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Nursing HomeMedicaid Investigative

Continental Care and Rehabilitation

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

2400 Continental Dr, Butte, MT 59701100 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.6/5

based on 23 Google reviews

5
4
3
2
1
Continental Care and Rehabilitation Nursing Home in Butte, MT — Street View
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1/ 10
low Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • High staff turnover (64%)

Above average in MT · Below recommended RN staffing · Best in SWEETWATER CARE chain · $59,589 in fines

Source: Medicare data

What this means for your family

While the facility's therapy department receives some praise, the recurring reports of neglect, hygiene issues, and medication errors are significant red flags. If you are considering this facility, I strongly recommend conducting unannounced visits and asking specifically about their protocols for medication administration and resident hygiene.

Google Reviews

Google Reviews

23 reviews on Google
Continental Care and Rehabilitation receives highly polarized feedback, with some families praising the staff's professionalism and facility cleanliness while others report severe neglect and safety concerns. Recurring issues include inconsistent staffing levels, poor communication, and hygiene problems, particularly regarding the cleanliness of rooms and bedding. While some visitors appreciate the therapy services, the facility faces serious allegations regarding medication errors and the quality of care for vulnerable residents.

Quality Themes

Tap a score for details
Food3.0Staff5.0Clean4.0ActivitiesN/AMeds2.0Memory2.0Comms2.0ValueN/A

Strengths

  • Professional and friendly staff members
  • Effective physical and occupational therapy
  • Clean and organized facility environment
  • Helpful attitude during resident interactions

Concerns

  • Inconsistent or inadequate staffing levels (mentioned by 3 reviewers)
  • Poor communication and lack of return phone calls (mentioned by 2 reviewers)
  • Hygiene and cleanliness issues (urine smell, dirty bedding) (mentioned by 2 reviewers)
  • Medication management and order errors (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2343.72021(3)4.32022(8)3.72023(9)3.02024(2)2.02025(2)

Distribution · 24 analyzed

5
12
4
4
3
2
2
0
1
6

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1I've heard wonderful things about how professional and friendly your staff is; how do you ensure that same level of helpfulness is maintained during busy shifts?
  • 2What specific steps are being taken to ensure consistent communication between the nursing team and family members regarding updates or phone call returns?
  • 3Can you walk me through your protocols for medication management to ensure orders are always processed accurately and timely?
  • 4How does the facility manage daily cleanliness and laundry services to ensure a fresh and comfortable environment for all residents?
  • 5What does the dining experience look like for residents, and are there ways to provide input on meal variety and quality?
  • 6What is the daily activity schedule like for residents, and are there specific programs tailored for those needing extra engagement?

Personalized based on this facility's data


Key Review Excerpts

After initial three days and staff present to carry out orders the care improved greatly and PT and OT very good performing and treating my father.

Family member · 2023★★★☆☆

Lack of staffing, unclean bed rails, antibiotics we were told that he had been given( never was), horrible bed sores, broken tooth, lost glasses, catheter that became displaced from a fall that he had.

Family member · 2023☆☆☆☆

I feel so sorry for the residents who don’t have loved ones looking out for them. It’s heartbreaking when you see your mom who is blind with dementia treated so poorly!

Family member · 2022☆☆☆☆
Source: 23 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.78hrs
OK
Registered nurses for medical care
Total Nursing
3.80hrs
93%
All nurses + aides combined
Staff Turnover
58%
Lower is better (< 30% = good)
RN Turnover
25%
Lower is better (< 30% = good)

Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

11

measures

Worse Than Avg

4

measures

Mixed Results

2

measures

Long-Stay Residents
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility5.9%
Better than Avg
Here
5.9%
US
14.4%
MT
19.4%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility27.8%
Worse than Avg
Here
27.8%
US
15.5%
MT
20.0%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility7.2%
Better than Avg
Here
7.2%
US
15.3%
MT
19.1%
😔

Residents with depression symptoms

↓ Lower is better
This Facility14.5%
Worse than Avg
Here
14.5%
US
12.1%
MT
5.0%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility24.8%
Mixed vs Avgs
Here
24.8%
US
19.4%
MT
25.2%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility98.7%
Better than Avg
Here
98.7%
US
93.4%
MT
95.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility73.5%
Worse than Avg
Here
73.5%
US
79.8%
MT
73.8%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility81.7%
Better than Avg
Here
81.7%
US
81.8%
MT
79.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
MT
1.4%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

10deficiencies
1penalties
Near state avg (11.3)
14 complaint-triggered
$59,589 in fines

Continental Care and Rehabilitation has ongoing issues with care planning and assessment, nutrition services, and medication management appearing repeatedly across multiple surveys. Families have filed complaints leading to citations for inadequate staffing, medication errors, dietary problems, and safety hazards. While the facility corrects deficiencies when cited, the recurring pattern of similar problems—including care planning failures appearing in all recent surveys—suggests systemic challenges that persist despite corrections.

Mar 4, 2026Complaint
1
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

May 19, 2025Routine
18
0809Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0771Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Ensure that smoke control systems are tested and documented in accordance with established engineering principles.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0921Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0554Potential for harm · PatternCorrected

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

0578Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

0605Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0355Potential for harm · PatternCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0374Potential for harm · PatternCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0685Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Assist a resident in gaining access to vision and hearing services.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0293Potential for harm · IsolatedCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0911Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the installation and maintenance of electrical systems.

Oct 22, 2024Complaint
4
0808Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

0676Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

0725Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0740Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Aug 14, 2024Complaint
1
0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

May 20, 2024Routine
15
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0655Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0656Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0695Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0881Potential for harm · PatternCorrected

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0808Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

0222Potential for harm · IsolatedCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0291Potential for harm · IsolatedCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0325Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have properly installed hallway dispensers for alcohol-based hand rub.

0641Minimal · WidespreadCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

Feb 29, 2024Complaint
2
0808Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

0810Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

Federal Penalties

Fine

Jul 20, 2023

$59,589

Ownership & Operations

Who Operates This Facility

Owner / Operator

Continental Care and Rehabilitation

Organization Type

for profit

Chain Affiliation

Chain Name

Sweetwater Care

Chain Size

10 facilities nationwide

Chain avg rating: 2.8/5 · Rank 1 of 9 (Best)

Ownership & Management

Owners

Sweetwater Care Opco LLC

Owner (parent company) · Organization

100%

Key personnel

Plasschaert, GaryW-2 Managing EmployeeGamett, JamesOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 3 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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