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Nursing homeFAID #7524

Awe Kualawaache Care Center

10131 S HERITAGE RD, CROW AGENCY, MT, 59022
(406) 638-9111
40 licensed beds
★★★★★4/5CMS Five-Star overall5/5 health inspections4/5 staffing1/5 quality measuresSource: CMS Care Compare

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Public record summary

What we can show you for free.
Bed capacity
40
CMS facility ID
275153
Care type
Nursing home
County
Big Horn
Facility name
Awe Kualawaache Care Center
Street address
10131 S HERITAGE RD
City / state / ZIP
Crow Agency, MT 59022
Phone
(406) 638-9111

About this facility — Awe Kualawaache Care Center

Awe Kualawaache Care Center is a Medicare/Medicaid-certified skilled nursing facility in Crow Agency, Montana. It is licensed for 40 beds — below the median for skilled nursing facilities in Montana (75 beds).

It is one of 1 senior care facility in Crow Agency and 62 skilled nursing facilities across Montana. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Awe Kualawaache Care Center 36 times across 10 inspections in the last three years; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Ownership type
For profit - Individual

Registered owners & officers

Crow Tribe of Indians
Direct owner — 100% stake — since 1998
Health Management Services, Llc
Operational control — since 2010
Little Light, Paul
Managing employee — since 2015

Regulatory standing

Federal court records
1 naming this facility — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1998-06-09
CMS overall rating
4 of 5 stars
Health deficiencies
5 at the last standard inspection
Federal fines
None on record
Last standard inspection
2026-06-04
Nurse staffing
4.1 hours per resident per day

Services & coverage

Licensed beds
40
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

CleanNo food-safety or dietary citations in the last three years of federal inspections.
2026-06-04Health inspectionComplaint-triggered5 citations
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-06-26
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-06-26
F-0692
D · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2026-06-26
F-0757
D · No harm found
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2026-06-26
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2026-06-26
2025-05-08Health inspection2 citations
F-0628
D · No harm found
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-05-30
F-0880
F · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-05-30
6 earlier / fire-safety inspections (29 citations)
2024-12-04Health inspectionComplaint-triggered3 citations
F-0604
D · No harm foundFrom a complaint
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2024-12-30
F-0657
D · No harm foundFrom a complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-12-30
F-0726
D · No harm foundFrom a complaint
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2024-12-30
2024-07-30Health inspectionComplaint-triggered5 citations
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-08-23
F-0740
D · No harm foundFrom a complaint
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2024-08-23
F-0758
D · No harm foundFrom a complaint
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2024-08-23
F-0838
E · No harm foundFrom a complaint
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected 2024-08-23
F-0949
E · No harm foundFrom a complaint
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Corrected 2024-08-23
2024-04-25Health inspectionComplaint-triggered3 citations
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-05-16
F-0726
D · No harm foundFrom a complaint
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2024-05-16
F-0851
B · No harm found
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2024-05-16
2026-06-04Fire-safety inspection9 citations
K-0223
D · No harm found
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2026-07-24
K-0291
F · No harm found
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2026-06-25
K-0293
D · No harm found
Have properly located and lighted "Exit" signs.
Corrected 2026-06-25
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2026-07-24
K-0355
F · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2026-06-25
K-0741
F · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2026-06-25
K-0761
F · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2026-06-25
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2026-07-24
K-0921
F · No harm found
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2026-06-25
2025-05-08Fire-safety inspection4 citations
K-0223
D · No harm found
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2025-06-26
K-0291
F · No harm found
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-06-26
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-06-26
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-06-26
2024-04-25Fire-safety inspection5 citations
K-0324
F · No harm found
Provide properly protected cooking facilities.
Corrected 2024-05-16
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-05-16
K-0355
E · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-05-16
K-0374
E · No harm found
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-05-16
K-0911
E · No harm found
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2024-05-16
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 275153.

Inside your report

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Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 36 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
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Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered