Home›Montana›Silver Bow County›CREST NURSING HOME
C
Below Standard

CREST NURSING HOME

3131 AMHERST AVE · BUTTE, MT 59701

4064947035 · For profit - Corporation

103 beds44.1 residents67 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
B
Good
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

CREST NURSING HOME receives an overall staffing grade of C (Below Standard). With 3.3626 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.5504 HPRD, below the recommended 0.75. It is 0.53 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 9.75% compared to weekdays. The facility relies heavily on temporary agency staff (15.03% of hours), suggesting potential workforce instability.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (3)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.3626 HPRD — needs 0.12 more hours per resident per day.
⚠️RN staffing (0.5504 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️15.03% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Consistent weekend staffing — only 9.75% drop-off
Total Nurse HPRD
3.3626hrs/resident/day▼ 0.53
CMS benchmark: 3.48
RN HPRD
0.5504hrs/resident/day▼ 0.13
Recommended: 0.75
Weekend Drop-off
9.75%
3.4578 weekday → 3.1207 weekend
Agency Staff
15.03%
1.41% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.0446hrs/resident/day
Direct care aides
LPN HPRD
0.7188hrs/resident/day
Licensed practical nurses
Consistency
0.3712std 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. Silver Bow County Average-0.39 HPRD
3.76
03.36 HPRD
vs. Montana State Average-0.62 HPRD
3.98
03.36 HPRD
vs. National Average-0.53 HPRD
3.90
03.36 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
CREST NURSING HOME ★
BUTTE · This facility
—
C
3.36260.5504★★★★★
CONTINENTAL CARE AND REHABILITATION
BUTTE
0.2 mi
C
3.14090.6845★★★★☆
COPPER RIDGE HEALTH AND REHABILITATION CENTER
BUTTE
0.3 mi
C
3.19160.6558★★☆☆☆
SOUTHWEST MONTANA VETERANS HOME
BUTTE
3.1 mi
A+
5.32582.135★★★★★
COMMUNITY NURSING HOME OF ANACONDA
ANACONDA
24 mi
A+
5.42451.2329★★★☆☆
IVY AT DEER LODGE
DEER LODGE
30 mi
D
2.86730.4554★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
6
Total Deficiencies
$0
Fines Assessed
Apr 10, 2025Health
2 deficiencies cited
▼
Mar 25, 2025Health
2 deficiencies cited
▼
Mar 28, 2024Health
2 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.