ElderGrade
D

40/100

Below average

Ivy At Deer Lodge

1100 Texas Ave, Deer Lodge, MT 59722

CMS 1/5 stars (406) 846-1655
Certified beds
60
Occupancy
66%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 6 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $112,620 in federal fines

    CMS has fined this facility across 3 penalty action(s).

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

0/30

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

  • -20 for 3 immediate-jeopardy citation(s) in the last 3 years
  • -8 for 2 actual-harm citation(s) in the last 3 years
  • -5.6 for 33 total citations against a national median of 17

Staffing

24/30

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

  • 4.63 total nurse hours per resident per day (national median 3.77)
  • 0.63 RN hours per resident per day
  • Weekend staffing drops 7% against weekdays

Staff stability

5/15

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

  • 57% of nursing staff left in the last year

Resident outcomes

9/15

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

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

Enforcement history

2/10

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

  • $112,620 in federal fines across 3 action(s)

Grade ceiling applied

  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

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 3.67 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.63 hrs
National average 0.69 hrs Below average

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

Weekend nurse hours 3.40 hrs
National average 3.42 hrs Below average

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

Nursing staff turnover 56.80%
National average 45.80% Below average

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

Recent inspection findings

All 38 citations

Last standard health inspection: December 3, 2025 (8 months ago).

G Dec 3, 2025 F0689 From a complaint

Quality of Life and Care Deficiencies

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

Actual harm to a resident

G Dec 3, 2025 F0745 From a complaint

Quality of Life and Care Deficiencies

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Actual harm to a resident

F Dec 3, 2025 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

D Dec 3, 2025 F0554

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

No actual harm, potential for more than minimal harm

D Dec 3, 2025 F0657 From a complaint

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 Dec 3, 2025 F0658

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

K Nov 25, 2024 F0686 From a complaint

Quality of Life and Care Deficiencies

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

Immediate jeopardy to resident health or safety

J Nov 25, 2024 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.

Immediate jeopardy to resident health or safety

Who owns this home

Full record

Part of IVY HEALTHCARE GROUP, which operates 4 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
COANE, RYAN Individual OPERATIONAL/MANAGERIAL CONTROL
COANE, RYAN Individual 5% OR GREATER DIRECT OWNERSHIP INTEREST

What families say

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Common questions about Ivy At Deer Lodge

What is the ElderGrade for Ivy At Deer Lodge? +

Ivy At Deer Lodge holds an ElderGrade of D (40 out of 100), which we describe as "below 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 Ivy At Deer Lodge? +

Residents receive an average of 3.67 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Ivy At Deer Lodge been cited for harming residents? +

Yes. 6 of the 38 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Ivy At Deer Lodge accept Medicaid? +

Yes, Ivy At Deer Lodge 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.