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Intermountain Health Holy Rosary Hospital
2600 Wilson St, Miles City, MT 59301 (opens Google Maps) · Custer County · (406) 233-2789· 84 certified beds · avg 52 residents/day · certified since Jan 1, 1985 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
3/5
Health inspection rating (on-site)
inspected Apr 23, 2026
0
Serious findings on record
$0
Fines, last 3 years
4.93
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 22 inspection findings. Open the full record below to read every finding.
The facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months. F-0868
The facility did not develop or maintain an effective training program for its direct care staff, including training on how to communicate effectively with residents. F-0941
The facility did not train its staff on dementia care and on recognizing and reporting abuse, neglect, and exploitation. F-0943
View all 22 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 23, 2026 | F · Potential for more than minimal harm, widespread | The facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months. · F-0868 |
| Apr 23, 2026 | F · Potential for more than minimal harm, widespread | The facility did not develop or maintain an effective training program for its direct care staff, including training on how to communicate effectively with residents. · F-0941 |
| Apr 23, 2026 | F · Potential for more than minimal harm, widespread | The facility did not train its staff on dementia care and on recognizing and reporting abuse, neglect, and exploitation. · F-0943 |
| Apr 23, 2026 | E · Potential for more than minimal harm, pattern | 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 · F-0609 |
| Apr 23, 2026 | E · Potential for more than minimal harm, pattern | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint · F-0610 |
| Apr 23, 2026 | E · Potential for more than minimal harm, pattern | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689 |
| Apr 23, 2026 | D · Potential for more than minimal harm, isolated | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · F-0585 |
| Apr 23, 2026 | D · Potential for more than minimal harm, isolated | The facility did not provide safe and appropriate pain management for a resident who needed it. · F-0697 |
| Feb 27, 2025 | F · Potential for more than minimal harm, widespread | The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. · F-0881 |
| Feb 27, 2025 | E · Potential for more than minimal harm, pattern | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689 |
| Feb 27, 2025 | E · Potential for more than minimal harm, pattern | The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status. · F-0887 |
| Feb 27, 2025 | D · Potential for more than minimal harm, isolated | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. · F-0552 |
| Feb 27, 2025 | D · Potential for more than minimal harm, isolated | The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. · F-0700 |
| Feb 27, 2025 | B · Potential for minimal harm, pattern | The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. · F-0625 |
| Jun 6, 2024 | E · Potential for more than minimal harm, pattern | 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. · from a complaint · F-0657 |
| Feb 15, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0656 |
| Feb 15, 2024 | E · Potential for more than minimal harm, pattern | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Feb 15, 2024 | D · Potential for more than minimal harm, isolated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
| Feb 15, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · F-0677 |
| Feb 15, 2024 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689 |
| Feb 15, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692 |
| Feb 15, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from. · F-0699 |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (6 → 8).
All citationsSerious citations (G–L)
2024
All citations: 8
Serious citations (G–L): 0
2025
All citations: 6
Serious citations (G–L): 0
2026
All citations: 8
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 8 | 0 | E |
| 2025 | 6 | 0 | F |
| 2026 | 8 | 0 | F |
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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityMontana averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 4.93
Montana average: 4.82
U.S. average: 3.95
Registered Nurse hours
This facility: 1.66
Montana average: 1.17
U.S. average: 0.69
Weekend total nurse staffing
This facility: 4.09
Montana average: 4.26
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Montana avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.93 | 4.82 | 3.95 | top 40% in Montana; top 14% in the U.S. |
| Registered Nurse hours | 1.66 | 1.17 | 0.69 | top 17% in Montana; top 3% in the U.S. |
| Weekend total nurse staffing | 4.09 | 4.26 | 3.50 | top 47% in Montana; top 20% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 1.01 | 0.71 | 0.48 | top 14% in Montana; top 6% in the U.S. |
| Total nursing staff turnover (%) | — | 54.8 | 45.8 | — |
| RN turnover (%) | — | 48.3 | 42.9 | — |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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 3.87, RN 1.30, weekend 3.21.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.87 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: —/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Intermountain Health Holy Rosary Hospital. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Intermountain Health Care, INC | Organization | 5% or Greater Indirect Ownership Interest | 100% | 04/01/2022 |
| Sisters of Charity of Leavenworth Health System INC | Organization | 5% or Greater Direct Ownership Interest | 100% | 04/01/1997 |
| Allen, Robert | Individual | Corporate Officer | NOT APPLICABLE | 10/22/2023 |
| Beard, Sara | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/05/2025 |
| Beard, Sara | Individual | ADP of the SNF | NOT APPLICABLE | 01/05/2025 |
| Edwards, Alexander | Individual | Corporate Director | NOT APPLICABLE | 01/01/2020 |
| Fagg, Karen | Individual | Corporate Director | NOT APPLICABLE | 01/01/2020 |
| Gleason, Danette | Individual | Corporate Director | NOT APPLICABLE | 01/01/2020 |
| Hurley, Janet | Individual | Corporate Director | NOT APPLICABLE | 02/01/2017 |
| Jackson, Mary | Individual | Corporate Director | NOT APPLICABLE | 01/01/2020 |
| Janssen, Mary | Individual | Corporate Director | NOT APPLICABLE | 01/01/2022 |
| McCarthy, Bernard | Individual | Corporate Director | NOT APPLICABLE | 01/01/2020 |
| Notbohm, Charles | Individual | Corporate Director | NOT APPLICABLE | 02/01/2017 |
| O'Leary, Colleen | Individual | Corporate Director | NOT APPLICABLE | 01/01/2020 |
| Palagi, Pamela | Individual | Corporate Officer | NOT APPLICABLE | 11/01/2016 |
| Pham, Nguyen | Individual | Corporate Director | NOT APPLICABLE | 02/01/2020 |
| Romrell, Evan | Individual | Corporate Director | NOT APPLICABLE | 08/01/2025 |
| Russell, Majel | Individual | Corporate Director | NOT APPLICABLE | 01/01/2020 |
| Sorich, Cindy | Individual | Corporate Director | NOT APPLICABLE | 01/01/2020 |
| Steadman, Misty | Individual | Corporate Director | NOT APPLICABLE | 01/01/2019 |
Showing 20 of 23 parties CMS has on file for this facility; 3 are not displayed. The full list is in the CMS Ownership dataset.
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 does your quality committee work, and can you share an example of a problem it identified and fixed?"
- "What ongoing training do your direct care staff receive each year?"
- "What training do all staff get on dementia care and on spotting and reporting abuse?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
- "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
Also worth asking anywhere
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "The ownership record on file lists 23 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities
This is the only Medicare-certified nursing home within 40 miles. The nearest other one is Rosebud Health Care Center in Forsyth, MT — 41 miles away in a straight line.
Straight-line distance is not travel distance. The road route is longer, and in some regions there is no road. Check the actual journey before ruling this option in or out.
Facility data as of CMS processing date 2026-08-01. CCN 275106.