Madison Valley Manor: Staffing, Turnover, and Inspection Record
Madison Valley Manor is a 32-bed government-run nursing home in Ennis, Montana. In the CMS August 2026 release it reported 3.18 nurse aide hours per resident per day, 24% above the Montana average of 2.57, and 61.3% nursing staff turnover (Montana average 54.8%).
Madison Valley Manor
211 N Main StEnnis, MT 59729
Madison County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Madison Valley Manor, nurse aides logged 3.18 hours per resident per day, 24% above the Montana average. With about 16 residents a day, that works out to roughly 51 aide hours a day, or about 6 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 4% below the all-days figure.
| Hours per resident per day | This home | Montana avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 3.18 | 2.57 | 2.32 |
| Licensed practical nurses | 0.37 | 0.50 | 0.86 |
| Registered nurses | 3.03 | 0.98 | 0.69 |
| All nursing staff | 6.58 | 4.05 | 3.86 |
| All nursing staff, weekends | 6.33 | 3.59 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
61.3% of nursing staff at Madison Valley Manor left over the year CMS measured, against a Montana average of 54.8% and a US average of 45.8%. Registered nurse turnover was 33.3%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on May 20, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 0 health deficiencies (Montana average 11.5). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Madison Valley Manor holds 5 of 5 overall; the Montana average is 2.9.
About Madison Valley Manor
- Ownership: Government - County
- Legal name: Madison County Finance
- Medicare and Medicaid certified since: Jul 1, 1991
- Councils: resident council
- Area: rural
Nursing homes near Madison Valley Manor
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Tobacco Root Mountains Care Center Sheridan · abuse citation | 23.5 | 39 | 4.65 | 7.05 | 72.7% | 1 | $22,205 |
| Gallatin Rest Home Bozeman · staffing data not validated | 40.3 | 69 | — | — | 62.7% | 2 | $55,413 |
| Pioneer Care and Rehabilitation Dillon | 44.3 | 87 | 2.58 | 3.69 | 85.3% | 2 | $138,054 |
| Southwest Montana Veterans Home Butte | 56.2 | 60 | 2.14 | 4.34 | 53.9% | 5 | None |
| Crest Nursing Home Butte | 57.3 | 103 | 2.10 | 3.33 | 53.2% | 5 | None |
| Continental Care and Rehabilitation Butte | 57.5 | 100 | 2.63 | 4.03 | 60.2% | 3 | None |
| Copper Ridge Health and Rehabilitation Center Butte | 57.5 | 186 | 1.98 | 3.33 | 45.8% | 4 | $9,311 |
| Livingston Health & Rehabilitation Center Livingston | 59.9 | 115 | 2.11 | 3.38 | 69.6% | 1 | $17,404 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.