Northern Montana Care Center
24 13th St, Havre, MT 59501 · Hill County · 135 certified beds · avg 75 residents/day · certified since Aug 22, 1985
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5
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 (8)
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 |
|---|---|---|
| Jun 30, 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. |
| Jun 30, 2025 | D · Potential for harm, one-off | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. |
| Jun 30, 2025 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Jun 30, 2025 | 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 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. |
| Mar 26, 2024 | D · Potential for harm, one-off | The facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings. · from a complaint |
| Aug 2, 2023 | F · Potential for harm, facility-wide | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Aug 2, 2023 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (1 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 2 | 0 | F |
| 2024 | 2 | 0 | D |
| 2025 | 4 | 0 | E |
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) | 5.83 | 4.82 | 3.95 | top 19% in Montana; top 5% in the U.S. |
| Registered Nurse hours | 1.43 | 1.17 | 0.69 | top 26% in Montana; top 5% in the U.S. |
| Weekend total nurse staffing | 5.21 | 4.26 | 3.50 | top 22% in Montana; top 5% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.74 | 0.71 | 0.48 | top 36% in Montana; top 14% in the U.S. |
| Total nursing staff turnover (%) | 47.5 | 54.8 | 45.8 | top 30% in Montana; bottom 43% in the U.S. |
| RN turnover (%) | 18.8 | 48.3 | 42.9 | top 4% in Montana; top 12% 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 4.31, RN 1.05, weekend 3.85. Staffing rating: 5/5.
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: 2/5 · long-stay residents: 2/5 · short-stay residents: —/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Northern Montana Care Center INC | Organization | 5% or Greater Direct Ownership Interest | — | 03/01/2004 |
| Northern Montana Health Care INC | Organization | 5% or Greater Direct Ownership Interest | — | 03/01/2024 |
| Carlson, Andrew | Individual | Corporate Director | NOT APPLICABLE | 03/01/2024 |
| Derby, Adam | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/01/2024 |
| Derby, Adam | Individual | ADP of the SNF | NOT APPLICABLE | 03/18/2025 |
| Hamilton, Miles | Individual | Corporate Director | NOT APPLICABLE | 03/01/2024 |
| Harada, Kevin | Individual | Corporate Director | NOT APPLICABLE | 03/01/2024 |
| Harada, Kevin | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/01/2024 |
| Harada, Kevin | Individual | ADP of the SNF | NOT APPLICABLE | 03/18/2025 |
| Healy, Debra | Individual | Corporate Director | NOT APPLICABLE | 03/01/2024 |
| Henry, David | Individual | Corporate Officer | NOT APPLICABLE | 04/01/1994 |
| Henry, David | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/01/2024 |
| Kammerzell, Kirsten | Individual | Corporate Director | NOT APPLICABLE | 03/01/2024 |
| Leeds, David | Individual | Corporate Officer | NOT APPLICABLE | 10/22/1991 |
| Lien, Karen | Individual | Corporate Director | NOT APPLICABLE | 03/01/2024 |
| Northern Montana Health Care INC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 03/01/2024 |
| Northern Montana Health Care INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 03/01/2024 |
| Northern Montana Health Care INC | Organization | ADP of the SNF | NOT APPLICABLE | 03/01/2024 |
| Obresley, Christen | Individual | Corporate Officer | NOT APPLICABLE | 10/05/2016 |
| Obresley, Christen | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/01/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What is your policy on physical restraints, and what alternatives do you try first?"
- "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How do you train staff to treat residents with dignity, and how do you protect residents' personal belongings?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
- "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 |
|---|---|---|---|---|---|
| Sweet Memorial Nursing Home | 20.5 mi | Chinook, MT | ★★☆☆☆ | 2/5 | abuse |
Compare this facility with the 1 closest →
Facility data as of CMS processing date 2026-08-01. CCN 275112.