Intermountain Health Holy Rosary Hospital
2600 Wilson St, Miles City, MT 59301 · Custer County · 84 certified beds · avg 52 residents/day · certified since Jan 1, 1985
3/5
Health inspection rating (on-site)
0
Serious findings on record
$0
Fines, last 3 years
4.93
Nurse hours/resident/day (adjusted)
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.
All citations in the current public record (22)
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 |
|---|---|---|
| Apr 23, 2026 | F · Potential for harm, facility-wide | 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. |
| Apr 23, 2026 | F · Potential for harm, facility-wide | 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. |
| Apr 23, 2026 | F · Potential for harm, facility-wide | The facility did not train its staff on dementia care and on recognizing and reporting abuse, neglect, and exploitation. |
| Apr 23, 2026 | E · Potential for harm, repeated | 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 |
| Apr 23, 2026 | E · Potential for harm, repeated | 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 |
| Apr 23, 2026 | E · Potential for harm, repeated | 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 |
| Apr 23, 2026 | D · Potential for harm, one-off | 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. |
| Apr 23, 2026 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. |
| Feb 27, 2025 | F · Potential for harm, facility-wide | 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. |
| Feb 27, 2025 | E · Potential for harm, repeated | 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 |
| Feb 27, 2025 | E · Potential for harm, repeated | 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. |
| Feb 27, 2025 | D · Potential for harm, one-off | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. |
| Feb 27, 2025 | D · Potential for harm, one-off | 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. |
| Feb 27, 2025 | B · Minimal risk, repeated | 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. |
| Jun 6, 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. · from a complaint |
| Feb 15, 2024 | E · Potential for harm, repeated | 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. |
| Feb 15, 2024 | E · Potential for harm, repeated | 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. |
| Feb 15, 2024 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Feb 15, 2024 | D · Potential for harm, one-off | 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. |
| Feb 15, 2024 | D · Potential for harm, one-off | 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 |
| Feb 15, 2024 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Feb 15, 2024 | D · Potential for harm, one-off | 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (6 → 8).
| 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)
No fines or payment denials in the published 3-year window.
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) | 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 (%) | 0.0 | 54.8 | 45.8 | — |
| RN turnover (%) | 0.0 | 48.3 | 42.9 | — |
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 3.87, RN 1.30, weekend 3.21. 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 |
|---|---|---|---|---|
| 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 |
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?"
- "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)
No other Medicare-certified nursing homes within 20 miles in the current records.
All facilities in Miles City →
Facility data as of CMS processing date 2026-08-01. CCN 275106.