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INTERMOUNTAIN HEALTH HOLY ROSARY HOSPITAL

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INTERMOUNTAIN HEALTH HOLY ROSARY HOSPITAL is a non profit - corporation facility in MILES CITY, MT with 84 certified beds and a 2-star overall CMS rating. The facility has 18 deficiency records on file.

2600 WILSON ST, MILES CITY, MT 59301

Phone: 4062332789

Overall Rating

2/5

Health Inspection

4/5

Staffing

1/5

Quality Measures

1/5

Long-Stay Quality

1/5

Facility Information

Provider Number
275106
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
Beds
84
Residents
53
In Hospital
Yes
County
Custer
Last Inspection
Feb 27, 2025

Staffing Data

RN Hours
N/A (nat'l avg: 0.68)
LPN Hours
N/A
CNA Hours
N/A
Total Nursing Hours
N/A (nat'l avg: 3.89)
PT Hours
N/A

What the CMS Record Reveals About INTERMOUNTAIN HEALTH HOLY ROSARY HOSPITAL

INTERMOUNTAIN HEALTH HOLY ROSARY HOSPITAL operates 84 certified beds in MILES CITY, MT with approximately 53 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (4★), staffing levels (1★), and quality measures (1★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 18 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold.

Classified as "Non profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider embedded within a hospital campus, INTERMOUNTAIN HEALTH HOLY ROSARY HOSPITAL falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (18 most recent)

E — Pattern - Minimal harm Feb 27, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 4, 2025

E — Pattern - Minimal harm Feb 27, 2025 Tag: 0887

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Category: Infection Control Deficiencies

Corrected: Apr 4, 2025

F — Widespread - Minimal harm Feb 27, 2025 Tag: 0881

Implement a program that monitors antibiotic use.

Category: Infection Control Deficiencies

Corrected: Apr 4, 2025

D — Isolated - Minimal harm Feb 27, 2025 Tag: 0700

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 4, 2025

B — Pattern - No harm Feb 27, 2025 Tag: 0625

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Category: Resident Rights Deficiencies

Corrected: Apr 4, 2025

D — Isolated - Minimal harm Feb 27, 2025 Tag: 0552

Ensure that residents are fully informed and understand their health status, care and treatments.

Category: Resident Rights Deficiencies

Corrected: Apr 4, 2025

E — Pattern - Minimal harm Jun 6, 2024 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 11, 2024

D — Isolated - Minimal harm Feb 15, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 31, 2024

E — Pattern - Minimal harm Feb 15, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Mar 31, 2024

D — Isolated - Minimal harm Feb 15, 2024 Tag: 0699

Provide care or services that was trauma informed and/or culturally competent.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 31, 2024

D — Isolated - Minimal harm Feb 15, 2024 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 31, 2024

D — Isolated - Minimal harm Feb 15, 2024 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 31, 2024

E — Pattern - Minimal harm Feb 15, 2024 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 31, 2024

D — Isolated - Minimal harm Feb 15, 2024 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 31, 2024

D — Isolated - Minimal harm Feb 16, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Mar 31, 2023

C — Widespread - No harm Feb 16, 2023 Tag: 0851

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Category: Administration Deficiencies

Corrected: Mar 31, 2023

G — Isolated - Actual harm Feb 16, 2023 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 31, 2023

D — Isolated - Minimal harm Feb 16, 2023 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Mar 31, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 20.7% Yes
Percentage of long-stay residents who lose too much weight Long Stay 3.9% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 3.2% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 5.8% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 6.2% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 2.6% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 93.1% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 95.0% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay N/A Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 27.2% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 10.3% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 97.9% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay N/A No
Percentage of long-stay residents with pressure ulcers Long Stay 3.2% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 24.6% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 23.2% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for INTERMOUNTAIN HEALTH HOLY ROSARY HOSPITAL?
INTERMOUNTAIN HEALTH HOLY ROSARY HOSPITAL has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (4★), staffing levels (1★), and quality measures (1★).
What are the staffing levels at INTERMOUNTAIN HEALTH HOLY ROSARY HOSPITAL?
INTERMOUNTAIN HEALTH HOLY ROSARY HOSPITAL reports N/A total nursing hours per resident day (national average: 3.89). RN hours are N/A per resident day (national average: 0.68).
How many beds does INTERMOUNTAIN HEALTH HOLY ROSARY HOSPITAL have?
INTERMOUNTAIN HEALTH HOLY ROSARY HOSPITAL has 84 certified beds with approximately 53 residents. The facility is located at 2600 WILSON ST, MILES CITY, MT 59301.
Does INTERMOUNTAIN HEALTH HOLY ROSARY HOSPITAL have any deficiencies on record?
Yes, INTERMOUNTAIN HEALTH HOLY ROSARY HOSPITAL has 18 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has INTERMOUNTAIN HEALTH HOLY ROSARY HOSPITAL received any fines or penalties?
No, INTERMOUNTAIN HEALTH HOLY ROSARY HOSPITAL has no fines or penalties on record.
Who owns INTERMOUNTAIN HEALTH HOLY ROSARY HOSPITAL?
INTERMOUNTAIN HEALTH HOLY ROSARY HOSPITAL is classified as "Non profit - Corporation" ownership. The facility type is "Medicare and Medicaid" and is located within a hospital.
When was INTERMOUNTAIN HEALTH HOLY ROSARY HOSPITAL last inspected?
The most recent health inspection for INTERMOUNTAIN HEALTH HOLY ROSARY HOSPITAL was on Feb 27, 2025. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for INTERMOUNTAIN HEALTH HOLY ROSARY HOSPITAL?
INTERMOUNTAIN HEALTH HOLY ROSARY HOSPITAL is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial