Glendive Medical Center N H
202 Prospect Dr, Glendive, MT 59330 · Dawson County · 36 certified beds · avg 35 residents/day · certified since Aug 1, 1977
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Sep 11, 2025 · F-0686
The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Oct 3, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (14)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Sep 11, 2025 | ▲ G · Actual harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Sep 11, 2025 | F · Potential for harm, facility-wide | The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. |
| Sep 11, 2025 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Sep 11, 2025 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Sep 11, 2025 | D · Potential for harm, one-off | The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way. · from a complaint |
| Sep 11, 2025 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Sep 11, 2025 | D · Potential for harm, one-off | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. |
| Sep 11, 2025 | D · Potential for harm, one-off | The facility did not provide the social services residents need — such as counseling, help with adjustment, or connecting to outside resources — to achieve the best possible quality of life. · from a complaint |
| Aug 1, 2024 | F · Potential for harm, facility-wide | The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records. |
| Aug 1, 2024 | E · Potential for harm, repeated | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Aug 1, 2024 | E · Potential for harm, repeated | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Aug 1, 2024 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Aug 1, 2024 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Aug 16, 2023 | F · Potential for harm, facility-wide | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (5 → 6).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 1 | 0 | F |
| 2024 | 5 | 0 | F |
| 2025 | 8 | 1 | G ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $20,027, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Sep 11, 2025 | Fine | $20,027 |
| Sep 11, 2025 | Payment Denial | 7 days from Oct 10, 2025 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Montana avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 5.73 | 4.82 | 3.95 | top 22% in Montana; top 6% in the U.S. |
| Registered Nurse hours | 1.35 | 1.17 | 0.69 | top 29% in Montana; top 7% in the U.S. |
| Weekend total nurse staffing | 4.57 | 4.26 | 3.50 | top 35% in Montana; top 11% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.75 | 0.71 | 0.48 | top 35% in Montana; top 14% in the U.S. |
| Total nursing staff turnover (%) | 61.1 | 54.8 | 45.8 | bottom 30% in Montana; bottom 15% in the U.S. |
| RN turnover (%) | 72.7 | 48.3 | 42.9 | bottom 8% in Montana; bottom 9% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.60, RN 1.08, weekend 3.67. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: —/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Billings Clinic | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/01/2013 |
| Billings Clinic | Organization | ADP of the SNF | NOT APPLICABLE | 12/26/2024 |
| Bogar, Janette | Individual | Corporate Director | NOT APPLICABLE | 02/25/2021 |
| Buniel, Maria | Individual | Corporate Officer | NOT APPLICABLE | 07/24/2025 |
| Domek, Jill | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2007 |
| Domek, Jill | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2007 |
| Gibbs, Lesley | Individual | Corporate Director | NOT APPLICABLE | 02/27/2025 |
| Goplen, Mitchell | Individual | Corporate Director | NOT APPLICABLE | 07/28/2016 |
| Leal, Joseph | Individual | Corporate Director | NOT APPLICABLE | 02/25/2021 |
| Myers, Troy | Individual | Corporate Director | NOT APPLICABLE | 02/23/2023 |
| Potter, Chrystal | Individual | Corporate Director | NOT APPLICABLE | 01/01/2016 |
| Powell, Parker | Individual | Corporate Officer | NOT APPLICABLE | 10/11/2013 |
| Powell, Parker | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/11/2013 |
| Powell, Parker | Individual | ADP of the SNF | NOT APPLICABLE | 10/14/2013 |
| Reske, Clifford | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/03/2012 |
| Reske, Clifford | Individual | ADP of the SNF | NOT APPLICABLE | 05/03/2012 |
| Robinson, William | Individual | Corporate Officer | NOT APPLICABLE | 08/03/2015 |
| Robinson, William | Individual | ADP of the SNF | NOT APPLICABLE | 08/03/2015 |
| Shields, A'lynn | Individual | Corporate Director | NOT APPLICABLE | 05/01/2016 |
| Thompson, Randy | Individual | Corporate Director | NOT APPLICABLE | 07/01/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "Do you have a qualified dietician on staff, and how involved are they in each resident's nutrition plan?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "If my family member's health suddenly changes, how quickly do you reassess them and update their care?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
- "Who provides social services here, and how would they support my family member's emotional and social needs?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Eastern Montana Veterans Home | 0.8 mi | Glendive, MT | ★★★☆☆ | 3/5 |
Compare this facility with the 1 closest →
Facility data as of CMS processing date 2026-08-01. CCN 275067.