The Ivy at Great Falls

    1130 17th Ave S, Great Falls, MT, 59405
    3.4 · 35 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    2.0

    Wonderful staff, serious staffing problems

    I found many genuinely caring, cheerful staff, excellent nurses (Erin, Tiana), strong therapy and activities, and a welcoming admissions team. However, chronic understaffing, slow/no response to call lights, delayed meds/procedures, safety and hygiene concerns, and missing belongings/poor communication make me wary of long-term or high-dependency care here. In short: wonderful people doing their best in a facility with serious staffing/management problems-good for short rehab, not ideal for full-time skilled care.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Coordination with health care providers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Special dietary restrictions

    Room

    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Telephone
    • Wifi

    Transportation

    • Transportation arrangement (medical)
    • Transportation to doctors appointments

    Common areas

    • Beauty salon
    • Dining room
    • Garden
    • Outdoor space

    Community services

    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Scheduled daily activities

    3.40 · 35 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.3
    • Staff

      3.5
    • Meals

      5.0
    • Amenities

      2.6
    • Value

      1.0

    Pros

    • Helpful and kind front-line staff (CNAs, nurses)
    • Strong therapy/rehab department
    • Attentive physical therapists and nurses
    • Supportive and proactive social worker
    • Good communication and frequent family updates (in many cases)
    • Smooth admissions process and welcoming admissions staff
    • Specific staff praised by name (e.g., Erin, Tiana, Kim)
    • Clean and tidy rehab and some long-term care units
    • Residents engaged and encouraged to participate in activities
    • Family-involved and well-run activities programming
    • Transparent help with Medicare and discharge planning
    • Perceived strong HIPAA/privacy protections
    • Many reviewers would recommend for rehab/skilled nursing
    • Accessible and approachable staff when available
    • Home-like feel reported in some units
    • Improved building appearance noted by some reviewers
    • Professional and respectful demeanor from many employees
    • Smooth recoveries and thorough care reported by several families
    • Safe care and resident rights protection reported
    • Overall instances of excellent, top-notch caregiving

    Cons

    • Chronic short-staffing and understaffed shifts
    • Slow or delayed nurse-call responses
    • Reports of one nurse per floor and high CNA ratios (claims of ~30 patients per CNA)
    • Inconsistent or poor management and scheduling problems
    • Allegations of hygiene neglect (infrequent bathing, irregular shaving)
    • Belongings and electronics reported missing
    • Reports of dark, lonely rooms and removed televisions
    • Poor or inconsistent communication for some families (long hold times, hung-up calls)
    • Serious safety concerns reported (falls, catheter delays, bladder infections)
    • Quality varies by unit — memory care cited for decline and poor care
    • Claims of inhumane or abusive treatment from some reviewers
    • Run-down facility or minimal supplies reported by some families
    • Pain medications not administered on time in some instances
    • Staff perceived as poorly trained or overworked
    • Inconsistent room readiness and non-working room equipment/phones/clocks
    • Unannounced visits yielding negative impressions
    • Mixed experiences with contract staffing and scheduling
    • Telephones and other communications not functioning reliably
    • Some reviewers strongly do not recommend the facility
    • Reports of staff making insensitive comments to families/residents
    • Removal or lack of TVs and entertainment in certain rooms
    • Life-skills program or Alzheimer unit policies seen as problematic
    • Discrepancy between skilled nursing praise and long-term care complaints
    • Instances of belongings/photos missing from rooms
    • Variable maintenance/cleanliness across different units

    Summary review

    Overall impression: The reviews for The Ivy at Great Falls are highly polarized, with a substantial number of reviewers praising the rehab/skilled nursing services and individual staff members, while others report serious, recurring problems—particularly in long-term memory care areas. Many families and former residents describe excellent short-term rehabilitation outcomes, strong therapy services, attentive nurses and physical therapists, and a seamless admissions experience. Conversely, other reviewers describe chronic understaffing, hygiene neglect, missing personal items, and safety concerns. The net sentiment therefore depends heavily on which unit, shift, and staff members a resident encounters.

    Care quality and clinical concerns: Clinical care reports are mixed but notable for patterns. Several reviewers describe exceptional skilled nursing and rehabilitation care—thorough therapy, smooth recoveries, and staff who seem to protect residents' rights. At the same time, multiple reviewers raise alarms about inadequate basic caregiving in certain units: not bathing residents, irregular shaving, slow or missed pain medications, and delayed catheterization leading to infections. Falls and bladder infections are specifically mentioned as safety outcomes tied to staffing and responsiveness issues. The result is an inconsistent standard of care where rehab/skilled stays are often positive but long-term and memory care appear more vulnerable to neglect and decline in several accounts.

    Staffing, responsiveness, and safety: Understaffing is one of the most consistent negative themes. Reviewers report long waits for call lights to be answered, claims of only one nurse per floor, and extremely high CNA-to-resident ratios in some comments. These staffing shortages are linked in reviews to delayed clinical interventions (e.g., catheterization), missed hygiene care, and potential safety events (falls, infections). Some families explicitly characterize staff as overworked and under-appreciated but still caring; others describe staff as poorly trained or inattentive. There are also positive counterexamples where nurses, CNAs, and therapists are described as kind, attentive, and effective—highlighting serious variability by shift and unit.

    Facilities, rooms, and supplies: The state of the physical plant and in-room amenities is described variably. Several reviewers praise clean, spacious rooms and an improved building appearance in parts of the facility, especially rehab units. Other reviews characterize rooms as dark, lonely, or missing televisions, and complain about run-down conditions and minimal supplies. There are repeated reports of non-working phones, clocks, or other room readiness issues. The divergence in facility condition between units contributes to the broader pattern of uneven resident experience.

    Activities, therapy, and social engagement: A clear strength in many reviews is the activity and therapy programming. Multiple reviewers say residents are more engaged, encouraged to participate, and enjoy family-involved activities. Therapy staff frequently receive praise (“therapy department rocks”) for facilitating good recoveries and supporting residents’ functional gains. Social work is also singled out in positive accounts for being proactive and helpful with Medicare and discharge coordination.

    Communication and management: Communication and management receive mixed assessments. Several families report transparent, frequent updates and an admissions director who makes the process smooth. Others report poor communication, long hold times, calls unanswered or hung up, and difficulty getting reliable information—comments that suggest administrative inconsistency. Specific staff members are praised by name (e.g., Erin, Tiana, Kim), which indicates pockets of strong leadership and caregiving amid broader management concerns. Reviewers also raise issues with scheduling, contract staff reliability, and perceived indifference by some managers.

    Patterns and notable contradictions: The strongest pattern is the split between highly positive experiences—generally associated with short-term rehab and specific staff members—and severely negative experiences that center on chronic understaffing, hygiene neglect, missing belongings, and poor management, often described in the context of long-term or memory care. Many families explicitly say they would recommend Ivy for rehab/skilled nursing, while others explicitly say they would not send loved ones there for long-term or memory care. The recurring reports of missing personal items, removed televisions, and dark rooms compound concerns about dignity and quality of life for long-stay residents.

    Final assessment: If a family is considering The Ivy at Great Falls, the reviews suggest this facility can deliver strong short-term rehabilitation and has many compassionate, skilled individuals on staff. However, the variability is substantial—staffing shortages, inconsistent management, and reports of neglect in certain units are significant red flags. Prospective families should (a) ask specific, current questions about staffing ratios on the unit and shifts that will cover their loved one, (b) request to visit the specific unit and room at multiple times of day (unannounced visits were revealing for some reviewers), (c) meet therapy and nursing staff they’ll interact with, and (d) inquire about policies for personal belongings, call-response times, and infection prevention. These steps can help determine whether a given unit and team at Ivy align with an individual resident’s needs.

    Location

    Map showing location of The Ivy at Great Falls

    About The Ivy at Great Falls

    The Ivy at Great Falls is a large nursing home in Great Falls, Montana, that has 278 beds and offers both short-term rehabilitation and long-term nursing care for seniors, and although it's not a continuing care retirement community, it does have memory care services for people with Alzheimer's and dementia, and the building is carefully monitored with activities designed to keep residents engaged while staff provide individualized wellness care and help with daily needs. The facility focuses on creating a safe and caring environment, brings in qualified healthcare professionals, and provides tailored rehabilitation if someone needs help recovering after surgery or an injury, with flexible respite care available by the day, week, or month. Although The Ivy at Great Falls has these services and says it aims for high standards, the facility has faced serious challenges over the years, having been cited by federal agencies multiple times for deficiencies in healthcare and fire safety, and after inspections in October 2023, January 2024, and March 2024, inspectors found 20, 3, and then 12 different deficiencies, respectively. Because of ongoing quality issues, the Ivy at Great Falls got put on the State-Focus Facility program list, which is meant to help places with chronic problems improve, but after failing to meet those requirements-like not achieving "graduation" status in the last inspection-it lost its certification for both Medicare and Medicaid, and the federal government fined the home $17,872 after the October 2023 inspection. With a provisional state license to help residents move out safely and programs like temporary management and transitional support in place, the facility is right now working on moving residents elsewhere, and while the Ivy participates in the Money Follows the Person program to support Medicaid residents who want to return to more community-based living, right now it can't take new residents through the main federal health programs. The Ivy at Great Falls doesn't provide a lot of public details about its services or features beyond what's listed, but it's known as a for-profit, corporate-owned facility that says it wants to offer personalized and supportive care for seniors facing various health needs.

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