a product by 3G Healthcare Real EstateExclusively SNF sell-side advisors
Skilled nursing facility · CMS certified · CCN 275121

Sidney Health Center Extended Care

104 14th Ave Nw, Sidney, MT 59270 · Richland County · one of 61 skilled nursing facilities in Montana
93
certified beds
1 / 5
overall CMS rating
Nonprofit
ownership type
44.8%
occupancy, Oct 2026: 42 residents a day · Montana 69.3%
1.09
case mix, 0.77x the national average
4.26
nurse hours per resident day · Montana 4.05
What if · run the numbers

There is no full-year Medicare cost report on file for this building, so there is nothing to start the calculator from.

Try it on the example building ›
How Sidney Health Center Extended Care compares

Richland County has 0 other certified buildings, too few to compare, so this is against Montana. 61 buildings.

Better than most of Montana on 2 of 8 lines.

Occupancy, Oct 202644.8%Behind mostHigher than 6 of the 58 other buildings in Montana

Residents on an average day as a share of certified beds, from CMS's monthly census. The middle of the set: 70.0%. Source: CMS monthly provider files, Oct 2026.

Nurse hours per resident day4.26Better than mostHigher than 38 of the 57 other buildings in Montana

Nurse and aide hours for each resident, each day, from CMS payroll records. The middle of the set: 3.84. Source: CMS monthly provider files, Oct 2026.

Overall CMS rating1 / 5Behind mostLevel with 12 of the 58 other buildings in Montana; the other 46 are ahead

CMS's overall star rating, set from inspections, staffing and quality measures. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Health inspection rating1 / 5Behind mostLevel with 10 of the 58 other buildings in Montana; the other 48 are ahead

CMS's star rating for the building's recent health inspections. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Staffing rating4 / 5Mid-packHigher than 23 of the 58 other buildings in Montana, level with 23

CMS's star rating for nurse staffing levels and turnover. The middle of the set: 4 / 5. Source: CMS Provider Information, Oct 2026 file.

Quality measures rating1 / 5Behind mostLevel with 7 of the 58 other buildings in Montana; the other 51 are ahead

CMS's star rating for resident-care quality measures. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

RN hours per resident day0.89Better than mostHigher than 31 of the 57 other buildings in Montana

Registered nurse hours for each resident, each day. The middle of the set: 0.85. Source: CMS Provider Information, Oct 2026 file.

Deficiencies cited21Behind mostFewer than 7 of the 60 other buildings in Montana

Health deficiencies cited at the building's most recent standard survey. Fewer is better. The middle of the set: 12. Source: CMS Provider Information, Oct 2026 file.

From its cost report and Medicaid rate, against Montana
Net margin00.0%

Opens with a free account

Medicaid share of days00.0%

Opens with a free account

Medicaid rate$000

Opens with a free account

Tap a line for what it measures and the middle of the set. Each count leaves this building out. Source: CMS monthly provider files, Oct 2026; CMS Provider Information, Oct 2026 file.

What’s your building worth?

Contact 3G to maximize proceeds. A free valuation from Stan or Christian, built from this building’s record, in a confidential conversation with no obligation.

Get my free valuation
Street view of Sidney Health Center Extended Care
Google Street View · opens in Maps
Street View
104 14th Ave Nw, Sidney, MT
Map around Sidney Health Center Extended Care
Map · Richland County
Richland County, Montana
1 skilled nursing facility; average overall rating 1.0, Montana 2.9.
See how Richland County compares ›
Cost report, against Montana
Each line is what this building filed with Medicare for its latest full year, beside the middle building in Montana. The rank counts from the top: 1st is the highest figure among Montana's filing buildings on that line, out of the buildings that filed it. The arrow beside a figure compares it with the building's own full year before: green is better, red is worse, grey is neither. Shares and margins move in points. A line standing on fewer than 20 filings is not ranked. Operating expense is the cost report's own operating line. Net income also counts income and expense outside patient care, such as investment income, rentals and donations, which is why it is not patient revenue minus that line.
Medicare cost reports, as filed

No full-year Medicare cost report on file for this building for FY2024 to FY2025. What the buildings in Montana that did file reported is below.

Line
State median
Reports
OccupancyPatient days as a share of available bed days, both off Worksheet S-3 Part I.
69.2%
31
Medicare share of daysTraditional Medicare days as a share of all patient days, off Worksheet S-3 Part I.
8.3%
43
Medicaid share of daysMedicaid days as a share of all patient days, off Worksheet S-3 Part I.
63.2%
38
Patient revenue per patient dayNet patient revenue off Worksheet G-3, divided by patient days off Worksheet S-3 Part I. Blended across every payer.
$371
41
Operating expense per patient dayTotal operating expense off Worksheet G-3, divided by patient days. Net income also counts income and expense outside patient care, such as investment income, rentals and donations, which is why it is not patient revenue minus this line.
$394
42
Net income per patient dayNet income off Worksheet G-3, divided by patient days.
$17
43
Net marginNet income off Worksheet G-3 over net patient revenue off the same worksheet.
4.9%
41
Quality and staffing
CMS Care Compare · Oct 2026
Overall rating1 / 5 · state 2.9
Health inspection1 / 5 · state 2.8
Staffing4 / 5 · state 3.5
RN hours per resident per day0.89 · state 0.92
Overall rating, last 8 quarters
054Q3’245Q4’243Q1’253Q2’253Q3’253Q4’251Q1’261Q2’26latest
down 3 stars over the 8 quarters shown

CMS sets the overall star rating from health inspections, staffing and quality measures. The occupancy percentage is not the star rating. Occupancy compares average residents with certified beds. Certified beds can include beds the home chooses not to fill; this figure does not tell us why beds are unused.

Resident care
CMS quality measures · 2025Q3 to 2026Q2 · Oct 2026
measurethis buildingMontananationrecent quarters
Needed more help with daily activities25.3%worse than state18.5%13.5%2025Q2: 20.5%2025Q3: 22.5%2025Q4: 34.2%2026Q1: 21.2%2026Q2: 23.1%
20.5% → 23.1%
Q2’25 to Q2’26
Catheter inserted and left in1.6%better than state2.0%0.7%2025Q2: 0.0%2025Q3: 1.9%2025Q4: 4.2%2026Q1: 0.0%2026Q2: 0.0%
0.0% → 0.0%
Q2’25 to Q2’26
Urinary tract infection6.3%worse than state3.0%1.5%2025Q2: 2.4%2025Q3: 5.0%2025Q4: 2.4%2026Q1: 5.4%2026Q2: 12.2%
2.4% → 12.2%
Q2’25 to Q2’26
Fall with major injury6.7%worse than state4.4%3.2%2025Q2: 7.0%2025Q3: 9.1%2025Q4: 7.3%2026Q1: 2.7%2026Q2: 7.3%
7.0% → 7.3%
Q2’25 to Q2’26
Newly given an antipsychotic (short stay)too few residents to report1.2%1.5%too few quarters to chart
Ability to walk independently worsened11.8%better than state16.1%12.7%2025Q3: 13.0%2026Q1: 12.2%2026Q2: 11.5%
13.0% → 11.5%
Q3’25 to Q2’26
Pressure ulcers8.4%worse than state6.2%4.5%2025Q2: 4.9%2025Q3: 5.2%2025Q4: 8.9%2026Q1: 10.1%2026Q2: 9.5%
4.9% → 9.5%
Q2’25 to Q2’26
Given an antipsychotic21.5%worse than state20.7%15.4%2025Q2: 20.6%2025Q3: 25.7%2025Q4: 21.9%2026Q1: 24.2%2026Q2: 14.3%
20.6% → 14.3%
Q2’25 to Q2’26

Each figure is the share of residents, so lower is better. The building's figure, the state's and the nation's are CMS's four-quarter averages; the small bars are single quarters, which move more than the average does.

Surveys and enforcement
CMS health inspections
Dec 2025
last standard survey
21
deficiencies cited · Montana avg 13.1
$60,401
fines, last 3 years
Not reported
CMS affiliation

CMS groups homes with shared ownership or management. An affiliation does not establish that a chain owns this building.

Medicaid in Montana
state rate files
$291
median daily rate across the Montana buildings in our rate book, Jul 2026 file
Richland County
buildingbedsoverallSidney Health Center Extended Care931 / 5
Montana at a glance
61
buildings
4,997
licensed beds
69%
occupancy
57%
for-profit
The neighborhood
Street map © OpenStreetMap · satellite © Esri · pins: CMS Care Compare · loads as you reach it
Nearby skilled nursing
buildingbedsoveralloccupancyBethel Lutheran Nursing & Rehabilitation CenterWilliston · 39.4 mi903 / 570-85%Mckenzie County Healthcare Systems Long Term CareWatford City · 42.2 mi424 / 5over 85%Eastern Montana Veterans HomeGlendive · 47.5 mi803 / 5under 70%Glendive Medical Center N HGlendive · 48.3 mi364 / 5over 85%Wibaux County Nursing HomeWibaux · 50.9 mi402 / 570-85%Hill Top Home of Comfort IncKilldeer · 70.0 mi602 / 5over 85%
The map and the list carry the same facts, from SNFRadar's system.
About this data
What is the CMS overall rating of Sidney Health Center Extended Care?
Sidney Health Center Extended Care in Sidney, MT carries an overall CMS rating of 1 out of 5 stars in the Oct 2026 CMS file.
How many beds does Sidney Health Center Extended Care have?
Sidney Health Center Extended Care is certified for 93 beds in the Oct 2026 CMS file.
How full is Sidney Health Center Extended Care?
CMS's reported average residents put Sidney Health Center Extended Care's occupancy in the under 70% band in the Oct 2026 CMS file.
Source: CMS Provider Information, Care Compare and Payroll-Based Journal staffing · CMS files dated October 2026.
Published by 3G Healthcare Real Estate, skilled nursing advisors. Authors: Stan Klos III, Founder · Christian Patrick, President.
Own or operate this building?
See the full read and watch it, free.

Source: CMS Provider Information and Care Compare, Oct 2026 files. Tracked every month in SNFRadar's system.