Nursing homeActive
Powder River Manor
104 N Trautman, Broadus, MT 59317406436264641 certified beds · 23 residentsGovernment - CountyMedicare and Medicaid
Surveys on file
5
since 2024
Deficiencies
25
● 0● 23● 2
Penalties · 3 yrs
$48,318
2 fines
Last survey
2026-04-22
Standard
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 4
Staffing 5
Quality 5
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Montana DPHHS · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-04-22 | Standard | 040 | CMS-2567 (Care Compare) | — |
| 2025-09-10 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2025-03-13 | Standard | 0111 | CMS-2567 (Care Compare) | — |
| 2024-12-31 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-03-14 | Standard | 051 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Montana DPHHS publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-28Record 275087-20260422-F600
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-28Record 275087-20260422-F641
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-28Record 275087-20260422-F689
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-05-28Record 275087-20260422-F812
F577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-15Record 275087-20250910-F577
F578Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-15Record 275087-20250910-F578
F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Scope/severity GHarm
Staffing
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-04-25Record 275087-20250313-F726
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-25Record 275087-20250313-F610
F621Treat residents equally regarding transfer, discharge, and provision of services for all residents, regardless of payment sourceScope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-25Record 275087-20250313-F621
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-25Record 275087-20250313-F655
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-25Record 275087-20250313-F657
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-25Record 275087-20250313-F658
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-25Record 275087-20250313-F689
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-25Record 275087-20250313-F695
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-25Record 275087-20250313-F759
F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-04-25Record 275087-20250313-F761
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-04-25Record 275087-20250313-F880
F887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-25Record 275087-20250313-F887
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-14Record 275087-20241231-F609
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-04-28Record 275087-20240314-F686
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-04-28Record 275087-20240314-F656
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-28Record 275087-20240314-F658
F727Have 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.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-04-15Record 275087-20240314-F727
F758Implement 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-28Record 275087-20240314-F758
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity FStandard
Environment
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-04-15Record 275087-20240314-F921
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2025-03-13 | Civil money penalty | $12,438 | CMS · Penalties |
| 2024-03-14 | Civil money penalty | $35,880 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day1.37
Facility
Montana
National
Montana 0.98 · National 0.69
Total nurse hours per resident day5.32
Facility
Montana
National
Montana 4.05 · National 3.86
Weekend total nurse hours4.38
Facility
Montana
National
Montana 3.59 · National 3.42
Total nursing staff turnover39%
Facility
Montana
National
Montana 55% · National 46%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Montana | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 5.8% | 6.3% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 4.4% | 4.4% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 0.0% | 20.4% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.0% | 2.9% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 4.4% | 0.6% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 28.6% | 18.7% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 3.3% | 6.2% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 2.2% | 15.8% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Powder River County Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Hostetter, Jeffrey Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Powder River County Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Randall, Kylie Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Hostetter, Jeffrey Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Powder River County Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Randall, Kylie Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Randall, Lee Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Randall, Lee Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Montana.
No county cost figures on file for Powder River.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Intermountain Health Holy Rosary Hospital Miles City | 68.9 mi | 2026-04-23 | 1210 |
| The Legacy Living and Rehabilitation Center Gillette | 80.3 mi | 2026-03-13 | 0308 |
| Crook County Medical Services District Long Term C Sundance | 87.5 mi | 2025-08-14 | 1101 |
| Rosebud Health Care Center Forsyth | 83.3 mi | 2025-12-18 | 080 |
| Big Horn Rehabilitation and Care Center Sheridan | 88.5 mi | 2026-05-07 | 1423 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |