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B

79/100

Above average

Crest Nursing Home

3131 Amherst Ave, Butte, MT 59701

CMS 5/5 stars #3 of 4 in Silver Bow County (406) 494-7035
Certified beds
103
Occupancy
45%
Ownership
For-profit
Accepts
Medicare + Medicaid

Our read on Crest Nursing Home

Crest Nursing Home sits in Butte with 103 certified beds, run by a for-profit corporation. The inspection record is genuinely strong, a five-star health inspection rating, no deficiencies at the harm or jeopardy level, and a recent survey from May 2026. But look at the staffing numbers and a different picture shows up. At 3.33 nurse hours per resident day, it runs about 14% under the national average, weekends drop roughly 8% below its own weekday level, and turnover hits 53.2% against a national 45.8%. Eleven deficiencies sit on the current record, one abuse-related. Strong survey results, thinner hands on deck.

Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.

How this grade was calculated

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

Inspection30/30Staffing15/30Stability9/15Outcomes15/15Enforcement10/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.

Inspection safety

30/30

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

  • →No citations recorded in the last 3 years

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 day3.33 hrs
National average 3.86 hrsBelow average
Registered nurse (RN) hours0.80 hrs
National average 0.69 hrsBetter than average

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

Weekend nurse hours3.05 hrs
National average 3.42 hrsBelow average

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

Nursing staff turnover53.20%
National average 45.80%Below average

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

Recent inspection findings

Last standard health inspection: May 7, 2026 (5 months ago). No citations were recorded.

No health-inspection citations on record for this facility in the current CMS release.

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.

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 0 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.