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Nursing homeFAID #7499

Continental Care and Rehabilitation

2400 CONTINENTAL DR, BUTTE, MT, 59701
(406) 723-6556
100 licensed beds

CMS rates Continental Care and Rehabilitation 3 out of 5 overall. Federal inspectors issued 50 citations across 11 inspections in the last three years, with $27,405 in fines. Listing last updated 2026-11-06.

★★★★★3/5CMS Five-Star overall3/5 health inspections4/5 staffing4/5 quality measuresSource: CMS Care Compare

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What we can show you for free.
Bed capacity
100
CMS facility ID
275103
Care type
Nursing home
County
Silver Bow
Facility name
Continental Care and Rehabilitation
Street address
2400 CONTINENTAL DR
City / state / ZIP
Butte, MT 59701
Phone
(406) 723-6556

Continental Care and Rehabilitation is a Medicare/Medicaid-certified skilled nursing facility in Butte, Montana. It is licensed for 100 beds — above the median for skilled nursing facilities in Montana (75 beds).

It is one of 14 senior care facilities in Butte 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 Continental Care and Rehabilitation 50 times across 11 inspections in the last three years, including 8 food-safety citations, and CMS has imposed $27,405 in fines. 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 November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Parent company
Sweetwater Care
Ownership type
For profit - Limited Liability company

Registered owners & officers

Sweetwater Care Opco Llc
Indirect owner — 100% stake — since 2019
Gamett, James
Officer — since 2019
Plasschaert, Gary
Managing employee — since 2019

Regulatory standing

Licensed / certified since
1984-12-01
CMS overall rating
3 of 5 stars
Health deficiencies
6 at the last standard inspection
Federal fines
$27,405 total
Last standard inspection
2026-06-04
Nurse staffing
4.3 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$384 per day (≈ $11,670/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
59% Medicaid · 16% Medicare · 24% private/other
Occupancy
65% (fiscal year 2023)
Vs. state median
8% above the MT median of $355/day — full state cost breakdown

Services & coverage

Licensed beds
100
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 8 food-safety citations on its three-year record — flagged below among the inspections.
2026-06-04Health inspectionComplaint-triggered5 citations
F-0584
D · No harm found
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2026-06-30
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 2026-05-11
F-0627
D · No harm foundFrom a complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected 2026-06-30
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 2026-06-30
F-0690
G · Actual harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2026-06-30
2026-03-04Health inspectionComplaint-triggered1 citation
F-0812
F · No harm foundFood safetyFrom a complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-04-06
8 earlier / fire-safety inspections (44 citations)
2025-05-19Health inspection9 citations
F-0554
E · No harm found
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2025-06-26
F-0578
E · No harm found
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.
Corrected 2025-06-26
F-0605
E · No harm found
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2025-06-26
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2025-06-26
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 2025-06-26
F-0685
D · No harm found
Assist a resident in gaining access to vision and hearing services.
Corrected 2025-06-26
F-0689
E · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-06-26
F-0809
F · No harm foundFood safety
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.
Corrected 2025-06-26
F-0842
D · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-06-26
2024-10-22Health inspectionComplaint-triggered4 citations
F-0676
D · No harm foundFrom a complaint
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2024-11-26
F-0725
D · No harm foundFrom a complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-11-26
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 2024-11-26
F-0808
E · No harm foundFood safetyFrom a complaint
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.
Corrected 2024-11-26
2024-08-14Health inspectionComplaint-triggered1 citation
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-09-05
2024-05-20Health inspection10 citations
F-0641
C · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2024-06-25
F-0655
E · No harm found
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-06-25
F-0656
E · 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 2024-06-25
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 2024-06-25
F-0695
E · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-06-25
F-0804
E · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-06-25
F-0808
D · No harm foundFood safety
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.
Corrected 2024-06-25
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-06-25
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-06-25
F-0881
E · No harm found
Implement a program that monitors antibiotic use.
Corrected 2024-06-25
2024-02-29Health inspectionComplaint-triggered2 citations
F-0808
D · No harm foundFood safetyFrom a complaint
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.
Corrected 2024-03-27
F-0810
D · No harm foundFood safetyFrom a complaint
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected 2024-03-27
2026-06-04Fire-safety inspection4 citations
K-0211
E · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2026-08-28
K-0271
E · No harm found
Have exits that are accessible at all times.
Corrected 2026-08-28
K-0355
E · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2026-08-28
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2026-08-28
2025-05-19Fire-safety inspection9 citations
K-0293
D · No harm found
Have properly located and lighted "Exit" signs.
Corrected 2025-06-26
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-06-26
K-0355
E · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-06-26
K-0363
D · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2025-06-26
K-0374
E · No harm found
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2025-06-26
K-0771
F · No harm found
Ensure that smoke control systems are tested and documented in accordance with established engineering principles.
Corrected 2025-06-26
K-0911
D · No harm found
Meet requirements for the installation and maintenance of electrical 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
K-0921
F · No harm found
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-06-26
2024-05-20Fire-safety inspection5 citations
K-0222
D · No harm found
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.
Corrected 2024-06-18
K-0291
D · No harm found
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-06-18
K-0325
D · No harm found
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2024-06-18
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-06-18
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2024-06-18

Federal penalties

2026-06-04Fine$27,405
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 275103.
How it compares in Montana.
Inspection citations, 3 years
50
More than 63% of nursing homes in the state
State median: 41
Federal fines, 3 years
$27,405
More than 50% of nursing homes in the state
State median: $27,405
Nurse staffing, hours per resident per day
4.3
Higher than 68% of nursing homes in the state
State median: 3.8
Nursing staff turnover, annual
65%
Higher than 78% of nursing homes in the state
State median: 56%

Resident outcomes

On 21 federal quality measures, this facility does better than the Montana average on 8 and worse on 6. Differences within 10% of the average are shown as near average.

Long-stay residentsThis facilityStateUSCompared with state
Need for help with daily activities has increased6.3%18.5%13.5%Better than state
Lose too much weight10.3%6.4%5.1%Worse than state
With a catheter inserted and left in their bladder0.2%2.0%0.7%Better than state
With a urinary tract infection1.6%3.0%1.5%Better than state
Have depressive symptoms15.8%6.3%13.5%Worse than state
Were physically restrained0.0%0.6%0.1%Better than state
Experiencing one or more falls with major injury4.2%4.4%3.2%Near state average
Assessed and appropriately given the pneumococcal vaccine98.8%96.7%93.7%Near state average
Ability to walk independently worsened3.6%16.1%12.7%Better than state
Received an antianxiety or hypnotic medication14.4%15.4%19.5%Near state average
Assessed and appropriately given the seasonal influenza vaccine100.0%94.0%95.3%Near state average
With pressure ulcers3.3%6.2%4.5%Better than state
With new or worsened bowel or bladder incontinence23.5%22.1%18.3%Near state average
Received an antipsychotic medication25.0%20.7%15.4%Worse than state
Hospitalizations per 1000 long-stay resident days1.641.391.81Worse than state
Outpatient emergency department visits per 1000 long-stay resident days2.332.081.69Worse than state
Short-stay residentsThis facilityStateUSCompared with state
Assessed and appropriately given the pneumococcal vaccine88.5%84.1%82.3%Near state average
Newly received an antipsychotic medication1.3%1.2%1.5%Near state average
Were assessed and appropriately given the seasonal influenza vaccine90.2%76.7%80.1%Better than state
Were rehospitalized after a nursing home admission14.8%20.2%23.4%Better than state
Had an outpatient emergency department visit24.0%13.1%11.8%Worse than state
Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

  • F-0808 3 inspections. 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.
  • K-0355 2 inspections. Properly select, install, inspect, or maintain portable fire extinguishes.
  • K-0712 2 inspections. Have simulated fire drills held at unexpected times.
  • F-0812 2 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  • F-0641 2 inspections. Ensure each resident receives an accurate assessment.
  • F-0656 2 inspections. Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

What its owners also hold

  • Sweetwater Care Opco Llc has an ownership stake on file at 6 nursing homes, averaging 2.4 of 5 on CMS's overall rating.
Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.
Where to check, and what's nearby.

Who to contact in Montana

  • Licensing: Montana Department of Public Health and Human Services, Office of Inspector General, Certification Bureau
  • File a complaint: Online
  • Long-Term Care Ombudsman: 800-332-2272. A free advocate for residents and families.
  • Adult Protective Services: 844-277-9300. Some states send facility cases to licensing instead. In an emergency, call 911.
  • Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

  • St James Hospital, about 3.0 miles. CMS rating 2 of 5.
  • Community Hospital of Anaconda, about 24 miles. CMS rating 5 of 5.
  • Ruby Valley Medical Center, about 40 miles.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

What people say on Google.
3.625 ratings on Google
★★Robert Panzer · 2026-07-18 · via Google

“This place does not have air conditioning.”

★Brenda Cortese · 2022-12-03 · via Google

“Don’t bring your loved one to this place. When I get my mom out I’ll write another review! Office staff seem so nice at first but that changes. 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!😢 Some of the employees are nice and some don’t care at all. The experience with Cont…”

★★★cara enriquez · 2023-03-13 · via Google

“I don’t recommend entering on weekend. Lack of staff and confusion in reading and performing of doctor release not carried out. 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.”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google
What unlocks when you order.

Ownership & corporate history

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

Inspection citations — last 5 years

Locked
The 50 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
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-11-06
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
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