Rosebud Health Care Center
383 N 17th Ave, Forsyth, MT 59327 · Rosebud County · 31 certified beds · avg 13 residents/day · certified since Nov 1, 1977
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 |
|---|---|---|
| Dec 18, 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. |
| Dec 18, 2025 | 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. |
| Dec 18, 2025 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Nov 8, 2023 | 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. |
| Nov 8, 2023 | 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. |
| Nov 8, 2023 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Nov 8, 2023 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Nov 8, 2023 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 5 | 0 | D |
| 2025 | 3 | 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) | 8.07 | 4.82 | 3.95 | top 5% in Montana; top 1% in the U.S. |
| Registered Nurse hours | 3.16 | 1.17 | 0.69 | top 3% in Montana; top 1% in the U.S. |
| Weekend total nurse staffing | 7.12 | 4.26 | 3.50 | top 7% in Montana; top 1% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 2.11 | 0.71 | 0.48 | top 3% in Montana; top 1% in the U.S. |
| Total nursing staff turnover (%) | 45.7 | 54.8 | 45.8 | top 26% in Montana; bottom 48% in the U.S. |
| RN turnover (%) | 33.3 | 48.3 | 42.9 | top 20% in Montana; top 33% 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 6.26, RN 2.45, weekend 5.52. 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: 3/5 · long-stay residents: 3/5 · short-stay residents: —/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Crose, Hunter | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2022 |
| Crose, Hunter | Individual | ADP of the SNF | NOT APPLICABLE | 03/14/2025 |
| Holland, Gayle | Individual | Corporate Director | NOT APPLICABLE | 06/01/2007 |
| Johnstone, Robert | Individual | Corporate Director | NOT APPLICABLE | 11/24/2020 |
| Killen, Gerald | Individual | Corporate Director | NOT APPLICABLE | 06/22/2016 |
| Lee, Robert | Individual | Corporate Director | NOT APPLICABLE | 06/01/2008 |
| Maciag, Jeanne | Individual | Corporate Director | NOT APPLICABLE | 07/26/2018 |
| Nile, Nancy | Individual | Corporate Director | NOT APPLICABLE | 06/01/2012 |
| Price, Mindy | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2018 |
| Price, Mindy | Individual | ADP of the SNF | NOT APPLICABLE | 02/20/2025 |
| Schwarzkoph, Cherly | Individual | Corporate Director | NOT APPLICABLE | 06/01/2010 |
| Watson, Dan | Individual | Corporate Director | NOT APPLICABLE | 09/25/2024 |
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 did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How does your quality committee work, and can you share an example of a problem it identified and fixed?"
- "What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
- "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
- "What is your policy on physical restraints, and what alternatives do you try first?"
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "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.
Facility data as of CMS processing date 2026-08-01. CCN 275072.