Beartooth Rehabilitation and Nursing LLC

Nursing Home · Columbus, MT

CMS overall rating 1/5 SFF candidate Abuse citation For profit - Corporation

CMS certification number275159
CMS lists this nursing home as a Special Focus Facility candidate – one of the lowest-performing nursing homes in its state based on inspection history.
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).

Contact & location

350 W Pike Ave
Columbus, MT 59019
Stillwater County
Phone
(406) 290-5070
ZIP code
59019 – all care providers

Open in Google Maps

Facility details

Residents per day
41.8
Ownership
For profit - Corporation
Chain
The Charly Bello Family, the Maze Family, the Swain Family, & Walter Myers (19 facilities, avg 1.7★)
Medicare certified since
December 18, 2024
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 2.9
Health inspections★★★★★ 1/5
State avg 2.8
Staffing★★★★★ 4/5
State avg 3.6
Quality measures★★★★★ 2/5
State avg 3.0
Long-stay quality★★★★★ 2/5
Short-stay qualityNot rated

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
2.95 (state 4.05 · U.S. 3.86)
Registered nurses (RN)
0.84 (state 0.98 · U.S. 0.69)
Licensed practical nurses
0.25 (state 0.50 · U.S. 0.86)
Nurse aides
1.86 (state 2.57 · U.S. 2.32)
Weekend total
2.68 (state 3.59 · U.S. 3.42)
Nursing staff turnover
—
RN turnover
—

Inspections

Last standard inspection
February 10, 2026
Health deficiencies (last cycle)
32.0 (state 11.5 · U.S. 9.3)
From complaints
16
Citations on record (3 years)
43 health · 36 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-02-10 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
J
Immediate jeopardy to resident health or safety
Corrected 2026-04-27
2026-02-10 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.
F0801 · Nutrition and Dietary Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2026-03-25
2026-02-10 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
F
No actual harm, potential for more than minimal harm
Corrected 2026-03-20
2026-02-10 Administer the facility in a manner that enables it to use its resources effectively and efficiently.
F0835 · Administration Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2026-03-20
2026-02-10 Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
F0837 · Administration Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2026-03-20
2026-02-10 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
F
No actual harm, potential for more than minimal harm
Corrected 2026-03-20
2026-02-10 Have a plan that describes the process for conducting QAPI and QAA activities.
F0865 · Administration Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2026-03-20
2026-02-10 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2026-03-20
2026-02-10 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
F0584 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-03-20
2026-02-10 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 2026-03-20
2026-02-10 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 2026-03-20
2026-02-10 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 2026-03-20
2026-02-10 Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
F0847 · Administration Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-03-20
2026-02-10 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-03-20
2026-02-10 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-03-20
2026-02-10 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 2026-03-20
2026-02-10 Provide activities to meet all resident's needs.
F0679 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-03-20
2026-02-10 Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
F0688 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-03-20
2026-02-10 Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
F0742 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-03-20
2026-02-10 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-03-20
2025-09-04 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
J
Immediate jeopardy to resident health or safety
Corrected 2025-10-03
2025-09-04 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
G
Actual harm
Corrected 2025-10-03
2025-09-04 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection
G
Actual harm
Corrected 2025-10-03
2025-09-04 Have a plan that describes the process for conducting QAPI and QAA activities.
F0865 · Administration Deficiencies · complaint inspection
F
No actual harm, potential for more than minimal harm
Corrected 2025-10-03
2025-09-04 Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
F0868 · Administration Deficiencies · complaint inspection
F
No actual harm, potential for more than minimal harm
Corrected 2025-10-03
2025-09-04 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
F0628 · Resident Rights Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-10-03
2025-09-04 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
D
No actual harm, potential for more than minimal harm
Corrected 2025-10-03
2025-09-04 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-10-03
2025-09-04 Assess the resident when there is a significant change in condition
F0637 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-10-03
2025-09-04 Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
F0640 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-10-03
2025-09-04 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-10-03
2025-09-04 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
D
No actual harm, potential for more than minimal harm
Corrected 2025-10-03
2025-07-31 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.
F0585 · Resident Rights Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-08-22
2025-07-31 Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
F0577 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-08-22
2025-07-31 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
F0584 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-08-22
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
E
No actual harm, potential for more than minimal harm
Corrected 2025-01-03
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 2025-01-03
2024-12-05 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
F0584 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-01-03
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
D
No actual harm, potential for more than minimal harm
Corrected 2025-01-03
2024-12-05 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-01-03
2024-12-05 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-01-03
2024-12-05 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-01-03
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 2025-01-03

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

3 penalties in the last three years, including $50,592 in fines.

DateTypeAmount
2026-02-10Payment Denial41 days payment denial
2026-02-10Fine$32,988
2025-09-04Fine$17,604

Ownership & management

NameRoleSince
White Ash LLC (organization)5%+ Direct Ownership Interest · 10%
Larsen, Kole (individual)5%+ Indirect Ownership Interest · 10%
Olmstead, Stacey (individual)Administrator · NOT APPLICABLE
Lake, Brandy (individual)Operational/managerial Control · NOT APPLICABLE
Macewen, Jeffrey (individual)Operational/managerial Control · NOT APPLICABLE
Olmstead, Stacey (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Beartooth Rehabilitation and Nursing LLC?

Beartooth Rehabilitation and Nursing LLC has a 1-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.

Has Beartooth Rehabilitation and Nursing LLC been fined?

Yes. CMS lists 3 penalties totaling $50,592 in the last three years.

Who owns Beartooth Rehabilitation and Nursing LLC?

It is part of The Charly Bello Family, the Maze Family, the Swain Family, & Walter Myers and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Beartooth Rehabilitation and Nursing LLC?

(406) 290-5070. The facility is located at 350 W Pike Ave, Columbus, MT 59019.

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.