Nursing homeActive
Awe Kualawaache Care Center
10131 S Heritage Rd, Crow Agency, MT 59022406638911140 certified beds · 24 residentsFor profit - IndividualMedicare and Medicaid
Surveys on file
5
since 2024
Deficiencies
18
● 1● 17● 0
Penalties · 3 yrs
—
none on file
Last survey
2026-06-04
Standard
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 5
Staffing 4
Quality 1
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 |
|---|---|---|---|---|
| 2026-06-04 | Standard | 050 | CMS-2567 (Care Compare) | — |
| 2025-05-08 | Standard | 020 | CMS-2567 (Care Compare) | — |
| 2024-12-04 | Complaint | 030 | CMS-2567 (Care Compare) | — |
| 2024-07-30 | Complaint | 050 | CMS-2567 (Care Compare) | — |
| 2024-04-25 | Standard | 120 | 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.
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-26Record 275153-20260604-F656
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 2026-06-26Record 275153-20260604-F689
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-26Record 275153-20260604-F692
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-26Record 275153-20260604-F757
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-26Record 275153-20260604-F880
F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-30Record 275153-20250508-F628
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 2025-05-30Record 275153-20250508-F880
F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-30Record 275153-20241204-F604
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 2024-12-30Record 275153-20241204-F657
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 DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-30Record 275153-20241204-F726
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 2024-08-23Record 275153-20240730-F600
F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-23Record 275153-20240730-F740
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 2024-08-23Record 275153-20240730-F758
F838Conduct 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.Scope/severity EStandard
Records
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-08-23Record 275153-20240730-F838
F949Provide behavior health training consistent with the requirements and as determined by a facility assessment.Scope/severity EStandard
Records
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-08-23Record 275153-20240730-F949
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 2024-05-16Record 275153-20240425-F657
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 DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-16Record 275153-20240425-F726
F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.Scope/severity BPaperwork
Records
Pattern; potential for minimal harm.Corrected 2024-05-16Record 275153-20240425-F851
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day1.41
Facility
Montana
National
Montana 0.98 · National 0.69
Total nurse hours per resident day4.08
Facility
Montana
National
Montana 4.05 · National 3.86
Weekend total nurse hours3.41
Facility
Montana
National
Montana 3.59 · National 3.42
Total nursing staff turnover62%
Facility
Montana
National
Montana 55% · National 46%
Registered nurse turnover44%
Facility
Montana
National
Montana 48% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Montana | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 9.2% | 6.3% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 2.3% | 4.4% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 32.2% | 20.4% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 1.1% | 2.9% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 6.9% | 0.6% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 31.4% | 18.7% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 8.1% | 6.2% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 3.5% | 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 |
|---|---|---|---|---|
| Crow Tribe Of Indians Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Health Management Services, LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Little Light, Paul Individual | W-2 MANAGING EMPLOYEE | 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 Big Horn.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Westview Health Care Center Sheridan | 59.7 mi | 2026-04-02 | 011 |
| Green House Living for Sheridan Sheridan | 60.2 mi | 2026-02-03 | 2204 |
| Big Horn Rehabilitation and Care Center Sheridan | 61.0 mi | 2026-05-07 | 1423 |
| River Ridge Rehabilitation And Nursing LLC Billings | 50.8 mi | 2026-01-15 | 2583 |
| Rosebud Health Care Center Forsyth | 60.2 mi | 2025-12-18 | 080 |
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 |