ElderGrade
B

79/100

Above average

Crest Nursing Home

3131 Amherst Ave, Butte, MT 59701

CMS 5/5 stars #2 of 4 in Silver Bow County (406) 494-7035
Certified beds
103
Occupancy
45%
Ownership
For-profit
Accepts
Medicare + Medicaid

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

30/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

Staffing

15/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.49 total nurse hours per resident per day (national median 3.77)
  • 0.8 RN hours per resident per day
  • Weekend staffing drops 8% against weekdays

Staff stability

9/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 53% of nursing staff left in the last year

Resident outcomes

15/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 5 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.33 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.80 hrs
National average 0.69 hrs Better than average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.05 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 53.20%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 11 citations

Last standard health inspection: May 7, 2026 (3 months ago).

F May 7, 2026 F0727

Nursing and Physician Services Deficiencies

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

No actual harm, potential for more than minimal harm

E May 7, 2026 F0600 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

No actual harm, potential for more than minimal harm

D May 7, 2026 F0657

Resident Assessment and Care Planning Deficiencies

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

No actual harm, potential for more than minimal harm

D May 7, 2026 F0700

Quality of Life and Care Deficiencies

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) Cor...

No actual harm, potential for more than minimal harm

C May 7, 2026 F0801

Nutrition and Dietary Deficiencies

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

No actual harm, minimal potential

D Apr 10, 2025 F0842

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

No actual harm, potential for more than minimal harm

D Apr 10, 2025 F0847

Administration Deficiencies

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

No actual harm, potential for more than minimal harm

E Mar 25, 2025 F0658 From a complaint

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of REAL PROPERTY HEALTH FACILITIES, which operates 9 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
BERCIER, STACY Individual W-2 MANAGING EMPLOYEE
STEVENS DYE, EILEENE Individual W-2 MANAGING EMPLOYEE
GREEN, PATRICIA Individual CORPORATE OFFICER
MARSH, DAWN Individual CORPORATE OFFICER
REAL PROPERTY HEALTH FACILITIES CORP Organization OPERATIONAL/MANAGERIAL CONTROL
CHRISTINA JAYNE PENN MANAGEMENT TRUST Organization 5% OR GREATER DIRECT OWNERSHIP INTEREST
PENN, CHRISTINA Individual 5% OR GREATER INDIRECT OWNERSHIP INTEREST

What families say

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Common questions about Crest Nursing Home

What is the ElderGrade for Crest Nursing Home? +

Crest Nursing Home holds an ElderGrade of B (79 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Crest Nursing Home? +

Residents receive an average of 3.33 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Crest Nursing Home been cited for harming residents? +

No. None of the 11 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Crest Nursing Home accept Medicaid? +

Yes, Crest Nursing Home is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.