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HomeMontanaAwe Kualawaache Care Center

Awe Kualawaache Care Center

10131 S Heritage Rd, Crow Agency, MT 590224066389111Google Maps
4.0on Google(8 reviews)
4/5Above Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
5/5
Staffing
4/5
Quality
1/5
Beds
40
certified

How Awe Kualawaache Care Center Compares in Montana

Facility results compared with averages for CMS-certified nursing homes in Montana. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
4/5
MT average
2.9/5
Above state average
Health inspection rating
5/5
MT average
2.8/5
Above state average
Staffing rating
4/5
MT average
3.6/5
Above state average
Nursing hours per resident
4.08 hrs/day
MT average
4.05 hrs/day
Close to state average
RN hours per resident
1.41 hrs/day
MT average
0.98 hrs/day
Above state average
Staff turnover
61.5%
MT average
54.8%
Higher than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 4/5 overall CMS rating is above the Montana average of 2.9/5.
Its 5/5 health inspection rating is above the Montana average of 2.8/5.
Reported RN time is 1.41 hours per resident per day, above the state average of 0.98.
Staff turnover is 61.5%, higher than the Montana average of 54.8%.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
11
deficiency citations
Inspected Apr 25, 2024
Most recent cycle
2
deficiency citations
Inspected May 8, 2025
The most recent cycle recorded 9 fewer deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$8,365/mo
Montana median
Private Room
$9,429/mo
Montana median
Big Horn County 65+
1,703
13.0% of county
County Population
13,090
Big Horn County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

Awe Kualawaache Care Center is a 4-star Medicare and Medicaid certified nursing home in Crow Agency, Montana with 40 certified beds. It has been operating since 1998. Its overall CMS rating is 4 out of 5.

Beds
40
Avg Residents/Day
23.7
Ownership
Non profit - Other
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jun 9, 1998
Sprinklers
Yes
Council
Resident
County
Big Horn
Last Inspection
May 8, 2025
Deficiencies (Cycle 1)
2
Weighted Score
27.0
Infection Citations
0

Deficiency Citations (18)

F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: May 8, 2025Corrected: NoCycle: 1
F0628Potential for Harm

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Survey: May 8, 2025Corrected: NoCycle: 1
F0604Potential for Harm

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

Survey: Dec 4, 2024Corrected: NoCycle: 2
F0657Potential for Harm

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

Survey: Dec 4, 2024Corrected: NoCycle: 2
F0726Potential for Harm

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.

Survey: Dec 4, 2024Corrected: NoCycle: 2
F0838Potential for Harm

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.

Survey: Jul 30, 2024Corrected: NoCycle: 2
F0949Potential for Harm

Provide behavior health training consistent with the requirements and as determined by a facility assessment.

Survey: Jul 30, 2024Corrected: NoCycle: 2
F0600Potential for Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Jul 30, 2024Corrected: NoCycle: 2
F0740Potential for Harm

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Survey: Jul 30, 2024Corrected: NoCycle: 2
F0758Potential for Harm

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.

Survey: Jul 30, 2024Corrected: NoCycle: 2
F0657Potential for Harm

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

Survey: Apr 25, 2024Corrected: NoCycle: 2
F0726Potential for Harm

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.

Survey: Apr 25, 2024Corrected: NoCycle: 2
F0851Minimal Harm

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Survey: Apr 25, 2024Corrected: NoCycle: 2
F0727Potential for Harm

Have 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.

Survey: Apr 27, 2023Corrected: NoCycle: 3
F0678Potential for Harm

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Survey: Apr 27, 2023Corrected: NoCycle: 3
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Apr 27, 2023Corrected: NoCycle: 3
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Apr 27, 2023Corrected: NoCycle: 3
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Apr 27, 2023Corrected: NoCycle: 3
Total Fines
$0
Number of Fines
0
Payment Denials
0
Total Penalties
0

No penalties on record.

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.45 hrs
National avg: 2.32 hrs
LPN0.22 hrs
National avg: 0.86 hrs
RN1.41 hrs
National avg: 0.69 hrs
Total Nursing4.08 hrs
National avg: 3.86 hrs
Weekend Total3.41 hrs
National avg: 0.00 hrs
Physical Therapist0.00 hrs
National avg: 0.07 hrs
Total Turnover
61.5%
RN Turnover
44.4%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
Non profit - Other
Recent Change
No

Owners & Managers (3)

NameRoleTypeOwnership %Since
CROW TRIBE OF INDIANS5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Apr 1, 1998
LITTLE LIGHT, PAULW-2 MANAGING EMPLOYEEIndividualN/AMay 15, 2015
HEALTH MANAGEMENT SERVICES, LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AMar 10, 2010

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Awe Kualawaache Care Center and nearby alternatives.

All Montana facilities
Awe Kualawaache Care Center
Crow Agency, MTCurrent facility
CMS
4/5
Health
5/5
Staffing
4/5
Recorded fines: None
River Ridge Rehabilitation and Nursing LLC
Billings, MT50.8 mi
CMS
2/5
Health
2/5
Staffing
3/5
Recorded fines: $80,893
Billings Rehabilitation and Nursing LLC
Billings, MT52.3 mi
CMS
2/5
Health
2/5
Staffing
2/5
Recorded fines: $62,797
Yellowstone River Nursing and Rehabilitation
Billings, MT55.5 mi
CMS
1/5
Health
1/5
Staffing
2/5
Recorded fines: $99,463
Skyline Heights Nursing and Rehabilitation
Billings, MT56.2 mi
CMS
1/5
Health
1/5
Staffing
2/5
Recorded fines: $418,996
Aspen Meadows Health and Rehabilitation Center
Billings, MT56.7 mi
CMS
2/5
Health
3/5
Staffing
2/5
Recorded fines: $115,183
St John's Lutheran Home
Billings, MT58.3 mi
CMS
4/5
Health
3/5
Staffing
5/5
Recorded fines: None
FacilityDistanceCMSHealthStaffingRecorded fines
Awe Kualawaache Care Center
Crow Agency, MT · Current facility
—4/55/54/5None recorded
River Ridge Rehabilitation and Nursing LLC
Billings, MT
50.8 mi2/52/53/5$80,893
Billings Rehabilitation and Nursing LLC
Billings, MT
52.3 mi2/52/52/5$62,797
Yellowstone River Nursing and Rehabilitation
Billings, MT
55.5 mi1/51/52/5$99,463
Skyline Heights Nursing and Rehabilitation
Billings, MT
56.2 mi1/51/52/5$418,996
Aspen Meadows Health and Rehabilitation Center
Billings, MT
56.7 mi2/53/52/5$115,183
St John's Lutheran Home
Billings, MT
58.3 mi4/53/55/5None recorded

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

Frequently Asked Questions

What is the CMS rating for Awe Kualawaache Care Center?▾
Awe Kualawaache Care Center has an overall CMS rating of 4 out of 5 stars, with a health inspection rating of 5/5, staffing rating of 4/5, and quality measures rating of 1/5. This facility is rated above average.
How much does Awe Kualawaache Care Center cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Montana is $8,365/month for a semi-private room and $9,429/month for a private room (Genworth/CareScout 2024). Awe Kualawaache Care Center participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Awe Kualawaache Care Center had any health inspection violations?▾
Awe Kualawaache Care Center had 2 deficiency citations in its most recent health inspection (May 8, 2025). The current CMS dataset records no fines for this facility.
What are the staffing levels at Awe Kualawaache Care Center?▾
Awe Kualawaache Care Center provides 4.08 total nursing staff hours per resident per day, including 1.41 RN hours, 0.22 LPN hours, and 2.45 nurse aide hours. The total staff turnover rate is 61.5%.
How many beds does Awe Kualawaache Care Center have?▾
Awe Kualawaache Care Center has 40 certified beds with an average of 23.7 residents per day, resulting in approximately 59% occupancy. The facility is Non profit - Other owned.
Are there other nursing homes near Awe Kualawaache Care Center?▾
Yes. This page lists 6 nearby nursing homes in Montana. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Awe Kualawaache Care Center?▾
On Google Maps, Awe Kualawaache Care Center has a rating of 4.0 out of 5 based on 8 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 4/5.