Quick answers
- Where is Beartooth Rehabilitation and Nursing LLC?
- 350 W Pike Ave, Columbus, MT 59019, in Stillwater County, Montana.
- What is the phone number of Beartooth Rehabilitation and Nursing LLC?
- (406) 290-5070, as listed by Medicare (CMS).
- What is the Medicare star rating of Beartooth Rehabilitation and Nursing LLC?
- Medicare overall rating: 1 out of 5 stars (CMS data updated 2026-10-01).
- Has Beartooth Rehabilitation and Nursing LLC been fined?
- Medicare lists 2 fines totaling $50,592 and 1 payment denial.
- What did inspectors find at Beartooth Rehabilitation and Nursing LLC?
- In its last three inspection cycles (December 5, 2024 to August 26, 2026), Medicare lists 48 health citations; the most serious was level J. 5 were level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (December 5, 2024 to August 26, 2026), Beartooth Rehabilitation and Nursing LLC had 48 health citations; the most serious was level J (immediate jeopardy to resident health or safety). 5 of them were level G or higher (actual harm or immediate jeopardy). It was fined $50,592 in total (2 fines, the latest on February 10, 2026) and had 1 Medicare payment denial. Nurse staffing is 2.86 hours per resident per day; the Montana average is 4.02 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: February 10, 2026 — 25 health citations
Inspections in this cycle: February 10, 2026 (complaint investigation); February 10, 2026 (standard health inspection); August 26, 2026 (complaint investigation).
F0689 Level J
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Quality of Life and Care Deficiencies
F0806 Level G
“Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.”
actual harm to residents; isolated (a few residents) · Nutrition and Dietary Deficiencies
Show 23 less serious citations (levels A to F)
F0801 Level F
“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.”
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0835 Level F
“Administer the facility in a manner that enables it to use its resources effectively and efficiently.”
F0837 Level F
“Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.”
F0838 Level F
“Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.”
F0865 Level F
“Have a plan that describes the process for conducting QAPI and QAA activities.”
F0880 Level F
“Provide and implement an infection prevention and control program.”
F0584 Level E
“Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.”
F0600 Level E
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
F0609 Level E
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0657 Level E
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0847 Level E
“Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.”
F0578 Level D
“Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0726 Level D
“Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.”
F0947 Level D
“Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.”
F0580 Level D
“Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.”
F0610 Level D
“Respond appropriately to all alleged violations.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0679 Level D
“Provide activities to meet all resident's needs.”
F0688 Level D
“Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.”
F0742 Level D
“Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.”
F0842 Level D
“Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”
Previous cycle: December 5, 2024 — 23 health citations
Inspections in this cycle: December 5, 2024 (standard health inspection); July 31, 2025 (complaint investigation); September 4, 2025 (complaint investigation).
F0689 Level J
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Quality of Life and Care Deficiencies
F0600 Level G
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
actual harm to residents; isolated (a few residents) · Freedom from Abuse, Neglect, and Exploitation Deficiencies
F0658 Level G
“Ensure services provided by the nursing facility meet professional standards of quality.”
actual harm to residents; isolated (a few residents) · Resident Assessment and Care Planning Deficiencies
Show 20 less serious citations (levels A to F)
F0865 Level F
“Have a plan that describes the process for conducting QAPI and QAA activities.”
F0868 Level F
“Have the Quality Assessment and Assurance group have the required members and meet at least quarterly”
F0628 Level E
“Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.”
F0585 Level E
“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.”
F0656 Level E
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0610 Level D
“Respond appropriately to all alleged violations.”
F0637 Level D
“Assess the resident when there is a significant change in condition”
F0640 Level D
“Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.”
F0641 Level D
“Ensure each resident receives an accurate assessment.”
F0657 Level D
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0577 Level D
“Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.”
F0584 Level D
“Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.”
F0584 Level D
“Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.”
F0657 Level D
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0695 Level D
“Provide safe and appropriate respiratory care for a resident when needed.”
F0758 Level D
“Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (36)
E0004 Level F
“Develop and maintain an Emergency Preparedness Program (EP).”
E0006 Level F
“Conduct risk assessment and an All-Hazards approach.”
E0013 Level F
“Develop Emergency Preparedness policies and procedures.”
E0029 Level F
“Develop a communication plan.”
E0030 Level F
“List the names and contact information of those in the facility.”
E0036 Level F
“Establish emergency prep training and testing.”
E0037 Level F
“Establish staff and initial training requirements.”
E0039 Level F
“Conduct testing and exercise requirements.”
K0291 Level F
“Install emergency lighting that can last at least 1 1/2 hours.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0712 Level F
“Have simulated fire drills held at unexpected times.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
K0222 Level E
“Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.”
K0300 Level E
“Meet other general requirements that are deficient.”
K0741 Level E
“Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.”
K0321 Level D
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
E0004 Level F
“Develop and maintain an Emergency Preparedness Program (EP).”
E0006 Level F
“Conduct risk assessment and an All-Hazards approach.”
E0026 Level F
“Establish roles under a Waiver declared by secretary.”
E0031 Level F
“Provide emergency officials' contact information.”
E0035 Level F
“Provide family notifications of emergency plan.”
E0036 Level F
“Establish emergency prep training and testing.”
E0037 Level F
“Establish staff and initial training requirements.”
E0039 Level F
“Conduct testing and exercise requirements.”
K0291 Level F
“Install emergency lighting that can last at least 1 1/2 hours.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0355 Level F
“Properly select, install, inspect, or maintain portable fire extinguishes.”
K0712 Level F
“Have simulated fire drills held at unexpected times.”
K0912 Level F
“Have power receptacles that are properly grounded.”
K0916 Level F
“Have a battery powered remote alarm panel in a location accessible by operating personnel.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
K0921 Level F
“Ensure that testing and maintenance of electrical equipment is performed.”
K0211 Level E
“Keep aisles, corridors, and exits free of obstruction in case of emergency.”
K0271 Level E
“Have exits that are accessible at all times.”
K0321 Level E
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0911 Level D
“Meet requirements for the installation and maintenance of electrical systems.”
Fines and payment denials
Total fines over about the last three years: $50,592 (2 fines). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| February 10, 2026 | Fine | $32,988 |
| February 10, 2026 | Payment denial | from March 17, 2026, 41 days |
| September 4, 2025 | Fine | $17,604 |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Montana | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.72 | 0.92 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.34 | 0.54 | 0.86 |
| Nurse aide hours per resident per day | 1.79 | 2.56 | 2.35 |
| Total nurse staff hours per resident per day | 2.86 | 4.02 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 2.50 | 3.53 | 3.43 |
| RN hours per resident per day on the weekend | 0.65 | 0.65 | 0.48 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 22 nursing homes: The Charly Bello Family, the Maze Family, the Swain Family, & Walter Myers.
Owners and managers Medicare lists (2)
| Name | Role | Share | Since |
|---|---|---|---|
| White Ash LLC | Direct owner | 10% | February 15, 2024 |
| Larsen, Kole | Indirect owner | 10% | July 15, 2024 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | Not reported to Medicare |
| Average residents per day | 43.9 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – corporation |
| Group or chain (affiliated entity) | The Charly Bello Family, the Maze Family, the Swain Family, & Walter Myers |
| First approved by Medicare/Medicaid | 2024-12-18 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 350 W Pike Ave, Columbus, MT 59019 |
| County | Stillwater County |
| State | Montana |
| Phone | (406) 290‑5070 |
| CMS Certification Number | 275159 |
| Name in Medicare records | BEARTOOTH REHABILITATION AND NURSING LLC |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Laurel Health & Rehabilitation Center24 mi · Laurel, MT · 1 of 5 stars
Nearest hospital emergency rooms
- Stillwater Billings Clinic0.8 mi · Columbus, MT · Critical Access Hospital
- Beartooth Billings Clinic31 mi · Red Lodge, MT · Critical Access Hospital
- Pioneer Medical Center36 mi · Big Timber, MT · Critical Access Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13