Montana Veterans Home N H — Skilled Nursing Facility Profile (CCN #275100)

Columbia Falls, Montana · CCN 275100 · Phone: 4068923256 · 105 beds · Ownership: Government - State

Montana Veterans Home N H is a Medicare-certified skilled nursing facility (CCN 275100) in Columbia Falls, Montana. It holds a CMS overall Five-Star rating of 3 of 5 stars on CMS Care Compare. FileFlo scores its CMS survey-readiness at 55/100 (Material Gaps).

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Compliance Indicator: 55/100 — Material Gaps

About Montana Veterans Home N H

Montana Veterans Home N H is a Medicare- and Medicaid-certified skilled nursing facility in Columbia Falls, Montana, operating under CMS Certification Number (CCN) 275100. 105-bed facility. Government - State. Independent (not part of a multi-facility chain). The facility is required to comply with the Requirements for Long-Term Care Facilities at 42 CFR Part 483.

Montana Veterans Home N H has held its Medicare/Medicaid certification for approximately 44 years (certification date on file: 1982-01-07). Long-tenured facilities (15+ years) often have established F-tag remediation playbooks and a deeper standard-survey trail; newly-certified facilities (under 3 years) are subject to a different initial survey cadence under 42 CFR 488.308.

Local market context (Flathead County): Montana Veterans Home N H operates in Flathead County alongside 4 other Medicare-certified SNFs in our Montana cohort sample. Multi-facility counties create direct cohort comparison pressure — hospital discharge planners typically run side-by-side Care Compare lookups before placement decisions.

CMS Five-Star Quality Ratings

CMS publishes Five-Star ratings for nursing homes monthly, drawn from the most recent three years of standard surveys, complaint surveys, and Minimum Data Set (MDS) submissions.

Long-Stay vs Short-Stay Quality Measures

Long-Stay Quality Measure rating: ★★☆☆☆ (2 of 5). Long-stay measures cover residents in the facility 100+ days and include indicators like residents experiencing one or more falls with major injury, residents whose ability to move independently worsened, and residents with a urinary tract infection.

Differentiating long-stay from short-stay QMs matters for placement decisions — a facility with strong short-stay QMs may still underperform on long-stay metrics, and vice versa.

Compliance Red Flags

Abuse Icon present: CMS has applied the Abuse Icon to Montana Veterans Home N H's Care Compare listing. The icon flags facilities cited for substantiated abuse, neglect, exploitation, or misappropriation findings under the F600-series Long-Term Care Resident Rights and Abuse / Neglect F-tags within the most recent two survey cycles, where citations met the scope-and-severity threshold defined in CMS Care Compare's Five-Star Quality Rating Methodology. The icon stays in place until the facility completes a full survey cycle with no further qualifying citations.

Survey History and Deficiencies

Recent health deficiencies cited at last standard survey: 4. National average for facilities of this size is approximately 8 deficiencies per cycle. In its most recent reporting cycle, Montana Veterans Home N H received 1 CMS fine totaling $92,456. Last documented standard health survey: 2024-07-18. CMS conducts standard surveys at most every 15 months for SNFs, with substandard-quality findings triggering more frequent revisits.

Infection Control and Deficiency Weighting

CMS health survey weighted score: 114.75. The weighted score multiplies deficiency severity (A-L) by scope (isolated, pattern, widespread); higher weighted scores translate directly into the Health Inspection star rating tier breakpoints CMS publishes monthly.

CMS Enforcement Actions

Payment denials for new admissions in the most recent CMS reporting window: 1. Denial-of-payment-for-new-admissions (DPNA) is one of the enforcement remedies CMS uses under 42 CFR 488.417. It is typically imposed when a facility has been cited at scope and severity levels of F or higher and fails to substantially comply by the date specified in the certification notice.

Total enforcement penalties assessed in the most recent reporting window: $2. This figure aggregates Civil Money Penalties (CMPs), DPNA-equivalent revenue impacts, and other monetary remedies under 42 CFR Part 488 Subpart F.

Staffing Detail

Montana Veterans Home N H already meets the cadre-specific minimums scheduled to take effect on the May 2029 timeline under 89 FR 40876 (RN 1.174 HPRD vs the 0.55 floor; nurse-aide 3.884 HPRD vs the 2.45 floor). The constraint going forward is sustaining these levels under turnover pressure.

Total nurse staffing: 5.593 hours per resident day (HPRD), which is 2.11 hours above the 3.48 total HPRD floor that the CMS Minimum Staffing Standards rule (89 FR 40876, May 2024) phases in for rural-facility facilities by May 2029.

Staffing mix: RN 1.174 HPRD, LPN 0.535 HPRD, CNA 3.884 HPRD. The same CMS final rule also phases in cadre-specific minimums of 0.55 RN HPRD and 2.45 nurse aide HPRD on the 2029 timeline; RN-specific shortfalls have historically been the most common single-facility staffing deficiency at standard surveys.

Weekend RN staffing: 0.852 HPRD. Weekend RN coverage is a separately reported CMS measure; facilities with low weekend RN HPRD frequently see resident-acuity-driven adverse events spike on the weekend shift.

Total nurse staff turnover: 41% annualized — high (typical of facilities with chronic staffing pressure).

RN-specific turnover: 40.6% annualized. RN turnover above 50% is the single strongest correlate with QM rating decline in CMS's own internal analyses.

Chain Context and Facility Type

Montana Veterans Home N H is independently operated (not part of a multi-facility chain). Independent SNFs typically rely on internal compliance staff or contracted consultants rather than corporate-level survey-prep teams; this affects both how quickly Plans of Correction are produced and how F-tag remediation is documented across multiple shifts.

Provider type designation: Medicare And Medicaid.

The facility is classified by CMS as rural (outside metropolitan statistical areas). Rural SNFs face different challenges — referral pipeline depth, RN availability, ambulance distance for transfers — and CMS applies certain modifiers to the staffing minimums under hardship exemption pathways for rural facilities.

How Montana Veterans Home N H Compares to Peers in Montana

Peer comparisons use a same-state cohort of 61 Medicare-certified SNFs, pulled live from CMS Provider Data. The cohort excludes terminated and surrendered certifications.

FileFlo Compliance Indicator

FileFlo's compliance indicator for Montana Veterans Home N H is 55/100 (Material Gaps). The score is derived from publicly published health-deficiency counts, weighted survey scores, infection-control citations, fines, and staffing hours per resident day. It is not a CMS rating. The full survey-readiness audit (covering F-tags from the most recently cited deficiencies, infection control, staffing minimums, MDS accuracy) is at /tools/cms-survey-readiness-score.

Why This Page Exists

FileFlo publishes a profile for every Medicare-certified nursing home so administrators, DONs, and family members can find the same publicly-published quality data without bouncing between Care Compare, the SFF list, and the CMS Provider Data Catalog. Field-level CFR citations are linked throughout. Dispute this record if any field is incorrect — we resync with CMS monthly and process correction requests within five business days.

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How Are You Using This Page?

This page serves four common audiences. Pick the path that matches your reason for visiting.

📋 I run this facility (administrator, DON, compliance lead)

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Frequently asked questions about Montana Veterans Home N H

What is Montana Veterans Home N H's CMS overall Five-Star rating?

Montana Veterans Home N H (CCN 275100) holds a CMS overall Five-Star rating of 3 of 5 stars on CMS Care Compare. CMS updates these ratings quarterly from the facility's submitted assessment and claims data.

Is Montana Veterans Home N H Medicare-certified, and where is it located?

Montana Veterans Home N H is a Medicare-certified skilled nursing facility (CMS Certification Number 275100) in Columbia Falls, Montana.

How survey-ready is Montana Veterans Home N H?

FileFlo scores Montana Veterans Home N H's CMS survey-readiness at 55/100 (Material Gaps). This is a FileFlo indicator built from CMS-published data, not an official CMS rating.

Which CMS Conditions of Participation must Montana Veterans Home N H meet?

As a Medicare-certified skilled nursing facility, Montana Veterans Home N H is surveyed against the Conditions of Participation in 42 CFR Part 483 — covering patient/resident rights, assessment and care planning, quality (QAPI), infection control, and aide services. Each CoP section is linked on this page.

How can Montana Veterans Home N H prepare for its next CMS survey?

Run FileFlo's free CMS survey-readiness audit for Montana Veterans Home N H — it grades the skilled nursing facility against every Condition of Participation in 42 CFR Part 483 in about three minutes, names each gap's F-Tag, and requires no signup.

Conditions of Participation Montana Veterans Home N H is surveyed against

The 42 CFR Part 483 CoP sections a CMS survey actually checks, in plain English:

Compliance terms: F-Tag · Joint Commission. See the Skilled Nursing Facility directory and the Healthcare compliance guide →

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Data sourced from CMS Care Compare (publish 2026-04-01). Information may not reflect the facility's current status. Resync occurs monthly. Dispute this record · Claim this profile

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