Madison Valley Manor
211 N Main St, Ennis, MT 59729
Madison Valley Manor, a 32-bed government - county nursing facility in Ennis, MT, holds a 5-star CMS overall rating - well above the 3.0-star national average, ranking #2 of 59 rated homes in MT on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. No recent finding reached the actual-harm level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 4066827271
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- 5 / 5
- Much above average · CMS overall · nat'l 3.0
- #2 of 59
- In-state rank among rated MT homes
- 6.58
- Well above average · nurse hrs/day · nat'l 3.86
- 14
- Inspection findings
The verdict
Madison Valley Manor, a 32-bed government - county nursing facility in Ennis, MT, holds a 5-star CMS overall rating - well above the 3.0-star national average, ranking #2 of 59 rated homes in MT on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. No recent finding reached the actual-harm level.
- 5 / 5
- CMS overall · national 3.0
- #2 of 59
- In-state rank among rated MT homes
- 6.58
- Nurse hrs/resident-day · national 3.86
- 14
- Inspection findings on file
CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.
In-state ownership mix · peer inventory
How 61 MT nursing homes split by ownership sector
This facility is recorded as Government - County. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 275136
- Ownership
- Government - County
- Provider Type
- Medicare and Medicaid
- Beds
- 32
- Residents
- 16
- In Hospital
- No
- County
- Madison
- Last Inspection
- May 20, 2026
Staffing Data
How the 6.58 total nursing hours per resident-day are staffed:
- RN Hours
- 3.03 (nat'l avg: 0.69)
- LPN Hours
- 0.37
- CNA Hours
- 3.18
- Total Nursing Hours
- 6.58 (nat'l avg: 3.86)
- PT Hours
- 0.00
- Nursing Turnover
- 61.3%
- RN Turnover
- 33.3%
What the CMS Record Reveals About Madison Valley Manor
According to CMS Nursing Home Compare, Madison Valley Manor ranks #2 of 59 rated nursing homes in MT on overall stars (tie-broken by health+staffing+quality, then fewer fines). Madison Valley Manor operates 32 certified beds in Ennis, MT with approximately 16 residents currently in care, and carries a CMS overall rating of 5 out of 5 stars (health inspection 5★ · staffing 5★ · quality 4★).
The inspection file contains 14 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider. Per resident day, this facility reports 6.58 total nursing hours (national average 3.86) and 3.03 RN hours.
Classified as "Government - County" ownership and operating as a "Medicare and Medicaid" provider, Madison Valley Manor falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 61.3% (CMS payroll-based measure).
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. 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.
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. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
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 the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.
Deficiency History (14 most recent)
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Category: Administration Deficiencies
Corrected: Jun 12, 2025
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Category: Nursing and Physician Services Deficiencies
Corrected: Jun 12, 2025
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: Jun 12, 2025
Ensure each resident receives an accurate assessment.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jun 12, 2025
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Category: Resident Rights Deficiencies
Corrected: Jun 12, 2025
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Category: Resident Rights Deficiencies
Corrected: Jun 12, 2025
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Jun 12, 2025
Keep all essential equipment working safely.
Category: Environmental Deficiencies
Corrected: Jun 12, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Jun 12, 2025
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Oct 16, 2024
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Category: Infection Control Deficiencies
Corrected: Oct 16, 2024
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: Jun 12, 2024
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: Jun 12, 2024
Ensure each resident receives an accurate assessment.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jun 12, 2024
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 17.5% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 4.1% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.6% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 6.2% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.5% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 4.8% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | N/A | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 6.5% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 1.4% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 3.9% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 100.0% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 15.4% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 90.5% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 30.8% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | N/A | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | N/A | No |
Penalty History
No penalties on record.
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for Madison Valley Manor, both outside MT so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside MT (32 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside MT (8.17 here).
Nearby Nursing Homes in MT
60 other nursing homes are on record in MT; 6 are shown here.
Aspen Meadows Health and Rehabilitation Center
Billings, MT
Awe Kualawaache Care Center
Crow Agency, MT
Beartooth Rehabilitation and Nursing LLC
Columbus, MT
Benefis Senior Services - Eastview
Great Falls, MT
Benefis Senior Services - Grandview
Great Falls, MT
Benefis Senior Services - Westview
Great Falls, MT
Understanding Nursing Home Data
What the CMS records show for Madison Valley Manor
The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.
- The MT registry aggregates state averages and the highest-rated homes in this cohort. View MT registry
- Peer homes near 32 beds show how CMS stars vary at a similar scale in MT. Compare a similar-size peer
- CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work
CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.
Frequently Asked Questions
What is the overall CMS rating for Madison Valley Manor?
Where does Madison Valley Manor rank among nursing homes in MT?
What are the staffing levels at Madison Valley Manor?
How many beds does Madison Valley Manor have?
Does Madison Valley Manor have any deficiencies on record?
Has Madison Valley Manor received any fines or penalties?
Who owns Madison Valley Manor?
When was Madison Valley Manor last inspected?
What quality measures are tracked for Madison Valley Manor?
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. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
