Sweet Memorial Nursing Home
Nursing Home · Chinook, MT
CMS certification number275127
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).
Contact & location
125 Airport RDChinook, MT 59523
Blaine County
- Phone
- (406) 357-2549
- ZIP code
- 59523 – all care providers
Facility details
- Certified beds
- 42
- Residents per day
- 36.4 (87% occupied)
- Ownership
- Non profit - Corporation
- Medicare certified since
- September 1, 1989
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.95 (state 4.05 · U.S. 3.86)
- Registered nurses (RN)
- 0.95 (state 0.98 · U.S. 0.69)
- Licensed practical nurses
- 0.05 (state 0.50 · U.S. 0.86)
- Nurse aides
- 2.95 (state 2.57 · U.S. 2.32)
- Weekend total
- 3.39 (state 3.59 · U.S. 3.42)
- Nursing staff turnover
- 51.1 (state 54.8 · U.S. 45.8)%
- RN turnover
- 50.0 (state 48.3 · U.S. 42.9)%
- Administrators who left
- 0 in the last year
Inspections
- Last standard inspection
- January 29, 2026
- Health deficiencies (last cycle)
- 19.0 (state 11.5 · U.S. 9.3)
- From complaints
- 6
- Citations on record (3 years)
- 44 health · 16 fire safety · includes actual harm
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-01-29 | Provide enough food/fluids to maintain a resident's health. F0692 · Quality of Life and Care Deficiencies |
G Actual harm |
Corrected 2026-03-15 |
| 2026-01-29 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-03-15 |
| 2026-01-29 | 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. F0726 · Nursing and Physician Services Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-03-15 |
| 2026-01-29 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-03-15 |
| 2026-01-29 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. F0604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-15 |
| 2026-01-29 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. F0605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-15 |
| 2026-01-29 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-15 |
| 2026-01-29 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-15 |
| 2026-01-29 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. F0744 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-15 |
| 2026-01-29 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-15 |
| 2026-01-29 | Provide routine and 24-hour emergency dental care for each resident. F0790 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-15 |
| 2026-01-29 | Provide or get specialized rehabilitative services as required for a resident. F0825 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-15 |
| 2026-01-29 | 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. F0838 · Administration Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-02-20 |
| 2025-08-07 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-09-05 |
| 2025-08-07 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-09-05 |
| 2025-08-07 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-09-05 |
| 2025-08-07 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-09-11 |
| 2025-08-07 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-09-04 |
| 2025-08-07 | Provide medically-related social services to help each resident achieve the highest possible quality of life. F0745 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-08-28 |
| 2024-12-05 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-12-24 |
| 2024-12-05 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-01-10 |
| 2024-12-05 | Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-01-06 |
| 2024-12-05 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. F0835 · Administration Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-12-24 |
| 2024-12-05 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-12-24 |
| 2024-12-05 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-31 |
| 2024-12-05 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-30 |
| 2024-12-05 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-01-10 |
| 2024-12-05 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-01-10 |
| 2024-12-05 | Provide appropriate foot care. F0687 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-01-10 |
| 2024-12-05 | 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. F0758 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-24 |
| 2024-12-05 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-24 |
| 2024-12-05 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-24 |
| 2023-12-06 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2023-12-27 |
| 2023-12-06 | Implement a program that monitors antibiotic use. F0881 · Infection Control Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2023-12-27 |
| 2023-12-06 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. F0604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-01-05 |
| 2023-12-06 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-01-05 |
| 2023-12-06 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2023-12-27 |
| 2023-12-06 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2023-12-27 |
| 2023-12-06 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2023-12-27 |
| 2023-12-06 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2023-12-27 |
| 2023-12-06 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-27 |
| 2023-12-06 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-27 |
| 2023-12-06 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-27 |
| 2023-12-06 | Ensure 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. F0761 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-27 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
1 penalty in the last three years, including $28,243 in fines.
| Date | Type | Amount |
|---|---|---|
| 2026-02-05 | Fine | $28,243 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Nesslar, Heather (individual) | Administrator · NOT APPLICABLE | |
| Robertson, Carley (individual) | Administrator · NOT APPLICABLE | |
| Shackelford, Rebecca (individual) | Administrator · NOT APPLICABLE | |
| Friede, Danny (individual) | Corporate Director · NOT APPLICABLE | |
| Overcast, Denny (individual) | Corporate Director · NOT APPLICABLE | |
| Kleinjan, Arthur (individual) | Corporate Officer · NOT APPLICABLE | |
| Kleinjan, Arthur (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Nesslar, Heather (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Robertson, Carley (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Shackelford, Rebecca (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Sweet Memorial Nursing Home?
Sweet Memorial Nursing Home has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.9-star average in Montana.
How many beds does Sweet Memorial Nursing Home have?
It has 42 certified beds and cares for about 36 residents per day.
Has Sweet Memorial Nursing Home been fined?
Yes. CMS lists 1 penalty totaling $28,243 in the last three years.
What is the phone number of Sweet Memorial Nursing Home?
(406) 357-2549. The facility is located at 125 Airport RD, Chinook, MT 59523.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.