November 22, 2024 · Nursing and Physician Services
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Potential for harm · D August 29, 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 October 10, 2024 · Resident Rights
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Potential for harm · D August 29, 2024
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 October 10, 2024 · Resident Rights
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Potential for harm · E August 29, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected October 10, 2024 · Resident Assessment and Care Planning
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Potential for harm · E August 29, 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 October 10, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 29, 2024
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected October 10, 2024 · Pharmacy Service
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Potential for harm · D August 29, 2024
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 October 10, 2024 · Pharmacy Service
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Potential for harm · F August 29, 2024
Provide and implement an infection prevention and control program.
Corrected October 10, 2024 · Infection Control
-
Potential for harm · D August 29, 2024
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected October 10, 2024 · Infection Control
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 4, 2025 | Fine | $60,401 |
| December 4, 2025 | Payment Denial | 15 days |
Better-scoring options nearby
No better-scoring facility within 25 miles in the current data. See the whole state.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 275121 · certified since November 1, 1988. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.