Madison Valley Manor
211 N MAIN ST, Ennis, MT 59729
Ennis, Montana · CMS verdict
Madison Valley Manor's CMS overall star rating stands at 4 of 5, above the Montana state average (3.0) and reflecting above-average quality by the federal five-star measure.
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.
Madison Valley Manor in Ennis, Montana holds a CMS overall rating of 4 of 5 stars and a PlainElderCare Quality & Compliance Index of 60 of 100 (grade D). The 32-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.
PlainElderCare Quality & Compliance Index
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 4 of 5 stars. How this is calculated.
How the 60 is built
Each segment is a dimension's weighted points toward the score, summing to 60.
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.
Data insights
Quality ratings
CMS's most recent Care Compare release (data as of April 2026) puts Madison Valley Manor's overall quality rating at 4 out of 5 stars, a composite of three sub-ratings: health inspection (4/5), staffing (4/5), and quality measures (2/5).
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 Ennis, Montana, this facility operates 32 certified beds with an average daily census of roughly 20 residents - an occupancy rate of about 63%. The facility is classified under government - county 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.
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
The figures above come directly from the U.S. Centers for Medicare \& Medicaid Services Nursing Home Compare dataset for federal quality ratings, combined with the CareScout 2025 Cost of Care Survey of more than 15,000 elder-care providers nationwide and U.S. Census American Community Survey income data. Cost figures are monthly medians, refreshed annually with each new CareScout release; quality ratings are refreshed quarterly from the CMS Provider Information File. Read these state and county medians as benchmarks, then verify current rates with individual providers and consult care managers before making placement decisions. See our methodology for source vintage.
How Madison Valley Manor compares 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 Madison Valley Manor ranks in Montana
Among the 59 CMS-rated nursing homes in Montana, Madison Valley Manor’s 4-star overall rating is higher than 64% of them. The bars show how all Montana homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
11 Montana homes share this 4-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 32 |
| Residents | 20 |
| Ownership | Government - County |
| County | Madison |
| 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 Madison Valley Manor? ▾
CMS rates Madison Valley Manor at 4 out of 5 stars overall. The three sub-ratings behind that number: health inspection 4/5, staffing 4/5, quality measures 2/5.
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 Madison Valley Manor offer? ▾
Madison Valley Manor operates as a skilled nursing facility (32 beds with approximately 20 current residents) under government - county ownership. CMS inspections have recorded 18 deficiencies and 0 penalties there.
Does Madison Valley Manor have any deficiencies or penalties? ▾
Madison Valley Manor 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).
Elder Care Guides
Explore PlainElderCare
Related Resources
Compare cost and CMS quality across the state on the Montana elder-care overview, or see how facilities rank nationwide in our highest-rated states ranking.
Weigh nursing care against assisted living, home health, and adult day care, with national median costs, on our care types comparison, and learn how to fund it in our paying for elder care guide.
Source: CMS Nursing Home Compare. Provider ID: 275136.
Read our methodology - how this data is sourced, computed, and verified.