Granite Peak Home Health
A home health agency in Miles City, Montana 59301
2909 Wilson St, Miles City, Montana 59301. (406) 874-5134.
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The short answer
Record last released by CMS on Oct 21, 2026.
- 2of 5 quality of patient care rating
- 4of 5 patient survey rating
- 1 deficiencies cited in the last three years
Each figure’s source sits beside it, in its section below.
What these words mean3
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
What did inspectors find?
The last inspection on record was on May 22, 2024: a recertification inspection.
1 deficiency cited in the last three years.
CMS, QCOR home health inspection reports. Released Oct 20, 2026. Updated monthly.
When those deficiencies happened
1 deficiency in 1 month of the last 36. Last cited May 2024. Most serious: Standard-level. The last 3 years, to Oct 24, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Nov | Dec | ||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each deficiency, as cited
Rule titles as CMS’s inspectors cite them, set in sentence case.
CMS, QCOR home health inspection reports. Released Oct 20, 2026. Updated monthly.
May 22, 2024: recertification inspection1 deficiency
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Infection Prevention
The inspectors’ words, 365 words
“Infection Prevention CFR(s): 484.70(a) Standard: Infection Prevention. The HHA must follow accepted standards of practice, including the use of standard precautions, to prevent the transmission of infections and communicable diseases. This Standard is not met as evidenced by: Based on observation and interview, the agency failed to develop and implement policies and procedures which included infection control prevention during medication management; and failed to adhere to infection control prevention while handling medications for one (#3) of three sampled home visit patients. This deficient practice had the potential to affect all patients cared for by the agency. Findings include: During an observation on 5/22/24 at 9:37 a.m., staff member D had just finished typing information on her laptop computer. Staff member D did not sanitize her hands and don gloves after typing on her computer. Staff member D picked up a medication bottle from patient #3’s plastic bin, which held multiple medications. Staff member D poured the pills from the bottle into her bare hand, picked up the individual pills from her bare hand, then placed them into the days of the week in the pill organizer. After this first bottle of medication was dispersed, staff member D sanitized her hands and continued to fill the organizer with additional medications, again pouring the pills into her bare hand. During an observation on 5/22/24 at 9:43 a.m. staff member D individually removed whole medications from their original container, broke them into two pieces (split in half) with her fingernails, then placed them into a medication organizer. This process was completed with ungloved hands and the absence of a pill cutter. Staff member D continued until all medications were placed into the weekly medication organizer. During an interview on 5/22/24 at 10:12 a.m., staff member D stated when dispensing medication into patients’ organizers, she did not use gloves, but sanitized her hands before the process. She stated she had thumb joint issues and had a hard time “feeling” things when wearing gloves. During an interview on 5/22/24 at 10:24 a.m., staff member A and staff member B stated they did not currently have a policy and procedure which addressed infection control prevention related to the handling of medications.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| May 22, 2024 | Recertification inspection | 1 deficiency cited |
Is it certified?
- Medicare-certified home health agency since Dec 7, 1994.
- Ownership: proprietary (for profit).
- No For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual. deficiency on record in the last three years.
CMS, Home Health Care Agencies. Released Oct 21, 2026. Updated quarterly.
CMS, QCOR home health inspection reports. Released Oct 20, 2026. Updated monthly.
Has anything been proven against it?
- CMS doesn’t publish fines or other penalties for home health agencies, so none are shown.
- 0 deficiencies cited in the last three years came from inspections that included a complaint investigation.
CMS, QCOR home health inspection reports. Released Oct 20, 2026. Updated monthly.
Who does the caring?
- Offers nursing care, physical therapy and home health aide services.
- Doesn’t offer occupational therapy, speech pathology and medical social services.
- CMS doesn’t publish staffing levels for home health agencies.
CMS, Home Health Care Agencies. Released Oct 21, 2026. Updated quarterly.
Who owns it?
- Sweetwater Care Resource LLC owns 100% directly since May 1, 2024.
- 5 owners or officers are people: Aaron Chesley (owns 5% or more through other companies, 50%); James B Gamett (owns 5% or more through other companies, 50%); Allyson Cross (managing employee (on the payroll)); Aaron Chesley (corporate officer); James B Gamett (corporate officer).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, Home Health Agency All Owners and Home Health Agency Enrollments. Released Sep 29, 2026. Updated quarterly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Sweetwater Care Resource LLC | Owns 5% or more directly | 100% | May 1, 2024 |
| Ajc Healthcare LLC | Owns 5% or more through other companies | 50% | May 1, 2024 |
| JBG Partners LLC | Owns 5% or more through other companies | 50% | May 1, 2024 |
How do patients fare?
- CMS rates its quality of patient care 2 of 5.
- Patients rate it 4 of 5 in CMS’s patient survey (54 surveys completed): 87% rated it 9 or 10 out of 10, and 79% would definitely recommend it.
- CMS compares it with the national rate: discharged to the community, the same; potentially preventable hospital stays, the same; potentially preventable readmissions after discharge, the same.
CMS, Home Health Care Agencies and Home Health Patient Survey. Released Oct 21, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Quality of patient care ratingCMS star rating, 1 to 5 in half stars | 2 of 5 |
| Patient survey ratingCMS star rating from its survey of the agency’s patients, 1 to 5 | 4 of 5 |
| Discharged to the communityCMS’s risk-adjusted rate, compared with the national rate | 77.19% (same as the national rate) |
| Potentially preventable hospital staysCMS’s risk-adjusted rate, compared with the national rate | 10.11% (same as the national rate) |
| Potentially preventable readmissions after dischargeCMS’s risk-adjusted rate, compared with the national rate | 4.41% (same as the national rate) |
How does it compare nearby?
- There aren’t enough agencies serving patients in ZIP code 59301 with a quality of patient care rating to compare.
CMS, Home Health ZIP Codes and Home Health Care Agencies. Released Oct 21, 2026. Updated quarterly.
| Place | Quality rating |
|---|---|
| Granite Peak Home Health This home health agency | 2 |
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for home health agencies, so none are shown.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- QCOR says some of its home health reports are accurate or available only through May 19, 2021, because of a systems migration.
- Many home health agencies are inspected by a private accrediting organisation instead of the state, and QCOR’s home health file doesn’t appear to include those inspections: no inspection on record here doesn’t mean none took place.
Sources
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Centers for Medicare & Medicaid Services, Home Health Care Agencies (6jpm-sxkc).
Released Oct 21, 2026 and checked Oct 24, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Home Health Patient Survey (ccn4-8vby).
Released Oct 21, 2026 and checked Oct 24, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, QCOR home health inspection reports (HHA_2567s_2018_to_2026YTD.xlsx).
Released Oct 20, 2026 and checked Oct 24, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Home Health Agency All Owners (fc009b2d-7846-44b1-b4a1-692f0c143879).
Released Sep 29, 2026 and checked Oct 24, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Home Health Agency Enrollments (15f64ab4-3172-4a27-b589-ebd67a6d28aa).
Released Sep 29, 2026 and checked Oct 24, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Home Health ZIP Codes (m5eg-upu5).
Released Oct 21, 2026 and checked Oct 24, 2026. Updated quarterly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Oct 24, 2026.
From the agency
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Replies
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Paid listing
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