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Nursing home

Crest Nursing Home

Butte, Montana · Silver Bow County

  • 3131 Amherst Ave, Butte, MT 59701 · Directions
  • (406) 494‑7035
  • Medicare overall rating: 5 of 5 starsMedicare overall rating
  • Ownership: For profit – corporation
  • 11 health citations in its last 3 inspection cycles (most serious: level F). See the inspection record

Summary

Crest Nursing Home is a Medicare-certified nursing home in Butte, Montana, with 103 certified beds. Medicare overall rating: 5 of 5 stars. Most recent standard health inspection: 2026-05-07, with 5 health deficiencies. Ownership: for profit – corporation. Source: Medicare (CMS) Provider Information, data updated 2026-10-01.

What is a nursing home?

A nursing home (skilled nursing facility) gives 24-hour nursing care and help with daily activities. Some people stay for a short time to recover after a hospital stay (rehabilitation); others live there long term. The homes listed here are certified by Medicare and/or Medicaid and inspected by the state.

Official Medicare data

Everything on this page comes from Medicare (CMS) data updated 2026-10-01. It is information, not a recommendation. Call the nursing home and visit before you decide, and talk with your doctor.

In a medical emergency, call 911.

At a glance

Medicare overall rating: 5 of 5 starsMedicare overall rating
103Certified beds
Health inspections: 5 of 5 starsHealth inspections

Quick answers

Where is Crest Nursing Home?
3131 Amherst Ave, Butte, MT 59701, in Silver Bow County, Montana.
What is the phone number of Crest Nursing Home?
(406) 494-7035, as listed by Medicare (CMS).
What is the Medicare star rating of Crest Nursing Home?
Medicare overall rating: 5 out of 5 stars (CMS data updated 2026-10-01).
Has Crest Nursing Home been fined?
Medicare lists no fines for Crest Nursing Home.
What did inspectors find at Crest Nursing Home?
In its last three inspection cycles (March 28, 2024 to May 7, 2026), Medicare lists 11 health citations; the most serious was level F. 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.

Overall rating
Overall rating: 5 of 5 stars
Medicare’s summary of the three ratings below, from 1 star (much below average) to 5 stars (much above average).
Health inspections
Health inspections: 5 of 5 stars
Based on state health inspections and complaint investigations of about the last three years, compared with other nursing homes in the same state.
Staffing
Staffing: 3 of 5 stars
Based on how many hours nurses and aides spend with each resident per day (from payroll records) and how often staff leave.
Quality of resident care
Quality of resident care: 5 of 5 stars
Based on how residents do on measures such as falls with injury, pressure sores, getting better at moving around and going back to the hospital.
Short-stay residents (rehab)
Short-stay residents (rehab): 5 of 5 stars
Quality rating for people who stay a short time, usually to recover after a hospital stay.
Long-stay residents
Long-stay residents: 5 of 5 stars
Quality rating for people who live in the nursing home.

Inspections, fines and staffing

In its last three inspection cycles (March 28, 2024 to May 7, 2026), Crest Nursing Home had 11 health citations; the most serious was level F (no actual harm, potential for more than minimal harm). Medicare lists no fines or payment denials for it in the last three years. Nurse staffing is 3.29 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
Scope and severity letters
SeriousnessIsolated (a few residents)Pattern (some)Widespread (many)
No actual harm, potential for minimal harmABC
No actual harm, potential for more than minimal harmDEF
Actual harm to residentsGHI
Immediate jeopardy to resident health or safetyJKL

Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.

Most recent cycle: May 7, 2026 — 5 health citations

Inspections in this cycle: May 7, 2026 (complaint investigation); May 7, 2026 (standard health inspection).

Show 5 citations (levels A to F, no actual harm)
  • F0727 Level F May 7, 2026 · corrected June 5, 2026

    “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.”

  • F0600 Level E May 7, 2026 · from a complaint · corrected June 5, 2026

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

  • F0657 Level D May 7, 2026 · corrected June 5, 2026

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

  • F0700 Level D May 7, 2026 · corrected June 5, 2026

    “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.”

  • F0801 Level C May 7, 2026 · corrected June 5, 2026

    “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.”

Previous cycle: April 10, 2025 — 4 health citations

Inspections in this cycle: March 25, 2025 (complaint investigation); April 10, 2025 (standard health inspection).

Show 4 citations (levels A to F, no actual harm)
  • F0658 Level E March 25, 2025 · from a complaint · corrected April 9, 2025

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

  • F0695 Level E March 25, 2025 · from a complaint · corrected April 9, 2025

    “Provide safe and appropriate respiratory care for a resident when needed.”

  • F0842 Level D April 10, 2025 · corrected April 29, 2025

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

  • F0847 Level D April 10, 2025 · corrected April 29, 2025

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

Earlier cycle: March 28, 2024 — 2 health citations

Inspections in this cycle: March 28, 2024 (standard health inspection).

Show 2 citations (levels A to F, no actual harm)
  • F0695 Level E March 28, 2024 · corrected April 10, 2024

    “Provide safe and appropriate respiratory care for a resident when needed.”

  • F0758 Level D March 28, 2024 · corrected April 10, 2024

    “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 (7)
  • K0912 Level F May 7, 2026 · corrected June 5, 2026

    “Have power receptacles that are properly grounded.”

  • K0921 Level F May 7, 2026 · corrected June 5, 2026

    “Ensure that testing and maintenance of electrical equipment is performed.”

  • K0293 Level D May 7, 2026 · corrected May 29, 2026

    “Have properly located and lighted "Exit" signs.”

  • K0353 Level D May 7, 2026 · corrected June 5, 2026

    “Inspect, test, and maintain automatic sprinkler systems.”

  • K0916 Level F November 13, 2023 · corrected December 21, 2023

    “Have a battery powered remote alarm panel in a location accessible by operating personnel.”

  • K0241 Level F March 28, 2024 · corrected April 25, 2024

    “Have correct number of accessible exits for each story.”

  • K0353 Level F March 28, 2024 · corrected April 25, 2024

    “Inspect, test, and maintain automatic sprinkler systems.”

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.

MeasureThis homeMontanaNational
Registered nurse (RN) hours per resident per day0.670.920.69
Licensed practical nurse (LPN) hours per resident per day0.510.540.86
Nurse aide hours per resident per day2.102.562.35
Total nurse staff hours per resident per day3.294.023.90
Total nurse staff hours per resident per day on the weekend3.103.533.43
RN hours per resident per day on the weekend0.400.650.48
Nursing staff turnover (per year)56.8%54.6%45.3%
RN turnover (per year)60.0%48.9%42.5%
Administrators who left in the last year0.00.30.5

Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.

Owners and operator

Part of a group of 9 nursing homes: Real Property Health Facilities.

Legal business name: CNH Acquisitions Inc..

Owners and managers Medicare lists (3)
NameRoleShareSince
Christina Jayne Penn Management TrustDirect owner100%November 1, 2010
Penn, ChristinaIndirect owner100%June 1, 2015
Real Property Health Facilities CorpManagement company (operational or managerial control)NOT APPLICABLEJuly 30, 1986

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

TypeNursing home
Certified beds103
Average residents per day45.3
Takes part inMedicare and Medicaid
OwnershipFor profit – corporation
Group or chain (affiliated entity)Real Property Health Facilities
Legal business nameCNH Acquisitions Inc.
First approved by Medicare/Medicaid1988-04-01
Resident and family councilsResident council
Sprinklers in all required areasYes
Changed ownership in the last 12 monthsNo
Address3131 Amherst Ave, Butte, MT 59701
CountySilver Bow County
StateMontana
Phone(406) 494‑7035
CMS Certification Number275122
Name in Medicare recordsCREST NURSING HOME
CorrectionsReport 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).

Nearest hospital emergency rooms

Sources

  1. Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
  2. Medicare Care Compare — official Medicare profile of this provider
  3. Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
  4. Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
  5. Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
  6. Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
  7. State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
  8. Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
  9. Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
  10. Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13