Madison Valley Manor
211 N MAIN ST, Ennis, MT 59729
Ennis, Montana · CMS verdict
Madison Valley Manor's CMS overall star rating runs above the Montana state average (3.0) and reflects 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). Its CMS inspection record lists multiple deficiencies. Figures are from CMS Nursing Home Compare.
Quality & Compliance Index (thinner bed book)
Its certified bed capacity sits in the lower U.S. bed tercile (≤80). 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 star rating shown at the top of the page. 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.
Madison Valley Manor's thinner certified-bed book
Quality ratings
CMS's most recent Care Compare release (data as of April 2026) scores Madison Valley Manor on three sub-ratings that roll up into the overall star: health inspection, staffing, and quality measures. Each is charted against the Montana average below.
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. Bed capacity and average daily census, where CMS reports them, are in Facility details below. Its ownership type, listed in Facility details, 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; the counts are in Facility details below. 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 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. How its three sub-ratings compare with the Montana average is charted above.
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? ▾
CMS classifies Madison Valley Manor as a skilled nursing facility. Care Compare does not itemize the services on offer; the facility itself is the source for that, and its capacity, census, and ownership are listed in Facility details above.
Does Madison Valley Manor have any deficiencies or penalties? ▾
Madison Valley Manor has multiple deficiencies and no penalties recorded by CMS; the counts are in the Facility details table. 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: 275136.
Read our methodology - how this data is sourced, computed, and verified.