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B
Good

AWE KUALAWAACHE CARE CENTER

10131 S HERITAGE RD · CROW AGENCY, MT 59022

4066389111 · Non profit - Other

40 beds23.2 residents33 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
A+
Excellent
RN Staff
B
Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

AWE KUALAWAACHE CARE CENTER receives an overall staffing grade of B (Good). With 3.9665 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has adequate registered nurse (RN) coverage. It is 0.07 HPRD above the national average.

Weekend staffing decreases noticeably — dropping 20.5% compared to weekdays. The facility has low agency staff usage (0.73% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (1)

⚠️Had 1 day with zero registered nurse hours this quarter. While below the 4-day threshold for an auto 1-star rating, any zero-RN day is a concern.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅Low agency staff usage (0.73%) — mostly permanent, familiar staff
Total Nurse HPRD
3.9665hrs/resident/day▲ 0.07
CMS benchmark: 3.48
RN HPRD
1.2101hrs/resident/day▲ 0.53
Recommended: 0.75
Weekend Drop-off
20.5%
4.2104 weekday → 3.3474 weekend
⚠ Significant weekend reduction
Agency Staff
0.73%
1.66% of RN hours from contractors
Days with Zero RN
1days this quarter
4+ days = auto 1-star
CNA HPRD
2.5281hrs/resident/day
Direct care aides
LPN HPRD
0.2284hrs/resident/day
Licensed practical nurses
Consistency
0.721std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Big Horn County Average+0.00 HPRD
3.97
03.97 HPRD
vs. Montana State Average-0.01 HPRD
3.98
03.97 HPRD
vs. National Average+0.07 HPRD
3.90
03.97 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
AWE KUALAWAACHE CARE CENTER ★
CROW AGENCY · This facility
—
B
3.96651.2101★★★☆☆
RIVER RIDGE REHABILITATION AND NURSING LLC
BILLINGS
50.8 mi
C
3.24560.4456★☆☆☆☆
BILLINGS REHABILITATION AND NURSING LLC
BILLINGS
52.3 mi
C
3.22680.7276☆☆☆☆☆
YELLOWSTONE RIVER NURSING AND REHABILITATION
BILLINGS
55.5 mi
C
3.34780.7171★☆☆☆☆
SKYLINE HEIGHTS NURSING AND REHABILITATION
BILLINGS
56.3 mi
C
3.32470.7368★☆☆☆☆
ASPEN MEADOWS HEALTH AND REHABILITATION CENTER
BILLINGS
56.7 mi
C
3.48630.4232★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

5
Inspections
19
Total Deficiencies
$0
Fines Assessed
May 8, 2025Health
2 deficiencies cited
▼
Dec 4, 2024Health
3 deficiencies cited
▼
Jul 30, 2024Health
5 deficiencies cited
▼
Apr 25, 2024Health
3 deficiencies cited
▼
Apr 27, 2023Health
6 deficiencies cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.