Skilled nursing · Helena, MT

Cooney Healthcare And Rehabilitation

2555 E BROADWAY, Helena, MT 59601

1 / 5CMS 90 bedsCapacity May 2026Inspected

PALMELLE

Below median

Federal · State

Serious issues

The Palmelle read

Worth a closer look. Cooney Healthcare And Rehabilitation carries a Palmelle Clarity Score of 0 out of 100, derived from federal CMS Care Compare data plus Montana state records. Health inspection rating sits at 1-star, staffing at 2-star, quality measures at 2-star. Long-stay antipsychotic prescribing is at 37.3 percent, above the 14 percent national median. Long-stay sedative prescribing is at 24.0 percent, above the 15 percent national median. RN coverage is 0.84 hours per resident per day. Nurse turnover 84 percent.

Generated by Palmelle · updated monthly · sources: federal CMS Care Compare, Montana DPH

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In their own words

No operator description yet.

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Services

What they offer.

Levels of care

Skilled nursing

Amenities

Operator has not yet shared amenities

What the data shows

The safety record, by the numbers.

Going right

Medicare/Medicaid certified

Operating in Helena.

Worth asking about

High antipsychotic prescribing

This

37.3%

National

14%

Above national median. Ask what behaviors the medication targets and what non-medication options were tried first.

Pressure ulcer rate

Above national median. Often signals understaffing — ask about repositioning schedules and wound care.

Falls with major injury

This

5.9%

National

1.6%

Above national median. Ask about fall-prevention protocols and individual risk assessment.

Long-term catheter use

Above national median. Routine catheter use carries infection risk — ask why they are in use.

Decline in mobility

Above national median. Ask about activity programs, physical therapy frequency, and resident engagement.

Abuse-icon designation on CMS public list

Ask the administrator what specific incident triggered the designation and what has changed since.

Special focus status: SFF Candidate

CMS flagged this facility for closer oversight. Ask why and what improvements are underway.

Federal CMS + Montana state data

The full inspection record.

Federal CMS ratings

Overall★★★★★1 / 5

Health inspection★★★★★1 / 5

Staffing★★★★★2 / 5

Quality measures★★★★★2 / 5

Staffing

RN hours per resident, daily

This

0.84

Nat

0.78

Total nurse hours / resident, daily

This

2.7

Nat

3.62

Annual nurse turnover

This

84%

Nat

53%

Annual RN turnover

This

57%

Nat

47%

Quality measures · long-stay residents

Antipsychotic

This

37.3%

Nat

14%

Sedative / sleep med

This

24.0%

Nat

15%

Physical restraint

This

0.0%

Nat

1.1%

Falls with major injury

This

5.9%

Nat

1.6%

Penalties & status

Abuse finding on recordSFF CandidateInspection current$309,694 in fines (5)

Identity & licensing

CMS ID275080

OwnershipFor profit - Limited Liability company

ChainIndependent

Beds90

Avg residents66

Citations · last 36 months

Flagged by CMS data
CMS has placed an abuse icon on this facility, indicating a substantiated finding of abuse, neglect, or exploitation of a resident. This is one of the most serious flags CMS assigns.
From the latest CMS Care Compare reconcile
Flagged by CMS data
CMS has designated this facility as a Special Focus Facility (SFF Candidate). This designation is given to nursing homes with a history of serious quality problems. Only the worst performers in the country receive this designation.
From the latest CMS Care Compare reconcile
Flagged by CMS data
Annual nursing staff turnover is 85%. High turnover means residents frequently interact with unfamiliar staff, which research links to lower quality of care. Industry average is around 50-60%.
From the latest CMS Care Compare reconcile
Flagged by CMS data
This facility's long-stay antipsychotic rate is 37% — roughly three times the national median of about 14%. CMS already excludes residents with schizophrenia, Tourette's, and Huntington's from this measure, so this reflects prescribing for residents who don't have a primary psychotic diagnosis. Worth asking on a tour: 'How does my parent get back off these meds if started?'
From the latest CMS Care Compare reconcile
Flagged by CMS data
Pressure ulcer (bedsore) rate is 11.2% — well above the national median of about 7%. Pressure ulcers form when staff don't reposition residents every two hours. This is a staffing-and-attention signal as much as a clinical one. Worth asking what the repositioning schedule looks like.
From the latest CMS Care Compare reconcile
Flagged by CMS data
Falls with major injury rate is 5.9% — above the national median of about 3%. A spike usually means call lights aren't getting answered fast enough or the facility is short on aides during transfer-heavy hours like mealtimes. Worth asking how long the call-light response window is during evening shifts.
From the latest CMS Care Compare reconcile
Flagged by CMS data
Long-stay catheter rate is 4.9% — well above the national median of about 1.5%. Indwelling catheters are sometimes used as a labor-saving substitute for getting residents to the bathroom, which causes UTIs and dignity loss. Worth asking what the facility's catheter-removal protocol looks like.
From the latest CMS Care Compare reconcile
Flagged by CMS data
Mobility-decline rate is 30.4% — meaning that share of long-stay residents lost ability to move between measurements (above the national median of about 17%). High decline suggests no PT/OT program or no daily walking — residents are being allowed to become bed-bound. Worth asking what the rehab and activities calendar actually looks like.
From the latest CMS Care Compare reconcile

Sources: federal CMS Care Compare, Montana DPH · Last reconciled Jun 3, 2026

Questions families ask

Common questions.

What is the CMS rating for Cooney Healthcare And Rehabilitation?

Cooney Healthcare And Rehabilitation has an overall CMS Care Compare rating of 1 out of 5 stars. It scores 1 of 5 on health inspection, 2 of 5 on staffing, and 2 of 5 on quality measures. The overall rating averages these subscores with health inspection weighted more heavily.

Has Cooney Healthcare And Rehabilitation been cited for resident harm?

CMS has placed an abuse icon on this facility, indicating a substantiated finding of abuse, neglect, or exploitation of a resident. It has $309,694 in federal fines across 5 penalties on record in the last 36 months. The full record for Cooney Healthcare And Rehabilitation appears in the record section above.

Does Cooney Healthcare And Rehabilitation use antipsychotic medications?

37.3 percent of long-stay residents at Cooney Healthcare And Rehabilitation are on antipsychotic medications, above the 14 percent national median (CMS measure 481). Sedative and sleep-medication use is elevated at 24.0 percent. Medications can be appropriate, but they are also commonly used to manage dementia-related behaviors instead of staffing or non-medication approaches. Worth asking on a tour: what behaviors the medication targets and what non-medication options were tried first.

What is Cooney Healthcare And Rehabilitation's Palmelle Clarity Score?

Cooney Healthcare And Rehabilitation has a Palmelle Clarity Score of 0 out of 100, putting it below the national median. The score is a composite of federal CMS and Montana state inspection data. Higher is better.

How can I tour or contact Cooney Healthcare And Rehabilitation?

Cooney Healthcare And Rehabilitation is located at 2555 E BROADWAY, Helena, MT 59601. Phone: (406) 447-1651. Tour hours: contact facility for current schedule. If you would like a Palmelle senior placement advisor to compare this facility with two others on your shortlist and call them on your behalf, use Help Me Choose.

Is Cooney Healthcare And Rehabilitation a special focus facility?

Cooney Healthcare And Rehabilitation carries special focus status (SFF Candidate) on the federal program that identifies facilities with persistent quality problems.

What does F-689 mean on Cooney Healthcare And Rehabilitation's record?

F-689 is a federal CMS deficiency code for inadequate supervision resulting in actual resident harm. If Cooney Healthcare And Rehabilitation has any active citations or CMS conflict flags, they appear with their details in the record section above, along with any operator response.

How does Cooney Healthcare And Rehabilitation compare to other Helena skilled nursing facilities?

Cooney Healthcare And Rehabilitation holds a Palmelle Clarity Score of 0. Browse the full Helena directory to compare more facilities by score, staffing, and inspection record.

Can Palmelle help with hospital discharge to skilled nursing at Cooney Healthcare And Rehabilitation?

Yes. Palmelle handles hospital discharge placement and emergency senior placement with a single Placement Specialist owning the case from intake to recommendation. Typical timeline: intake Monday, written recommendation Thursday, follow-up Friday. Call (888) 282-7256 to start, or use Help Me Choose for a comparison report on Cooney Healthcare And Rehabilitation and two other facilities on your shortlist.

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