Intermountain Health Holy Rosary Hospital
2600 WILSON ST, Miles City, MT 59301
Miles City, Montana · CMS verdict
On the federal five-star scale, Intermountain Health Holy Rosary Hospital carries a 2 of 5 CMS overall rating, below-average quality that runs below Montana's state average of 3.0.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Intermountain Health Holy Rosary Hospital in Miles City, Montana holds a CMS overall rating of 2 of 5 stars and a PlainElderCare Quality & Compliance Index of 35 of 100 (grade F). The 84-bed facility operates where a semi-private nursing-home room in Montana runs a median of $8,973 per month. Figures are from CMS Nursing Home Compare.
Quality & Compliance Index (lower star tercile)
This facility's 2/5 CMS overall rating sits in the lower U.S. star tercile (≤2/5). A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall rating of 2 of 5 stars. How this is calculated.
How the 35 is built
Each segment is a dimension's weighted points toward the score, summing to 35.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Intermountain Health Holy Rosary Hospital's lower-tercile CMS stars
Quality ratings
On Care Compare (data as of April 2026), Intermountain Health Holy Rosary Hospital carries an overall CMS quality rating of 2 out of 5 stars. That figure rolls up three sub-ratings tracked separately: health inspection (4/5), staffing (1/5), and quality measures (1/5).
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Miles City, Montana, this facility operates 84 certified beds with an average daily census of roughly 53 residents - an occupancy rate of about 63%. The facility is classified under non profit - corporation ownership, a designation that can influence staffing patterns, reinvestment decisions, and admissions policy. At roughly 63% occupancy, this facility has meaningful open capacity relative to its certified bed count.
Same-ownership peers
Within Montana, Intermountain Health Holy Rosary Hospital is one of 20 non profit - corporation nursing homes CMS rates. Its 2-star overall rating sits below the non profit - corporation-segment average of 2.8 stars, ahead of roughly 20% of same-ownership peers in the state. Peer comparisons within the same ownership type are more apples-to-apples than a state-wide average, since for-profit, non-profit, and government operators tend to differ systematically in staffing and reinvestment.
Inspection record
On the regulatory side, federal and state surveyors have documented multiple deficiencies at this facility (18 total). CMS has levied no enforcement penalties over the equivalent window. This is a high deficiency count relative to most facilities; requesting the full survey report directly is the only way to see whether these are concentrated in one area or spread across the facility's operations.
Where these figures come from
Figures above come from CMS Nursing Home Compare (Care Compare, data as of April 2026) with state cost medians from the CareScout 2025 Cost of Care Survey. See our methodology for vintage.
How Intermountain Health Holy Rosary Hospital's lower-tercile stars compare to Montana
CMS five-star sub-ratings (0–5) for this facility against the Montana facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = Montana state average. Higher is better on all four CMS measures.
Where Intermountain Health Holy Rosary Hospital ranks in Montana
Among the 59 CMS-rated nursing homes in Montana, Intermountain Health Holy Rosary Hospital’s 2-star overall rating is higher than 20% of them. The bars show how all Montana homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
10 Montana homes share this 2-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 84 |
| Residents | 53 |
| Ownership | Non profit - Corporation |
| County | Custer |
| Penalties | 0 |
| Deficiencies | 18 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What do families ask most?
What is the quality rating for Intermountain Health Holy Rosary Hospital? ▾
Intermountain Health Holy Rosary Hospital has an overall CMS quality rating of 2 out of 5 stars, with a health inspection rating of 4/5, staffing rating of 1/5, and quality measures rating of 1/5.
How much does a nursing home cost per month in Montana? ▾
The median cost for a semi-private nursing home room in Montana is $8,973 per month ($107,675 annually). A private room averages $9,581 per month. Costs are from the CareScout 2025 survey.
What services does Intermountain Health Holy Rosary Hospital offer? ▾
With 84 beds with approximately 53 current residents, Intermountain Health Holy Rosary Hospital is a skilled nursing facility. It operates under non profit - corporation ownership, and CMS's inspection record shows 18 deficiencies and 0 penalties.
Does Intermountain Health Holy Rosary Hospital have any deficiencies or penalties? ▾
Intermountain Health Holy Rosary Hospital has multiple deficiencies (18 total) and 0 penalties recorded by CMS. A count this high is above what most facilities post; ask the facility directly for its plan of correction on the largest findings.
What are the alternatives to a nursing home in Montana? ▾
In Montana, alternatives include assisted living ($6,075/mo), home health aides ($7,245/mo), and adult day care ($5,783/mo).
Keep reading
Also see the Montana elder-care overview and highest-rated states. Provider ID: 275106.
Read our methodology - how this data is sourced, computed, and verified.