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Nursing home

Madison Valley Manor

Ennis, Montana · Madison County

  • 211 N Main St, Ennis, MT 59729 · Directions
  • (406) 682‑7271
  • Medicare overall rating: 4 of 5 starsMedicare overall rating
  • Ownership: Government – county
  • 14 health citations in its last 3 inspection cycles (most serious: level F). See the inspection record

Summary

Madison Valley Manor is a Medicare-certified nursing home in Ennis, Montana, with 32 certified beds. Medicare overall rating: 4 of 5 stars. Most recent standard health inspection: 2026-05-20, with 0 health deficiencies. Ownership: government – county. 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: 4 of 5 starsMedicare overall rating
32Certified beds
Health inspections: 5 of 5 starsHealth inspections

Quick answers

Where is Madison Valley Manor?
211 N Main St, Ennis, MT 59729, in Madison County, Montana.
What is the phone number of Madison Valley Manor?
(406) 682-7271, as listed by Medicare (CMS).
What is the Medicare star rating of Madison Valley Manor?
Medicare overall rating: 4 out of 5 stars (CMS data updated 2026-10-01).
Has Madison Valley Manor been fined?
Medicare lists no fines for Madison Valley Manor.
What did inspectors find at Madison Valley Manor?
In its last three inspection cycles (May 8, 2024 to May 20, 2026), Medicare lists 14 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: 4 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: 1 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: 4 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)
Not rated
Quality rating for people who stay a short time, usually to recover after a hospital stay. Medicare (CMS) does not show this rating for this provider. This happens, for example, when a provider is new or has too few patients or survey answers.
Long-stay residents
Long-stay residents: 4 of 5 stars
Quality rating for people who live in the nursing home.

Inspections, fines and staffing

In its last three inspection cycles (May 8, 2024 to May 20, 2026), Madison Valley Manor had 14 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.

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 20, 2026 — no health citations

Inspections in this cycle: May 20, 2026 (standard health inspection).

Previous cycle: May 8, 2025 — 9 health citations

Inspections in this cycle: May 8, 2025 (standard health inspection).

Show 9 citations (levels A to F, no actual harm)
  • F0812 Level F May 8, 2025 · corrected June 12, 2025

    “Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”

  • F0908 Level F May 8, 2025 · corrected June 12, 2025

    “Keep all essential equipment working safely.”

  • F0604 Level E May 8, 2025 · corrected June 12, 2025

    “Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.”

  • F0580 Level D May 8, 2025 · corrected June 12, 2025

    “Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.”

  • F0585 Level D May 8, 2025 · corrected June 12, 2025

    “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.”

  • F0641 Level D May 8, 2025 · corrected June 12, 2025

    “Ensure each resident receives an accurate assessment.”

  • F0700 Level D May 8, 2025 · corrected June 12, 2025

    “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.”

  • F0725 Level D May 8, 2025 · corrected June 12, 2025

    “Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.”

  • F0849 Level D May 8, 2025 · corrected June 12, 2025

    “Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.”

Earlier cycle: May 8, 2024 — 5 health citations

Inspections in this cycle: May 8, 2024 (standard health inspection); September 10, 2024 (complaint investigation).

Show 5 citations (levels A to F, no actual harm)
  • F0945 Level E September 10, 2024 · from a complaint · corrected October 16, 2024

    “Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.”

  • F0641 Level E May 8, 2024 · corrected June 12, 2024

    “Ensure each resident receives an accurate assessment.”

  • F0657 Level E May 8, 2024 · corrected June 12, 2024

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

  • F0880 Level D September 10, 2024 · from a complaint · corrected October 16, 2024

    “Provide and implement an infection prevention and control program.”

  • F0656 Level D May 8, 2024 · corrected June 12, 2024

    “Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”

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 (1)
  • E0039 Level F May 20, 2026 · corrected July 7, 2026

    “Conduct testing and exercise requirements.”

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
Nursing staff turnover (per year)68.6%54.6%45.3%
RN turnover (per year)50.0%48.9%42.5%

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

Compare with other nursing homes

Key facts

TypeNursing home
Certified beds32
Average residents per day14
Takes part inMedicare and Medicaid
OwnershipGovernment – county
Legal business nameMadison County Finance
First approved by Medicare/Medicaid1991-07-01
Resident and family councilsResident council
Sprinklers in all required areasYes
Changed ownership in the last 12 monthsNo
Address211 N Main St, Ennis, MT 59729
CountyMadison County
StateMontana
Phone(406) 682‑7271
CMS Certification Number275136
Name in Medicare recordsMADISON VALLEY MANOR
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