Home›Montana›Madison County›MADISON VALLEY MANOR
A+
Excellent

MADISON VALLEY MANOR

211 N MAIN ST · ENNIS, MT 59729

4066827271 · Government - County

32 beds20.2 residents65 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A+
Excellent
Total Staff
A+
Excellent
RN Staff
A+
Excellent
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

MADISON VALLEY MANOR receives an overall staffing grade of A+ (Excellent). With 5.187 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has adequate registered nurse (RN) coverage. It is 1.29 HPRD above the national average.

Weekend staffing stays relatively consistent — dropping 9.38% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

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

🔍 Areas of Concern (0)

No significant concerns identified for this quarter.

✨ Strengths (5)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
✅Consistent weekend staffing — only 9.38% drop-off
Total Nurse HPRD
5.187hrs/resident/day▲ 1.29
CMS benchmark: 3.48
RN HPRD
1.3757hrs/resident/day▲ 0.69
Recommended: 0.75
Weekend Drop-off
9.38%
5.3283 weekday → 4.8283 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
3.3865hrs/resident/day
Direct care aides
LPN HPRD
0.4248hrs/resident/day
Licensed practical nurses
Consistency
0.6095std 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. Madison County Average-1.25 HPRD
6.43
05.19 HPRD
vs. Montana State Average+1.21 HPRD
3.98
05.19 HPRD
vs. National Average+1.29 HPRD
3.90
05.19 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
MADISON VALLEY MANOR ★
ENNIS · This facility
—
A+
5.1871.3757★★★★☆
TOBACCO ROOT MOUNTAINS CARE CENTER
SHERIDAN
23.4 mi
A+
7.68141.6181★★★★★
GALLATIN REST HOME
BOZEMAN
40.3 mi
A
4.88250.8972★★★★☆
PIONEER CARE AND REHABILITATION
DILLON
44.2 mi
C
3.03180.5276★☆☆☆☆
SOUTHWEST MONTANA VETERANS HOME
BUTTE
56.3 mi
A+
5.32582.135★★★★★
CREST NURSING HOME
BUTTE
57.4 mi
C
3.36260.5504★★★★★

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
18
Total Deficiencies
$0
Fines Assessed
May 8, 2025Health
9 deficiencies cited
▼
Sep 10, 2024Health
2 deficiencies cited
▼
May 8, 2024Health
3 deficiencies cited
▼
May 11, 2023Health
4 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.