Health Services

Welcome to Our Acute Care Unit At our hospital, the Acute Care Unit is dedicated to providing exceptional care to every patient who walks through our doors. Here’s what you can expect from our team: Compassionate and Individualized Care: Our nursing staff is committed to providing compassionate, individualized attention to all patients hospitalized for illness, surgery, or testing and observation. Collaborative Approach: Our nursing services work hand-in-hand with physicians, pharmacists, and a multidisciplinary team of physical, occupational, speech, and respiratory therapists to ensure each patient receives quality care tailored to their needs. Preoperative and Postoperative Excellence: For patients undergoing various surgeries, including abdominal (appendectomy, cholecystectomy), orthopedic (total hip and knee replacements, rotator cuff repairs), or others like hysterectomy, colon surgery, and hernia surgery, our unit offers expert preoperative and postoperative nursing care. Accommodating Patients of All Ages: From pediatric to geriatric patients, our unit is equipped to accommodate individuals of all ages. We provide semi-private and private rooms, including a dedicated space for children, ensuring comfort and specialized attention. Family-Centered Care: We understand the importance of family support in the healing process. We ask visitors to respect the privacy of other patients during their visits. Special Accommodations for Families: Certain situations may call for family members to stay with their loved ones. For instance, we encourage parents to stay with their child patients at all times. We provide comfortable accommodations, including recliners or beds, and allow family to order meals from our kitchen. Isolation Protocols: In cases where patients require isolation, specific instructions will be provided to visitors to ensure the safety and well-being of both patients and visitors. Transition of Care Rounding: Our team conducts Transition of Care Rounding Monday through Friday from 9:00-10:00am.  This collaborative effort involves nurses, therapies, dietary staff, discharge planners, pharmacists, and care coordinators. By addressing patient needs comprehensively and proactively, we strive to optimize outcomes and enhance patient care. Our Acute Care Unit is dedicated to providing high-quality, patient-centered care. If you have any questions or need further assistance, please don’t hesitate to reach out to our team. We’re here for you every step of the way.

When to Call an Ambulance Difficulty breathing, loss of consciousness, or irregular breathing patterns are clear signs to dial emergency services. Chest pain, especially if it radiates to the arms, neck, or jaw, warrants immediate attention. Symptoms like slurred speech, confusion, or vision problems could indicate a stroke and require urgent medical assistance. Numbness, tingling, or paralysis of limbs are red flags for neurological issues. Persistent abdominal pain, vomiting, or presence of blood demand immediate medical assessment. Injuries to the neck, back, or joints that worsen with movement should be assessed by medical professionals. Be Prepared Critical Information for 911 Dispatch Provide the dispatcher with precise details of the emergency location. Describe the symptoms observed in the individual requiring assistance. Offer your name and contact number for follow-up inquiries. Remain on the line until instructed otherwise by the dispatcher. Preparing for Ambulance Arrival Ensure the safety of everyone involved in the situation. Illuminate the surroundings by turning on porch lights for easier identification. Unlock doors and clear pathways to facilitate the ambulance crew’s access. Designate a responsible individual to guide the ambulance to the location if needed. Avoid unnecessary movement of injured individuals to prevent exacerbating their condition. Essential Information for Ambulance Crew Provide a comprehensive account of the incident, including its onset, duration, and any pertinent medical history. Share the patient’s age, known medical conditions, current medications, and known allergies. Clearly articulate the specific type of emergency services required for efficient response and treatment. CMMC Emergency Services at Events Central Montana Medical Center (CMMC) offers accessible emergency support for community events, prioritizing public health and safety. Requests for emergency services at events are carefully evaluated based on the event’s nature, anticipated attendance, and potential risks. CMMC endeavors to provide cost-effective or complimentary emergency services for qualifying charitable or nonprofit events. Event organizers can initiate a request for emergency services via the provided webform, with confirmation of service availability and eligibility provided upon review. Downloadable Documents Event Request for Emergency Services (PDF) EMS Third Rider Form (PDF)

Welcome to our Behavioral Health at CMMC Clinic. Our compassionate professionals are dedicated to providing comprehensive care for individuals dealing with various mental health concerns. Here’s what you can expect from our services: Evaluations We offer thorough psychiatric evaluations to assess your mental health needs, including a comprehensive review of your symptoms, medical history, and personal circumstances. Diagnosis and treatment Our providers are skilled in diagnosing and treating a wide range of mental health conditions, including depression, anxiety disorders, bipolar disorder, and more. Medication management We provide personalized medication management plans tailored to each individual’s needs, ensuring safe and effective treatment of psychiatric symptoms while minimizing side effects. Collaborative care We believe in a collaborative approach to mental health care and work closely with therapists, primary care physicians, and other healthcare providers to ensure integrated, holistic treatment that addresses all aspects of your well-being. At CMMC, we are committed to providing compassionate, evidence-based psychiatry services to help you achieve mental wellness and improve your quality of life. Whether you’re struggling with depression, anxiety, or any other mental health issue, we are here to support you on your journey to recovery. Please contact scheduling at 406-535-1458 to schedule a consultation today and take the first step towards better mental health. Our Team Teresa McKibben, LCPC Behavioral Health Teresa McKibben, LCPC Behavioral Health 408 Wendell Ave.Lewistown, MT 59457 (406) 535-1458 Becky Nachtigal, PMHNP Since 2021 – Psychiatry Becky Nachtigal, PMHNP Since 2021 – Psychiatry 408 Wendell Ave.Lewistown, MT 59457 (406) 535-1458

Comprehensive Service Provided to Individuals with Cardiovascular Disease The primary goal of Cardiac Rehabilitation is to enable the participant to achieve his/her optimal physical, psychological, and social functioning through exercise training and lifestyle change. (It includes a team of professionals of RN’s, exercise specialist, dietitians, socials services and a Medical Director to help you achieve your goals) Cardiac Rehabilitation is a service that includes: Prescribed exercise to improve cardiovascular fitness without exceeding safe limits. Education about heart disease along with counseling on ways to stabilize or reverse heart disease by improving risk factors. Reduction/Cessation of Smoking Lowering Cholesterol Controlling High Blood Pressure Weight Loss/Control Improve/Manage Diabetes Increasing Physical Activity Encourage Healthy Eating Habits Improve Psychological Well Being Those who benefit from Cardiac Rehabilitation include those with a history of: Myocardial infarction (heart attack) Coronary artery bypass graft surgery (CABG) Current stable angina pectoris Heart valve repair or replacement Percutaneous transluminal coronary angioplasty (PTCA)/ or coronary stenting Heart or heart-lung transplant Heart Failure and those with ventricular assist devices Coronary artery disease equivalents such as diabetes or peripheral artery disease

CMMC’s Cardiovascular Disease & Diabetes Prevention Program is a group program supporting participants to incorporate healthy eating and physical activity into everyday life to help prevent Cardiovascular Disease and Diabetes. Did you know? Losing a few pounds and starting an exercise program can: Reduce your chance of getting diabetes Manage blood sugar Control high blood pressure Lower bad cholesterol Cardiovascular Disease & Diabetes Prevention The CMMC Cardiovascular Disease & Diabetes Prevention Program is an affordable, one-year program. Meetings cover topics about a healthy lifestyle program that focuses on diet, exercise, and barriers that relate to achieving a healthy diet and exercise plan. Active participant have access to the CMMC Fitness Center to assist them with developing an exercise program. A daily log of exercise and food intake will be expected of all participants. Patient must be Age 18 years or over AND Overweight/obese BMI (BMI ≥ 25 kg/m2 or if Asian, BMI ≥ 23 kg/m2) AND Have one or more of the risk factors listed: Elevated blood glucose level of 75-gram oral glucose tolerance test (OGTT) with 2-hour plasma glucose is 140-199 mg/dL, fasting plasma glucose (FPG) is 100-125 mg/dL, or A1C 5.7-6.4% Score 9 or higher on CDC prediabetes screening test. History of gestational diabetes Elevated blood pressure level of ≥130/80 mmHg OR treatment Abnormal lipid levels of HDL <50 mg/dL for women or <40 mg/dL for men, LDL >130 mg/dL, or triglycerides >150 mg/dL OR treatment Given birth to a baby weighing >9 pounds

CMMC’s Care Coordination Dept provides an additional level of care for patients and their caregivers so that they can have an extra hand up in managing their chronic condition. We offer support wherever we can to make the transition into managing a long term health issue as helpful as possible. Central to our mission is the quality improvement initiative of incorporating community based care coordination designed to help patients achieve better health, better health care and lower costs. Contact 406-535-1458 for more information.

Hours Hours: Monday – Friday 8am-5pm After Hours Clinic: Tuesday and Wednesday 5pm-7pm Departments Behavioral Health Behavioral Health Care Coordination Care Coordination General Surgery General Surgery Orthopedics Orthopedics Podiatry Podiatry Primary Care Primary Care

Comprehensive Concussion Care for Student-Athletes A concussion can affect much more than an athlete’s ability to play sports—it can also impact concentration, memory, sleep, mood, and school performance. Early evaluation and appropriate follow-up are important to help students recover safely and avoid returning to activity too soon. Our concussion care program supports students before and after an injury. We partner with area schools to provide ImPACT baseline testing, which measures areas such as memory, attention, processing speed, and reaction time. If a concussion occurs, baseline results may provide valuable information to assist with the student’s evaluation and recovery plan. Following an injury, our nurse practitioner specializing in post-concussion care provides individualized assessment, treatment, and ongoing follow-up. We guide students through a gradual return-to-learn and return-to-play process based on their symptoms and progress—not a one-size-fits-all timeline. We also work directly with parents and local schools to recommend temporary academic accommodations, such as reduced screen time, rest breaks, shortened assignments, or modified testing. Our goal is to help each student return to the classroom and athletics as safely and efficiently as possible—without placing them at unnecessary risk for prolonged symptoms or another injury. MHSA Rules and Regulations (PDF) Classroom Tips for Teachers (PDF) Must Read for Young Athletes (PDF) Fact sheet for School Professionals (PDF) Consent for Concussion Testing (PDF)

Certified by the Association of Diabetes Care and Education Specialists Comprehensive Clinical Care and Self- Management Education Facilitating the Proper Use of Technology The Diabetes Care and Education Program is covered by Medicare, Medicaid and by many insurance plans. A referral from your Primary Care Physician is required. Our Team Pattie Carr, MA, RD, LN Pattie Carr, MA, RD, LN 535-6265

In an emergency, you want medical care as quickly as possible.  Central Montana Medical Center’s Emergency Department is staffed with dedicated physicians and nurses, with access to the Operating Room (OR), lab, imaging, and other services 24 hours a day, 365 days a year. We are a Level 4 Trauma Facility Central Montana Medical Center has been trauma designated since 2009.  This designation from the Montana Department of Public Health and Human Services means that CMMC has met all criteria in trauma care with services, equipment and staff training to receive designation by the state of Montana as a Level Four Community Trauma Facility. The Emergency Department sees a large variety of patients. If you need medical evaluation, the ED will be happy to see you anytime.  If you have an emergency please call 911. Call 911 for an emergency.  You can reach poison control at 1-800-222-1222.

Central Montana Medical Center Employee Health is committed to providing high-quality occupational health services for employees and volunteers. Our goal is to promote a safe, healthy workplace that supports employee well-being, enabling our workforce to provide exceptional care to our patients and community. Service Hours Monday through Thursday 8:00 a.m. to 5:00 p.m., Friday 8:00 a.m. to 12:00 pm; appointments preferred. Location CMMC Health Services is located in the Physician Clinic at 408 Wendell Ave, Lewistown, Montana Employee Health Services Activities Pre-employment health examinations (completed by the Occupational Therapist for specific jobs only) Routine vaccinations Tuberculosis screenings (pre-employment and post exposure) Work-related illness evaluations Occupational exposure follow-up Annual Flu Vaccination Program Annual tuberculosis questionnaire review Respirator medical evaluations / fit testing Annual Employee Health wellness screening Tuberculosis Policies Tuberculosis Screening All new employees must complete pre-employment TB screening before beginning work at CMMC. A one-step PPD is acceptable with documented TB testing completed within the previous 12 months; otherwise, a two-step PPD is required. PPDs must be read by a physician or nurse 48–72 hours after placement. A PPD that is not read within this timeframe is invalid and must be repeated. Compliance is achieved only after the PPD has been read and documented. Annual Tuberculosis Signs & Symptoms Questionnaire All employees must complete the Annual Tuberculosis Signs and Symptoms Questionnaire each year as a condition of employment. The electronic questionnaire is required for annual evaluation compliance. Responses are reviewed by the Employee Health Nurse. Employees reporting symptoms of concern will be contacted for follow-up. Once approved, the questionnaire is documented in the Employee Health record and the employee is considered compliant with the annual TB screening requirement. Vaccinations and Immunity To protect patients, staff, and visitors, all employees, students, residents, and volunteers must provide documentation of required immunizations or laboratory-confirmed immunity before beginning work at CMMC. Required immunizations include Measles, Mumps, and Rubella (MMR), Varicella (chickenpox), and Tetanus, Diphtheria, and Pertussis (Tdap). If documentation of MMR or Varicella immunization is unavailable, CMMC will provide immunity (titer) testing at no cost. All required immunizations or immunity verification must be completed before employment begins. The Hepatitis B vaccine is strongly recommended for employees with occupational exposure to blood or other potentially infectious materials, including the risk of needlestick injuries. CMMC provides all required immunizations, immunity testing, and the Hepatitis B vaccine series at no cost to employees. Central Montana Medical Center recommends annual influenza vaccination to help reduce influenza transmission and protect patients. Free influenza vaccines are offered to employees each season, typically beginning in October. Employees are encouraged to wear a mask when experiencing symptoms of illness to help prevent the spread of respiratory infections; however, masking is not required for employees who choose not to receive the influenza vaccine. Annual Employee Health Wellness Screening Central Montana Medical Center offers an annual wellness screening to employees and covered spouses enrolled in the CMMC health insurance plan as part of its employee wellness program. The screening is designed to promote healthy lifestyles and support the early detection of disease and other health concerns. The on-campus screening includes a health risk assessment, vital signs, height, weight, body mass index (BMI), and laboratory testing. The laboratory panel includes a Complete Blood Count (CBC), Comprehensive Metabolic Panel (CMP), Hemoglobin A1C, Thyroid Stimulating Hormone (TSH), Cotinine, and a Lipid (cholesterol) Panel. Male employees age 50 and older also receive a Prostate-Specific Antigen (PSA) test. Following the screening, participants receive a personalized report summarizing their results, including year-to-year trends for those who participate annually. Records Request To request copies of your Employee Health records, complete the Request for Records/Authorization for Release of Information form and fax it to Employee Health at 406-535-6607. Please allow two business days for processing. Records may be picked up after 2:00 p.m. on the second business day with a valid photo ID. Record Release Request Form (PDF)

The CMMC Fitness Center is a medically monitored health and wellness center featuring an array of programs and equipment designed to meet the conditioning needs of community members regardless of age, athletic ability, or chronic disease process. Our equipment includes free weights, Cybex weight stations, treadmills, Nusteps, Versa Climber, stationary bike, Airdyne bike, rower, Stairmaster, Ergometers, exercise balls, and much more! Our center includes: Cardiac Rehabilitation Pulmonary Rehabilitation Circuit training; 30 seconds of exercise with 15 seconds of rest.  Stations change monthly. One-on-one fitness training; for anyone needing an extra push to meet their fitness goals. General membership; available to all Employee, senior and student discounts are available. CMMC Fitness Center hours are: Monday – Friday: 6 a.m. – 7 p.m. Saturday: 8 a.m. – 12 p.m. Sunday: Closed For more information regarding programs or hours call the number below.

We are dedicated to providing exceptional and convenient podiatry care to Central Montana. Our experienced podiatrist, Dr. Trent Lott, specializes in diagnosing and treating a wide range of foot and ankle conditions, helping you to maintain optimal foot health and mobility. Our outpatient podiatry clinic offers a comprehensive range of services, including: Foot and Ankle Examinations: Thorough evaluations to assess your foot and ankle health, identify any issues, and develop personalized treatment plans. Treatment of Foot Conditions: Expert care for common foot conditions such as bunions, hammertoes, ingrown toenails, plantar fasciitis, corns, calluses, and more. Diabetic Foot Care: Specialized care for individuals with diabetes, focusing on preventing and managing foot complications such as neuropathy, ulcers, and infections. Sports Injury Management: Diagnosis and treatment of sports-related foot and ankle injuries, including sprains, fractures, and overuse injuries. Surgical Interventions: When necessary, our podiatrists perform minimally invasive and surgical procedures to correct foot deformities, injuries, and other conditions. Contact us to schedule an appointment today! Dr. Trent Lott

Our skilled surgeons provide comprehensive care for a wide range of surgical needs. From routine procedures to complex surgeries, we offer personalized treatment plans tailored to each patient’s unique needs. Our services include but are not limited to: Consultations: We provide thorough consultations to assess your condition and discuss treatment options. Pre-operative care: Our team ensures you are fully prepared for surgery, addressing any concerns and providing guidance on pre-operative preparations. Surgical procedures: Our experienced surgeons perform a variety of general surgical procedures, including colonoscopies, hernia repairs, gallbladder surgeries, and more. Post-operative care: We offer compassionate post-operative care to support your recovery process, monitoring your progress and providing necessary follow-up appointments. General Surgery Team David Napoliello, MD Since 2025 – General Surgery David Napoliello, MD Since 2025 – General Surgery 408 Wendell Ave.Lewistown, MT 59457 (406) 535-6262 Garrett Taylor, MD Since 2023 – General Surgery Garrett Taylor, MD Since 2023 – General Surgery 408 Wendell Ave.Lewistown, MT 59457 (406) 535-6262

The Helmsley Cancer Cancer Center offers a wide range of oncology services dedicated to providing high-quality cancer care. Our Cancer Center offers advanced oncology diagnostic services and treatment options such as chemotherapy, radiation therapy, and immunotherapy. Helmsley Cancer Center Team Christopher Goulet, MD Radiation Oncologist Christopher Goulet, MD Radiation Oncologist 408 Wendell Ave.Lewistown, Montana 59457 (406) 535-6373 Tauna Jeffery MSN, APRN Medical Oncology Nurse Practitioner Tauna Jeffery MSN, APRN Medical Oncology Nurse Practitioner 408 Wendell Ave.Lewistown, Montana 59457 (406) 535-6373 Bryan Martin, MD Medical Oncologist Bryan Martin, MD Medical Oncologist 408 Wendell Ave.Lewistown, Montana 59457 (406) 535-6373 Amy d’Autremont RN, OCN Cancer Center ManagerHelmsley Cancer Center Amy d’Autremont RN, OCN Cancer Center ManagerHelmsley Cancer Center 408 Wendell AvenueLewistown, Montana 59457 406-535-1448

Home Care provides multiple services supervised by your physician that enable you to stay home while recovering from an illness or injury or when suffering from a long term or terminal illness. The Home Health Program has been offering comprehensive, quality home care services since 1984. Pending staff availability, those services available through CMMC Home Health are: Nurse: Visits to provide such services as Wound Care, Ostomy Care, Diabetes Education, medication education, assessment & education regarding the disease process and steps to recovery, patient & caregiver education and referrals to appropriate Therapies. Nursing services are available 7 days per week, from 8:00 am to 4:30 pm. Some nursing services we do not provide such as dialysis, chemotherapy, ventilators, blood transfusions, psychiatric nursing and pediatric per case need. Certified Nurse Aide: Assistance with bathing, medication reminders and other personal care needs. Physical Therapy: Treatments and exercise programs to facilitate mobility, transfers and safety in the home. Occupational Therapy: Provides retraining in vocational and leisure activities, activities of daily living, including toileting, dressing, self care and use of specialty equipment. Speech/ Language Pathology: Provides therapy for swallowing, speech and cognitive difficulties. Registered Dietician: Offers dietary and nutritional counseling. Medicare, Medicaid, Private Insurance, HMO, Workman’s Compensation and VA cover most Home Health services. A Provider must order all services. Private Duty Nursing & Aide Services Services are provided in the home by a licensed nurse for those persons who are not eligible for Home Health through Medicare, Medicaid or Private Insurance but are still in need of services. Services available: Diabetic care and education Medication set-up and education Physical assessment Colostomy and urinary catheter care Wound care Blood draws Blood pressure monitoring Bowel programs Home IV Therapy Other services as requested Private Pay These services provide Certified Nursing Assistants (C.N.A.) in the home to assist with the activities of daily living.  They are available as self-pay and through some insurance companies.  Patients are initially assessed by a Nurse to develop the plan of care to assure safe and optimal care. Services available: Bathing Grooming Dressing Walking Transferring Routine hair/skin care Assistance with self-administered medication Feeding Toileting Exercising Meal preparation Shopping for and storing food Light housekeeping Respite (Temporary Relief for a Primary caregiver)

Home Medical Equipment (HME) Celebrates Accreditation CMMC HME is an HQAA accredited durable home medical equipment company.  This accreditation is achieved only when a home medical equipment company demonstrates the highest level of quality practices in their business operations and patient care techniques.  Accreditation by HQAA assures Medicare and other payers that the highest levels of quality are practiced within all areas of CMMC HME. The Home Medical Equipment Department provides medical equipment to meet special needs in the home. Medical equipment may be covered by Medicare, Medicaid or Private Insurance. Retail sales are also available. A list of some of our available items can be found below: CPAP BIPAP Nebulizers Pulse oximeters Walkers/Rollators Bath aids Bedside commodes Please contact our Home Medical Equipment staff for any of your medical equipment and supply needs. Office Hours Open Monday -Friday: 8:30am-5:00pm. Additional Services Educational services available from Respiratory Staff

CMMC Hospice is a service of Central Montana Medical Center located in Lewistown, Montana. CMMC Hospice, a not-for-profit 501c3 organization, serves both Fergus and Judith Basin Counties. Since 1985, through nearly four decades of service, CMMC Hospice has pursued a unique approach to end-of-life care: that the patient’s choice must be upheld, that no one should die alone or in pain, and that the needs of the entire family must be addressed. At CMMC Hospice, we are dedicated to sharing the journey with our patients and families, enabling them to live fully through all stages of illness. It’s about living. Our Mission CMMC Hospice provides end-of-life care that enhances life. We strive to provide all services focused toward the individual patient’s wants and needs. We deliver care that addresses the whole patient including emotional, spiritual, and physical needs and preferences. Our Vision The vision of CMMC Hospice is to be the model rural hospice agency, providing compassionate, visionary, quality care structured around the patients’ and families’ needs. What is Hospice? The CMMC Hospice program of care is compassionate specialized health care and support for patients facing the advancing stages of any life-threatening illness.  Our program also provides emotional and spiritual support to patients and their loved ones, including bereavement counseling following the patient’s death. We care for patients in a setting of their choice.  Whether in a private home, assisted living, nursing home, or hospital, we help people face the challenges of terminal illness with dignity.  Members of the hospice team, such as, nurse, social worker, home health aide, volunteer, and chaplain, make regularly scheduled visits depending on the needs and wishes of the patients and their loved ones.  We help by offering: Scheduled Hospice Nurse visits focusing on comfort care for the patient Home health aides to assist with personal care needs Physical therapy training to keep the patient safe and comfortable Social workers that facilitate access to resources, offer emotional support, and bereavement counseling Chaplain visits to offer spiritual support Volunteer support to give companionship and assistance Medical equipment and supplies The Hospice Care Team “I didn’t know much about hospice before we signed up. I did not know all that they can do for you. It is the most wonderful organization I’d ever run into. They set up a hospital bed and other equipment. We had aides visit almost daily. The nurses visited regularly and were on call day and night. They all have such compassion. They set up the medications and trained me how to give them. It was just wonderful. I highly recommend hospice to other families.” Loire, Caregiver “There is nothing else that I have ever done that has given me the feeling of satisfaction both for myself and for the families.” Lena, Hospice Volunteer “It’s what I can do to help. It’s a worthy cause. That so many people in our community give makes our community strong.” Diana, Hospice Supporter Our Services Nurses Trained hospice nurses make regularly scheduled visits and are on call 24 hours a day, seven days a week. They act as a liaison with the patient’s primary care provider enabling quick response to changes in medication or symptom management. Pain control and symptom management are the focus of the physical aspect of hospice care. Hospice nurses are also teachers and train the caregiver how to enhance the care of their loved one. Concentrating on living fully is easier when the patient is free of pain and comfortable. Home Health Aides Home Health Aides visit regularly, if needed, to help patients bathe and dress. The aides provide compassionate care that helps the patient live with dignity. Therapists Physical therapists, occupational therapists, and speech therapists can assist the patients, as needed, to help them keep as safe and as comfortable as possible. These therapies can enhance the quality of life for our patients. Social Services Pain at end-of- life is not only physical but emotional and can occur when facing death and impermanency. Care is provided by degreed individuals such as social workers and Licensed Clinical Social Workers. Services are individualized, based on what the patient and their loved one’s desire. It may be anticipatory grief counseling, accessing resources, navigating financial challenges, talking with children about what is happening, conducting family meetings to address conflicting agendas and clarify patient goals, bereavement support, or exploring with the patient their fears and finding meaning within transitioning into end-of-life. Social workers support and focus on what matters most to you. For additional information, call our office at 406-535-6302 and ask to speak with Julia Valach, MSW, LCSW. Chaplains Non-denominational hospice chaplains offer spiritual support if the patient wishes. Following the hospice philosophy of treating the whole patient, we at CMMC Hospice address the physical, emotional, and spiritual wellbeing of our patients. Hospice chaplains strive to bring comfort, healing, peace and compassion to all they serve. Chaplains can be a liaison with the patient’s own spiritual caregiver or clergy. Chaplains can also visit regularly to offer spiritual care and counsel. Chaplains listen, read stories, hold hands, and offer prayer. Chaplains can offer funeral and memorial assistance. Volunteers Trained hospice volunteers assist patients and their families. Volunteers visit with patients, provide companionship, and allow the caregiver to have a break. Volunteers listen, read, take walks, or just sit quietly as a compassionate friend. Office and Bereavement Volunteers also assist patients and families, often by working behind the scenes. To learn more about volunteering with Hospice, please view the Volunteer Opportunities below. Medical Equipment and Supplies Hospice can provide a variety of durable medical equipment including beds, walkers, commodes, wheel chairs, and oxygen as needed. Eligibility for Hospice Care Any person facing the advancing stages of any terminal illness is eligible for hospice care.  Hospice care is appropriate when: The patient, family, and physician agree and understand that the focus is on comfort (pain control and symptom management), not cure. The physician thinks the patient will live six months or less. Who Pays for Hospice Benefits? Hospice services are based on the patient’s health care needs, not their ability to pay. Reimbursement for services is available through Medicare, Medicaid and other insurance plans. Options for subsidized care are available for income-qualified patients. Our goal at CMMC Hospice is to provide hospice care to all seeking our services, regardless of their ability to pay. Donations from the community uphold this goal. Hospice Team Cathy Holmes, DO Since 1990 – Hospice Medical Director View Cathy Holmes, DO Details Cathy Holmes, DO Since 1990 – Hospice Medical Director 408 Wendell Ave.Lewistown, MT 59457 (406) 535-6302 Hospice Medical Director BS in Biology University of Scranton, BS in Biology University of Scranton, MA in Biochemistry Bry Mawr College DO (Doctor of Osteopathy) Philadelphia College of Osteopathic Med 1985-1996 Board Certified Family Practice 1997 Private Practice Lewistown Family Wellness Center 1991 – 2017 Joined CMMC Clinic 2018 – 2019 Medical Director of Hospice since 1998 Cathy grew up in northeastern Pennsylvania and is married to Bil Holmes, DO.   They have three grown daughters, and have practiced medicine together since 1986.  Cathy feels that working with the Hospicie team has been one of the most rewarding parts of her career.     Wendy Peterson, RN Home Care Services Manager View Wendy Peterson, RN Details Wendy Peterson, RN Home Care Services Manager Wendy is originally from Froid, Montana.  Prior to joining CMMC Hospice in 2016, she worked at Valle Vista and as a private contractor at the rural clinic in Whitehall, Montana.  Wendy has three children.  They enjoy swimming in the creek behind their house, fishing, boating and traveling.  She also likes to bake pastries, read and refinish old windows! Shauna Halverson-Bruno, RN View Shauna Halverson-Bruno, RN Details Shauna Halverson-Bruno, RN Shauna is from Lewistown and graduated from MSU Northern.  She has 12 years of experience at Valle Vista as nurse and Assistant Director of Nursing.  She and her husband have been married 20 years.  They love to camp, fish, boat, and pan for gold with their four children and Labradors.  Shauna loves to design fun gifts in her new craft room.  She joined the Home Care Services team in September 2017. Bobbe Donsbach Stulc, RN View Bobbe Donsbach Stulc, RN Details Bobbe Donsbach Stulc, RN Bobbe was born in Lewistown . She’s worked for CMMC since the 1980’s.. She has three married children and nine grandchildren. For fun, she loves all activities involving her family. She also likes to read, hike, camp, cook and sew. Bobbe said she’s been involved with Hospice professionally and personally as her husband and stepfather were both on Hospice and greatly benefited from the service. Eileen V. Stahl Hospice Volunteer Coordinator & Fundraising View Eileen V. Stahl Details Eileen V. Stahl Hospice Volunteer Coordinator & Fundraising Eileen was born and raised in Circle, Montana. She earned her B.S. in Exercise Science at Montana State University. She worked as a Recreation Specialist for over ten years at Joint Base Lewis-McChord, Washington and coordinated the Family Fitness Center Program as well as fitness volunteers. She volunteered at her church in Lacey, Washington for six years. The last year, as Director of Christian Education, she supervised other volunteers. She earned an M. A. in Christian Ministry with a concentration in Christian Counseling from Faith Evangelical Seminary of Tacoma, Washington. Eileen likes to travel, visit family and friends, dance, sing, read, shop, and exercise .Eileen and her husband, Arnie, live in Lewistown and enjoy children and grandchildren close to home.  Eileen joined the CMMC Home Care Services team in February 2012. Carrie Belsted Intake Coordinator View Carrie Belsted Details Carrie Belsted Intake Coordinator Carrie was born at the old St. Joseph’s Hospital in Lewistown. She attended school in Lewistown until her junior year when she moved to Great Falls, graduating from CMR High School. She has worked at CMMC off and on since 2000, and has worked for Home Care Services since 2014. She is a jack of all trades, wearing many hats in our office. She has two children, Kyle and Nicholas. She is challenged by her son, Kyle, as he keeps her updated on computer technology and she and her younger son, Nicholas, enjoy fishing. She loves to relax by any large body of water, likes going to movies and other activities with her close circle of friends, and looks forward to traveling whenever possible. Christine Wichman Departmental Assistant View Christine Wichman Details Christine Wichman Departmental Assistant Christine joined CMMC Home Care Services in October 2019.  She has been involved in Hospice both professionally and personally as her father benefited from Hospice services.  Christine was born in Lewistown, Montana and grew up on a farm/ranch near Hilger.   She graduated from Winifred High School and attended University of Montana in Missoula, Montana.  Christine received A.A.S degrees in Office Administration, Human Resources, and has a certificate in Office Reception.  She also has experience as an Activity Coordinator/Assistant through Caslen Living Center and Valle Vista Healthcare.  Christine likes to volunteer with her church and for other community events. She also enjoys writing poetry, traveling with friends and family, flower gardening, and crafts. Amanda Larson, RN View Amanda Larson, RN Details Amanda Larson, RN Amanda was born in Kalispell, then moved to Lewistown when she was only two weeks old. She graduated from Fergus High School. Amanda has been a nurse since 2005. She went to a private nursing school (Capital Health Systems) in New Jersey and graduated from Boise State University. She worked in the ICU in Boise for four years as a telemetry tech and cardiac nurse. After moving back to Lewistown in 2008, Amanda worked in Acute Care and the ICU at Central Montana Medical Center. She then worked for Drs. Bil and Cathy Holmes before taking a little time off to have her youngest child.  Amanda joined Home Care Services in 2016. She has 3 children: Hunter, Ireland, and Quaid.  Amanda enjoys spending time with her kids, camping, and astronomy. Jami Sisty, RN View Jami Sisty, RN Details Jami Sisty, RN Jami joined Home Care Services August 2017.  She was born in Ekalaka, Montana and obtained her nurse training through MSU-Northern.  She gained experience working at Valle Vista for seven years.  Jami and her husband, Mark, have two children, Max and Hannah.  Jami enjoys playing with her kids, camping, hunting, and going back to Michigan to visit family. Deann Blythe, RN Clinical Auditor View Deann Blythe, RN Details Deann Blythe, RN Clinical Auditor Deann is married with three children. She enjoys hunting, fishing, and camping. Deann joined CMMC Home Care Services in August 2017. Rowena Kippenhan, LPN View Rowena Kippenhan, LPN Details Rowena Kippenhan, LPN Rowena was born in Massillon, Ohio, a football town of 50,000 people.  She had quite a culture shock when she moved to Moore, Montana in 2006 to raise her kids.  She joined CMMC Home Care Services on July 2016, but has been an LPN since 1996.  She also has a lot of business experience.  Rowena and her husband, Floyd, have a combined five children and 7 grandchildren.  She likes spending time with her family, sewing, pinterest, rock crawling, movies, and interior decorating.  She considers it a privilege to be able to serve her community. Janelle Painter, MSPT Physical Therapist View Janelle Painter, MSPT Details Janelle Painter, MSPT Physical Therapist Janelle Painter began working at CMMC in 2017 and joined the Home Care Services team in 2018. Janelle earned her Bachelor of Science at Point Loma Nazarene University in San Diego, CA and her Master of Science in Physical Therapy at the University of Kansas. Janelle was born in eastern Washington and has lived in big and medium cities, as well as rural areas. She and her husband, Tim, have been married over 20 years. They have a son and daughter and a dog. They enjoy sporting events, playing games, thrift store shopping, and traveling. Their favorite winter sport is going to hot springs. In summer, they love to hike and fish. Janelle loves to run and has completed a marathon and over six half marathons! She and her family love Lewistown and are glad to be a part of this community. Stacey Metcalf, CNA View Stacey Metcalf, CNA Details Stacey Metcalf, CNA Stacey was born in Anaconda, Montana and graduated from Fergus High School. She graduated from MSU-N with an Associates Degree in General Studies. Stacey has worked at Home Care Services since July 2005. She and her husband have two children and have been married for 15 years. As a family, they like to hunt, fish and camp. Her hobbies are reading and remodeling their home. Julia Valach, MSW, LCSW, MHPP Hospice Social Worker View Julia Valach, MSW, LCSW, MHPP Details Julia Valach, MSW, LCSW, MHPP Hospice Social Worker Julia was raised in Lewistown and is a Fergus graduate. She attended the University of Montana graduating with a degree in Social Work. She went on to get a Masters of Social Work and completed the national exam for Licensed Clinical Social Work (LCSW). She has worked in the mental health field for 20 years in a variety of positions including, school based therapy, child and family therapy, hospice, and private practice. After living in Denver, she decided there was no place like home and moved back to Lewistown. She began working at CMMC in June of 2023. In her free time she enjoys mountain biking, backpacking, spending time with local family, and her family in the Czech Republic. She has two labradoodles and is an active member of Lewistown’s Green Share Garden Project. Michelle Vuong Intake Coordinator View Michelle Vuong Details Michelle Vuong Intake Coordinator Michelle was born and raised in the Bay Area. She attended the University of the Pacific in Stockton, California and majored in International Relations and Political Science. During her junior year in college, Michelle lived in Italy for 14 months, immersing herself in the culture and language. She likes to travel, watch documentaries and play with her dog Millie. Her favorite Central Montana activity is soaking at the White Sulphur hot springs. She is always planning her next big adventure. Michelle joined the Home Care Services team in January 2021. Kathleen Thackeray, OTR/L Occupational Therapist Kathleen Thackeray, OTR/L Occupational Therapist Jed D. Myers, OTR/L Occupational Therapist Jed D. Myers, OTR/L Occupational Therapist Chris Russell, PTA Physical Therapist Assistant Chris Russell, PTA Physical Therapist Assistant Beca Holmquist, PT, DPT Physical Therapy View Beca Holmquist, PT, DPT Details Beca Holmquist, PT, DPT Physical Therapy I’m originally from Thompson Falls, MT. I received my undergraduate degree from Montana State University, took a year off to work, and then went to the University of Utah for my Doctor of Physical Therapy degree. After graduating in 2018, I started my first physical therapy job in Malta, MT, where I worked in outpatient and acute care at Phillips County Hospital. Later, I took a position at CMMC as an acute care and skilled nursing physical therapist. I love to help patients regain their functional mobility and independence while they recover from injury or illness.  Rural healthcare is my passion, and I am so proud to serve our community. In my free time, I spend a lot of time camping around central and eastern MT with my husband and our two labradors, doing home projects, and gardening. Education: B.S. in Exercise Science, Montana State University; Bozeman, MT (2014).  Doctor of Physical Therapy, University of Utah; Salt Lake City, UT (2018). Focus: Geriatrics, acute care, neuro Brigette Owen, LPN View Brigette Owen, LPN Details Brigette Owen, LPN Brigette has twenty plus years of skilled nursing home and home health experience in Montana, Washington state, and Arizona state.  Brigette enjoys walking, biking, camping, gardening, and long rides in the countryside.  When traveling, she likes to explore new places and meet new people.  She grew up in Geraldine with seven brothers and seven sisters and truly feels blessed to be back in Montana.  She moved back to assist in the care of her mother who was in her nineties.  She loves to play board games with family, do outdoor activities, and catch up with her two children and their families.   She came to CMMC Hospice May 2017. Selina Vargas, M.S., CCC-SLP Speech Language Pathologist Selina Vargas, M.S., CCC-SLP Speech Language Pathologist Michele Christman, LPN Michele Christman, LPN Emily Hosfelt, CNA View Emily Hosfelt, CNA Details Emily Hosfelt, CNA Emily was born in Fairfield, Connecticut and grew up in northern West Virginia.  She has worked on the corporate side of healthcare as a data analyst since 2018.  She transitioned to hands-on patient care as a CNA in 2024 and is hoping to pursue nursing school within the next few years.  Emily moved to Lewistown and started working for Home Care Services January 2025.  Emily loves to go on long hikes with her boyfriend and two dogs.  She also likes skiing, crocheting, and baking. Amanda Deangelo Occupational Therapy Amanda Deangelo Occupational Therapy Home Care Services Representatives of Patient Family Advisory Council Sharon Killham Pastor Alex Davies William “Bill” Buck Sally McBurney Tom Wojtowick Julie Van Dyke Ralph Mihlfeld Dorothy Bush Frequently Asked Questions What is Palliative Care?Palliate means to lessen the pain without curing, to ease. Palliative care provides relief from the physical, emotional, and spiritual symptoms and pain that often accompany a serious illness. Where curative care works to treat a disease, palliative care works to relieve pain and other distressing symptoms. The goals of palliative medicine are to control symptoms, relieve suffering, and preserve the best possible quality of life for the patient. The term “comfort care” is often used to describe palliative care. Hospice care is palliative care but not all palliative care is hospice care. A patient can receive palliative care to ease and relieve pain and other symptoms while continuing to receive curative care. When a patient chooses hospice care, they discontinue the curative care and focus only on the palliative aspects of care. Why do terminally ill patients choose hospice care?Hospice is the “something more” that can be done for the patient and family when the illness cannot be cured. Hospice is a concept based on comfort-oriented care. Hospice is a compassionate approach to managing the pain and physical symptoms of terminal illness. Hospice focuses on respecting the individual’s wishes and maintaining dignity by helping to control pain, manage symptoms, and provide emotional and spiritual support. Hospice care focuses on quality of life issues. What does the hospice admission process involve?Upon request for hospice care, CMMC Hospice will contact the patient’s primary care physician to make sure they agree that hospice care is appropriate for this patient, at this time. An appointment will then be set for CMMC Hospice to visit with the patient and family to explain in detail what hospice provides and to answer any questions. If the patient and family feel that all curative measures have been exhausted and that comfort care is the focus, an admission to hospice will be completed. Consent forms will be signed and a plan of care focused on the needs of the patient will be developed in coordination with the patient’s primary care physician. Call 406-535-6302 regarding admission. Do I need a referral for hospice care?Patients are admitted to CMMC Hospice with a physician referral. We can help get this authorization, if needed. If you get a referral from anyone other than the patient’s primary care physician, CMMC Hospice will contact the primary physician and advise them of the referral. After the assessment visit, we will meet with the primary care physician to get their authorization for care and to develop the patient’s plan of care. Your primary care physician becomes an integral part of the hospice team. Do I have to check my loved one into a hospice facility?No, in fact, the majority of our patients receive hospice care in their own homes. CMMC Hospice strives to maintain the patient at the “home of their choice.” That “home” may be their private home, the home of a family member, an assisted living facility or a skilled nursing center (nursing home). What is involved in caring for a loved one receiving hospice care at home?The care necessary varies from patient to patient, but we work with the caregiver to develop a personal care plan built around the patient’s needs. Every patient of CMMC Hospice has an interdisciplinary team of experts assigned to his or her case. Care teams are made up of physicians, nurses, home health aides, social workers, and trained volunteers. We are on call 24 hours a day, seven days a week to provide the support you need. As the illness progresses, and if the care needed exceeds the caregiver’s ability or availability, the hospice social worker and the case manager RN can work with you to develop a plan to move the patient to another level of care. Does CMMC Hospice have a residential facility?No How extensive is CMMC Hospice?CMMC Hospice serves all of Fergus County and parts of Judith Basin County. There are 20 volunteers that devote their time, talents, and love to our program. As a department of Central Montana Medical Center, CMMC Hospice employs more than 20 dedicated staff members. We have the support and resources of Central Montana Medical Center to rely upon. We served more than 66 patients and their families in 2024. How much does hospice care cost?  Is it affordable?Studies have shown that hospice care provides expert pain and symptom management and is more cost-effective than hospitalization. A recent report shows that hospice care actually reduces the health expenditures for patients in their last six months of life. Medicare and most health insurance carriers have benefits that cover most or all of the cost of hospice care. Ability to pay or having health care insurance are not criteria for admission to CMMC Hospice. This policy of serving all who need hospice care is made possible by the generous donations from the community and from the loved ones of former hospice patients. Can a hospice patient who shows signs of recovery be returned to regular medical treatment?Certainly, if improvement in the terminal condition occurs and the disease seems to be in remission, the patient will be discharged from hospice care. The regular intervention and supervision of the RN case manager and compliance with medication and symptom control often result in a significant improvement in the patient’s condition. If this improvement is sustained over a period of time, discharge is appropriate. If the discharged patient should later need to return to hospice care, they can be re-admitted. Will pain medication leave my loved one incoherent or unable to talk?We work to find the right balance for every patient, relieving pain without sacrificing alertness. This requires constant consulting between the hospice nurses, the patient and family, and their doctor. What is an Advance Directive?The term advance directive describes two types of legal documents that enable you to plan for and communicate your end-of-life wishes in the event you are unable to communicate:– A Living Will allows you to document your wishes concerning medical treatments at the end of life– A Medical Power of Attorney allows you to appoint a person you trust as your health care agent, who is authorized to make medical decisions on your behalf. This is also known as a Durable Power of Attorney for Health Care or as a Health Care Proxy. How can I help?Community assistance is essential to our non-profit organization. You can help in a variety of ways—from becoming a volunteer to making a donation. Your support helps to ensure that we can continue to provide hospice care to all who need it in Central Montana.  For more information please visit the Volunteer and Support Hospice sections. Where are you located?CMMC Hospice offices are located in the Central Montana Medical Center complex at 408 Wendell Ave., Lewistown.  The CMMC Hospice entrance is at the northeast end of the building, in the lower level, under the Judith Peaks Rehab Center. Call 406-535-6302 for more information. Hospice Events Throughout the year, CMMC Hospice has events for our hospice program of compassionate specialized health care and support for patients facing life-threatening illness. The participation of our community in these special events gives a tremendous boost to this important work, and serves to heighten awareness of what hospice can do to help. You can help support these events by attending, volunteering, or by sponsoring with a donation. We appreciate your support. 03Dec 2026 Tree of Lights Remembrance Chime Ceremony 6:00pm @ Celebration Church View Event Details Tree of Lights Remembrance Chime Ceremony 03Dec 2026 6:00pm Celebration Church 361 W Frontage RdLewistown, MT 59457 Volunteer Opportunities How do hospice volunteers serve? CMMC Hospice serves both Fergus and Judith Basin Counties and has 20 volunteers from these two counties that devote their time, talents and love to our program. Volunteers help form the heart of hospice. A number of avenues of support are open to the volunteers of CMMC Hospice. Among them are: Direct Services to Patients and Families Trained hospice volunteers provide direct services to patients and their families through emotional support and respite care to allow caregivers time to themselves. Visits can include listening, reading aloud, taking walks, or quiet companionship. Non-denominational Hospice Chaplains offer spiritual support to the patient and families. The dedication and compassionate care of our volunteers support the well-being of our patients and their families in immeasurable ways. Office/Bereavement Assistance Hospice office volunteers provide support in areas including: reception, clerical, auditing, admit packets, mailings, special events, and donation acknowledgements. Bereavement volunteers assist the Volunteer Coordinator, Spiritual Coordinator, and Social Worker with mailings, calls, and special bereavement events. Some bereavement duties may require special training. How do you become a hospice volunteer? Contact the hospice volunteer coordinator, Eileen V. Stahl, at (406) 535-6302 Volunteers are required to participate in a training course on hospice care, dealing with such topics as: death and dying, communication skills, spiritual care, the grief process, and the role of the volunteer. Hospice new volunteer training courses are offered annually. Upon completion of the course, you may choose whether or not to become an active volunteer. After an interview with the Hospice Volunteer Coordinator and upon completion of CMS and organizational requirements, you will undergo an orientation process in your chosen area(s) of work. All volunteers participate in on-going continuing education opportunities provided by CMMC Hospice to enhance their skills. Volunteering Brochure (PDF) 2026 Hospice Volunteer Newsletter (PDF) Make a Donation Each year, CMMC Hospice touches hundreds of lives, cushioning the emotional stress and grief surrounding a loved one’s death. We believe strongly in what we do and that hospice care in our community is making a lasting difference in the lives of many people. The services hospice provides are made possible each year through generous charitable contributions. Without community support, our services would be limited. How to Donate We are a not-for-profit 501c3 organization, so your gifts are tax deductible. You may donate by check or credit card. By Mail (check) You may send your check to: CMMC Hospice, 408 Wendell Ave., Lewistown, MT 59457 Online Your donation will be processed through the Central Montana Medical Center secure processing system. Please designate the “Hospice General Fund”. Donate Today Please specify if this gift is a tribute or a memorial to someone. Your gift will be acknowledged in our publications unless anonymity is requested. Other Gift Methods Memorial Gifts One of the most meaningful ways to support hospice is by designating CMMC Hospice as recipient of memorial gifts. In this way, family members and friends can help to ensure that those in need receive the special care they deserve. Bequest Leaving funds through a will is another option which may suit your needs as a donor. This may include money, securities, personal property or real estate. You may also wish to name Hospice as a beneficiary of a life insurance policy. Charitable Contribution A monthly monetary gift or a one-time contribution may be given. And, as with many donations, your gift to CMMC Hospice is tax deductible. Securities Donating stock or mutual funds allows you to avoid paying capital gains tax on the appreciation, and deduct full fair market value of the security at the time of the gift. This is an excellent way to leverage your gift in support of Hospice. Thank you for your support!

Our Role is Important, Our Results Matter Central Montana Medical Center calls attention to the vital contributions to healthcare made by CMMC’s medical laboratory science professionals. National publications have reported that up to 70% of the data used for clinical decision-making by physicians is generated by the clinical laboratory. Medical diagnosis and treatment decisions depend on timely and accurate test results. Working behind the scenes, laboratory professionals are a critical component of the healthcare team in patient care. The CMMC Laboratory offers testing for the purpose of screening, diagnosis, and monitoring of disease condition. Lab testing is performed on inpatients, outpatients, and referred samples, providing services 24 hours a day. CMMC laboratory now has the ability to perform five new tests that were previously referred to an offsite lab. Our clinical laboratory scientists are trained and deemed competent to perform all the testing that is performed on site. Only lower volume, highly specialized testing will now be referred out to other labs. The laboratory goes through a rigorous government inspection every two years to ensure compliance. Central Montana Medical Center laboratory staff are highly competent and team-oriented. Downloadable Documents Lab Consent Form (PDF)

Birthing Room decor, rooming in, and a complete nursery. Cesarean delivery and care is also available. Complete newborn screening services are provided, including Audiometry testing to confirm normal hearing capacity. Frequently Asked Questions What OB Services are available at CMMC?CMMC has a labor and delivery, postpartum and nursery unit which is fully staffed 24 hours a day, 7 days a week. We are able to provide care to pregnant women, including those with prenatal complications (preterm labor, increased blood pressure, etc.), those having a vaginal delivery or scheduled or emergency c- sections. We provide postpartum care for new moms. CMMC has a Level I nursery, but do provide some services that Level II nursery’s provide such as the ability to manage newborns with minor breathing problems, feeding difficulties, or newborns that may require IV antibiotics. This is done in consult with Neonatologists in Great Falls or Billings. Transport to those facilities is arranged if necessary. What physicians in Lewistown provide OB services?There are four Family Practice Physicians who provide OB services: Dr. Parnell, Dr. Rambo,  and Dr. Williams.  Dr. Williams is at One Health, (phone 535-6545). Perinatologists from Billings and Great Falls are consulted regularly as deemed necessary by your primary physician. Certified lactation consultants available during postpartum stay and support provided by same consultants after discharge while at home.  Contact the OB department for further information at 535-6286. What is available for pain management during labor?We encourage all mothers-to-be to ask questions of their provider regarding pain management options during labor.  . Let your nurse know if you desire pain medication. All pain medications need a physician order so your nurse will need to contact your physician if you desire pain medications. Pain management can include pain medication given to you in your IV or intrathecal narcotic pain medication. An injection of a narcotic is done with an epidural. Nitrous oxide is also offered as an option for pain control. Ask your physician or nurse for more information. What should I bring to the hospital?Here is what we provide:– Large insulated mug for ice water– Toothbrush and toothpaste– Comb– Lotion– Kotex pads– Disposable stretch underwear to hold pads in place– Cleansing squirt bottle– Nightgowns & bathrobes while here– Diapers/clothes for baby while hereYou will need to bring shampoo and conditioner, going home clothes for you and the baby, baby blankets, infant car seat and any personal items you may want. DON’T FORGET your camera. Remember though, no videotaping is allowed during the actual delivery (per hospital policy), however, you are more than welcome to tape before and after. Record those once in a lifetime moments! Who can visit while we are in the hospital?Support person may stay all night if desired. Hospital visiting hours are 11:00 a.m. to 8:00 p.m with exception during our “Shh…Nap Time” program. So our mom’s can rest, we have limited visitation hours from 1:00 p.m to 3:00 p.m. each day. We require that all visitors check in at the OB Nurse’s Station before visiting OB patients. We also ask that visitors not visit if they are ill or have ill children. Children may visit if they are not sick. The father of the baby or Mom’s support person may visit at anytime. Father’s may stay all night if desired. Check with the nurse.  The unit is locked at all times.  Visitors may be allowed access by the OB nurse if the visitor is on the approved visitor list given to staff by the patient.  Only those that the patient has specified will be allowed to visit in the OB Department. What training/experience do the OB Staff have?All are NRP (Neonatal Resuscitation Program) certified, Electronic Fetal Monitoring Certified, and have completed STABLE (Stabilization of newborn for transport) certification. All staff must also have CPR certification. How do you provide security against infant abduction?CMMC has an infant security system in operation at all times. Other security measures are also taken. Your nurse will visit with you about this when you are admitted.  The OB unit is completely locked from entry at all times, unless approved visitation from the patient. Can I have my baby in my room with me all the time?YES!!  Rooming-in is encouraged as a necessary step to bonding with your new baby as well as enabling you to be successful when you go home.  All services for your baby including weights, baths, and all tests well be done in your room with you there to comfort your baby. What if I have questions about myself or my baby after I go home?Give us a call at 535-6286 anytime, day or night. Someone is always available to answer your questions and help you through the wonderful new experience.

From coping with a diagnosis of cancer to handling treatment to dealing with long-term emotional and financial concerns, cancer patients and survivors often face stressful situations. Our goal is to help create a comfortable and relaxed environment for men to share their experiences and concerns. In addition to bringing in guest speakers and experts in fields such as nutrition, pain management, treatments and more, we will encourage an open discussion and dialog in a laid-back atmosphere designed to meet your needs. This group is a supportive network providing the necessary information to help everyone who has had or currently has any cancer diagnosis. Why join a cancer support group? Studies have shown that being part of a cancer support group can have important benefits. These include: feeling better about yourself finding a new focus in life making new friendships improving your mood & learning to cope having better pain control better understanding of your family needs finding a way to support & help others newly diagnosed Meeting Times Meetings are the 2nd Thursday of each month at 12pm – 1pm at the First Christian Church. For more information, please contact us at the number below.

Central Montana Medical Center offers advanced imaging with the uMI 550 Digital PET/CT system from United Imaging — a next-generation scanner designed to deliver exceptional image quality and patient care in partnership with Shared Medical Services. Digital PET technology for sharper images and faster scan times High sensitivity and resolution to support early, confident diagnoses Low-dose imaging to help minimize radiation exposure Built with both patients and providers in mind, the uMI 550 brings powerful imaging performance and efficiency together in one system. Experience the balance of advanced technology and comfort during your next PET/CT exam without having to travel out of town. New Patient Experience Aesthetics Smallest lesion detection size – 1.4mm Highest sensitivity/increased resolution Fastest scan times in the industry – 8 min Improved diagnostic confidence Lower dosing to patients Greatest table weight limits – 550 pounds

CMMC Non-Surgical Pain Management with Scott Rigdon, CRNA Call your Primary Care Provider and ask for a referral! Scott can help manage patients by pain assessment, imaging recommendations, and treatment with non-surgical pain management techniques in for Acute or Chronic pain in the spine, neck, muscles, and joints. Including: Epidural Steroid/ Intralaminar Injection Transforminal/Selective Nerve Root Block Sympathetic Nerve Block – Facet/Medial Branch Blocks Radiofrequency Ablations – Botox for Migraine Trigger Point Injection

Services provided by Academy of Nutrition and Dietetics Registered/Licensed Nutritionist/Dietitian Diabetic Education Medical Nutrition Therapy Mediterranean Lifestyle Coaching Group Presentations One on One Sessions A referral from your Primary Care Physician is required. Call Pattie Carr, MA, RD, LN for more information or to schedule an appointment. Our Team Pattie Carr, MA, RD, LN Pattie Carr, MA, RD, LN 535-6265

CMMC Occupational Health Services We understand that maintaining a healthy workforce is key. We provide a complete package of services for individual business that can be tailored to your specific needs. Our programs are designed to be affordable for all employees. Our Hours Monday – Thursday:  8:00-5:00 pm Friday:  8:00-noon Walk-ins welcome ($5.00 additional service charge)-appointments preferred Our Services Drug and Alcohol Testing Pre-Employment (DOT & non-DOT) Quick test urine drug screens; 5,12 panel Breath alcohol testing (DOT and non-DOT) Mobile drug and alcohol testing Rehabilitation Services Physical Therapy Work Hardening Ergonomic assessment Stretch and flex training Function capacity exams Kraus Weber muscular strength Nutritional Services Diet Analysis Cooking Classes Education – Breakfast 101: Why the first thing you eat every day can affect your overall health Nutrition after 40 – How your diet should change with each decade Grocery store tours Medical Services CDL Physical (View CDL Exam Checklist PDF) Pre-placement exams Physical exam/history review Workers compensation Medical clearance/Quantitative respiratory fit testing Pulmonary function test Tuberculosis skin testing Paternity testing On-Site Vaccinations Influenza Hepatits B Tetanus, Diptheria, Pertusis (TDaP) Measles, Mumps, Rubella (MMR) Pneumonia Shingles On-site wellness screenings Health risk assessments Vital Signs Biometrics Lab testing (CBC, CMP, TSH & Lipids) Personal fitness programs Weight management programs Concussion management ImPACT testing Sports Physicals (View Sports Physical Form PDF) Safety Development Blood borne pathogen program Emergency preparedness planning CPR training First Aid classes Health Education Prevention and care of diabetes Heart health Steps to reduce stroke Building blocks of nutrition Cholesterol: what the numbers mean Exercise basics Ostoporosis – the aging spine Blood borne pathogens Stress management Recognizing depression Skin care Vein disorders and sitting disease Sleep disorders Body mechanics – back injury prevention Infection prevention Health Awareness Education materials/pamphlets Monthly health education newsletters Healthy lifestyle calendars We are not just here to make healthcare manageable, but make it easier. Let us help you succeed in the investment of one of your greatest assets – Your Employees! Call us to see how we can help you. We are not just here to make healthcare manageable, but make it easier. Let us help you succeed in the investment of one of your greatest assets – Your Employees! Call us to see how we can help you. Our Medical Team We are proud to offer care through an experienced team of providers. Dr. Bil Holmes, DO brings over 47 years of clinical experience, offering a strong foundation in osteopathic medicine and patient-centered care. He is joined by Donna VanTassel, AGNP, a highly skilled nurse practitioner committed to delivering professional, compassionate healthcare. Becky Nachtigal, PMHNP specializes in concussion care, bringing focused expertise to the diagnosis, management, and recovery of head injuries.

Our team of experienced orthopedic specialists is dedicated to providing comprehensive care for all musculoskeletal conditions. Here’s what you can expect from our orthopedic services: Orthopedic consultations We offer thorough consultations to assess your orthopedic concerns and develop personalized treatment plans tailored to your individual needs. Diagnosis and imaging Our orthopedic experts utilize advanced diagnostic tools and will order appropriate imaging to accurately diagnose orthopedic conditions. Surgical interventions When surgery is necessary, our skilled orthopedic surgeons perform a wide range of procedures, including joint replacements, arthroscopic surgery, and fracture repair, using the latest minimally invasive techniques whenever possible. Non-surgical treatments We also provide non-surgical treatment options, such as physical therapy, injections, bracing, and orthotics, to help manage pain, improve function, and promote healing without the need for surgery. Our Orthopedics Team Daniel Hebert, MD Since 2020 – Orthopedic Surgery Daniel Hebert, MD Since 2020 – Orthopedic Surgery 408 Wendell Ave.Lewistown, MT 59457 (406) 535-1515 Karen Kaufman, DNP Since 2020 – Orthopedics Karen Kaufman, DNP Since 2020 – Orthopedics 408 Wendell Ave.Lewistown, MT 59457 (406) 535-1515 Gregory McDowell, MD Orthopedic Surgery Gregory McDowell, MD Orthopedic Surgery 408 Wendell Ave.Lewistown, MT 59457 (406) 535-1515 Paul Sensiba, MD Since 2020 – Orthopedic Surgeon Paul Sensiba, MD Since 2020 – Orthopedic Surgeon 408 Wendell Ave.Lewistown, MT 59457 (406) 535-1515

The easiest and least expensive method to test for Peripheral Arterial Disease (PAD). 8-10 million Americans have PAD. Without proper treatment, 30% are likely to die in 5 years of PAD-related heart attack or stroke. PAD is a condition in which fatty deposits build up on the inner linings of arteries, and restrict the flow of blood to muscles and organs; especially the kidneys, stomach, arms, legs and feet. A PADnet test measures the blood volume in the patient’s extremities by using a series of blood pressure readings. This non-invasive test can be completed in 15-20 minutes at CMMC. This vascular test can also check for Peripheral Venous Disease (PVD) – a general term for damage, defects or blockage in the peripheral veins, most commonly found in the arms and legs (like varicose veins and chronic venous insufficiency).

If your child is experiencing a life-threatening emergency, please dial 911 immediately. We know it can be nerve-wracking when kids need care while our office is closed. Below you will find some helpful information to help you rest assured your child is safe and taken care of. Acetaminophen Dosing for Fevers and Pain (Tylenol, Motrin, etc.) Montana Poison Control Center After-Hours Telemedicine For non-emergent issues on evenings and weekends that are not covered by the Quick Resources above, you can access a pediatrician we trust for high-quality, low-cost care. Here at CMMC, we have partnered with Montana Pediatrics to bring you Montana-based care from dedicated pediatricians because we believe you deserve more options when it comes to accessing quality care after hours. By logging into a telemedicine visit, a Montana Pediatrics provider will be able to hear and see your child, understand your concerns, and treat your child from any phone, tablet, or computer with a camera. As soon as your visit is complete, Montana Pediatrics will make sure our clinic staff is notified of your visit. We will have your visit details and will reach out to you as soon as we are open again for any follow-up needs if necessary. Get Started How to Access Care Click green “Get Started” button below Click on the orange Sign up or Login button to create a new account (we suggest doing this today so it’s ready in advance of needing a visit) Follow the on-screen instructions to add your own information followed by your child’s information When asked about your child’s primary care provider, please indicate CMMC To request a visit, from the home screen when you log in, click the Request a Visit button to the right of your child’s name Select the Montana Pediatrics Urgent Care option and follow the on-screen prompts You’ll be connected to a pediatrician shortly Get Started Frequently Asked Questions How much does an after-hours telemedicine cost?Montana Pediatrics will bill you directly for an after-hours visit. They take most insurance plans, Medicaid, and have a cash-pay option (for an uncomplicated visit, expect about $75). You should never feel discouraged seeking care for your child, especially for financial reasons. Montana Pediatrics has an easy-to-use financial assistance policy, which may reduce or eliminate your bill. Visit Montana Pediatrics to learn more. What provider will care for my child?Montana Pediatrics is committed to ensuring Montana families receive care from Montana doctors. Over 50% of the state’s practicing pediatric specialists are engaged with Montana Pediatrics – you can find their entire list of participating providers on the Montana Pediatrics website. What if my child needs follow-up care?Our office staff at CMMC will receive the notes from your visit with Montana Pediatrics and will call to schedule any necessary follow-up care as soon as our office is open again.

Central Montana Medical Center pharmacy provides medications for hospital patients being cared for in the emergency room, acute care, obstetrics, surgery department and infusion center. The pharmacy is centrally located, distributing medications to the units for dispensing via automated medication cabinets. Our pharmacy team includes registered and certified pharmacists and a certified pharmacy technician. Our staff are dedicated to working together with your care team to provide accurate and safe medications to help you maintain and improve your health. The pharmacy services include, but are not limited to: Central Pharmacy Distribution Drug information services Infusion Center medication compounding Medication therapy management Pharmacokinetic monitoring and management Pharmacy, therapeutics and formulary committee support Sterile and non-sterile compounding Emergency prescription needs Needing a prescription filled? At this time our internal pharmacy does not provide retail prescription services, you will need to utilize the other qualified retailers at One Health, Osco Pharmacy, or Seiden Drug.

At the CMMC Rehab Department, comprehensive rehabilitation services are offered for all patients across their lifespan. Services provided: Physical Therapy (PT) Occupational Therapy (OT) Speech-Language Pathology (SLP) Rehabilitation services provided at CMMC include, but are not limited to: Orthopedics Sports injury rehab Pediatrics Neurological Vestibular Work related injuries Aquatic therapy Dry needling Cognitive rehab Speech and communication Swallow evaluation and treatment Jerad Gillen, MSPT CMMC Rehab & Therapy Manager View Jerad Gillen, MSPT Details Jerad Gillen, MSPT CMMC Rehab & Therapy Manager Jerad is a Lewistown native who graduated from Fergus High School in 1990. He attended the University of Montana receiving a Bachelor of Science degree in exercise physiology and a Master of Science in physical therapy in 1999.  Upon graduating, he worked at the Chippewa Cree Health Center until 2010. Jerad worked at Northern Montana Health Care in Havre, Montana as staff therapist for 6 years and then took over as Rehabilitation Services Director in 2016 to 2023. He began employment at Central Montana Medical Center as Director of Rehabilitation Services in October 2024. Jerad is excited to be back home to fill the role of manager.  He enjoys the challenge of being a working manager and most importantly developing relationships with staff, patients, and the community.  He has 24 years of experience working in rural settings in both outpatient and inpatient physical therapy. He has advanced training in vestibular rehab, dry needling, and manual therapy. Jerad moved to Lewistown with his wife and 17- year- old son who is attending Fergus High School. He also has a 20-year-old daughter attending MSU.  Jerad likes to spend time outside of work with his family, hunting, fishing, golfing, and enjoying the outdoors. Education: B.S. in Exercise Physiology, University of Montana in 1994, Master of Science in Physical Therapy, University of Montana in 1999. Focus: General orthopedics, vestibular rehab, and functional dry needling. Specialties: Certified in Functional Dry Needling, ASTYM, Kinesiotaping Professional Affiliations: American Physical Therapy Association (24 years), Montana Physical Therapy Association (24 years) Laura Tognetti, PT, DPT Physical Therapist View Laura Tognetti, PT, DPT Details Laura Tognetti, PT, DPT Physical Therapist I am originally from Gardner, North Dakota.  I pursued my undergraduate degree from North Dakota State University in 2012, and then went on to attend Physical Therapy School at the University of Mary.  Upon graduation from the University of Mary in 2015, I worked in a private outpatient clinic for 2 years.  I then moved with my husband back to his hometown of Lewistown, and began working at CMMC Judith Peak Rehab as an outpatient physical therapist.  I am passionate about helping patients reduce pain, improve mobility, and restore function to allow them to live a fulfilled, active lifestyle.  In my free time I enjoy spending time with my husband, fishing, outdoor activities, playing with my dogs, and sports. Education: B.S. in Exercise Science, North Dakota State University; Fargo, ND (2012).  Doctor of Physical Therapy, University of Mary; Bismarck, ND (2015) Focus:  general orthopedics, manual therapy, and sports medicine Certification:  Certified in Level 1 Functional Dry Needling through Kineticore. Amanda Grove, PT, DPT Physical Therapist/Basin Therapy Physical Therapist View Amanda Grove, PT, DPT Details Amanda Grove, PT, DPT Physical Therapist/Basin Therapy Physical Therapist I am originally from Helena, MT.  I pursued my undergraduate degree from Carroll College in 2007 and then went on to attend Physical Therapy School at University of Montana.  Upon graduation from University of Montana in 2012, I worked at Benefis Health System as an Outpatient/Acute Care Physical Therapist for 2 years.  I then moved in 2012 with my husband to the family farm and ranch, and began working as an outpatient physical therapist at CMMC Judith Peak Rehab in Lewistown, and CMMC Basin Physical Therapy in Stanford, MT.  Since working at CMMC, I have been an integral part in developing our Central Montana Sports Enhancement Program in Lewistown and Stanford.  I reside on the family farm and ranch with my husband and 3 children.  I enjoy serving a rural community with diverse needs. Education:  B.A. in Health and Physical Education – Community Health, Carroll College; Helena, MT (2007)  Doctor of Physical Therapy, University of Montana; Missoula, MT (2010) Focus:  general orthopedics, pediatrics, sports medicine, vertigo, and functional dry needling Specialties:  Certified as a Functional Dry Needling specialist through Kinetacore with completion of Level 1 and Level 2.  Credentialed Clinical instructor through the APTA. Kinesiotaping, LSVT Big Certified Professional affiliations:  American Physical Therapy Association (APTA) and Montana Physical Therapy Association (MAPTA) member Leigh Bailey, PT-DPT View Leigh Bailey, PT-DPT Details Leigh Bailey, PT-DPT I am originally from Fort Benton, Montana.  I pursued my bachelors degree at Montana State University, and continued on to get my doctorate in Physical Therapy at the University of Montana, Missoula.  I then chose to do a 13 month residency to specialize in orthopedics with the Johns Hopkins Hospital and George Washington University Residency program in Baltimore/Washington DC.  I had the opportunity to receive advanced training in manual therapy, chronic pain/pain neuroscience, women’s health, and running mechanics (among other topics).  In my free time I enjoy spending time with my husband, working on our family farms, and enjoying the outdoors. Education BS degree in Exercise Science at MSU – Bozeman, Doctorate in Physical Therapy at the University of Montana, Orthopedic Residency in Baltimore with the John Hopkins and George Washington University Orthopedic Residency program Focus: Orthopedics, running mechanics, women’s health, manual therapy. Kathleen Thackeray, OTR, L Occupational Therapist View Kathleen Thackeray, OTR, L Details Kathleen Thackeray, OTR, L Occupational Therapist I am a Lewistown native who graduated from St. Leo’s High School in 1986.  I pursued my undergraduate degree from Carroll College in 1990, and then went on to Occupational Therapy School at Colorado State University.  Upon graduation from Colorado State University in 1993, I worked at Shodair Children’s Hospital in Helena, MT in pediatrics for 3 years.  I then worked for an outpatient clinic in Helena for 2 years with adults, children, and skilled nursing.  After that I worked for 3 years as a contract OT for an Idaho School System in conjunction with a contract with a skilled nursing facility.  I then moved back to Lewistown with my husband in 2001, and began working at CMMC as an outpatient, acute care, skilled nursing rehab, and home health occupational therapist.  I also contracted with the local school district.  I particularly enjoy working with children and their families to assist with developmental needs.  I love occupational therapy’s role in helping people overcome obstacles in order to be as independent as possible.  In my free time I enjoy spending time with my family in the outdoors, hiking, horseback riding, biking, gardening, skiing, and sledding. Education:  B.A. in Psychology, Carroll College; Helena, MT (1990).  B.S. in Occupational Therapy, Colorado State University; Fort Collins, CO (1993). Focus: Pediatrics, geriatrics, sensory integration and developmental progression. Specialties:  Certified to administer the SIPT (Sensory Integration and Praxis Tests).  Superficial Modalities license. Laura Anderson, PT, DPT Physical Therapist View Laura Anderson, PT, DPT Details Laura Anderson, PT, DPT Physical Therapist I am a Lewistown native who graduated from Fergus High School in 2005.  I pursued my undergraduate degree from Montana State University in 2009, and then went on to attend Physical Therapy School at the University of Montana.  Upon graduation from the University of Montana in 2013, I worked as a traveling physical therapist in acute care, and outpatient.  I moved back to Lewistown in 2014 and began working at CMMC Judith Peak Rehab as an acute care and skilled nursing rehab physical therapist.  My passion is treating the geriatric population, helping them recover from injuries and illnesses, and helping them improve their pain and mobility to lead a higher quality of life.  I am so happy to be back in my hometown to live and work.  My husband and I, along with our two sons, love Central Montana; the outdoor opportunities – from trail running to fly fishing – the people and the community here are incredible.  I can’t imagine myself anywhere else. Education:  B.S. in Health and Human Development, Montana State University; Bozeman, MT (2009) Doctor of Physical Therapy, University of Montana; Missoula, MT (2013) Focus: Geriatrics Specialties:  Credentialed Clinical Instructor through the APTA. Jed Myers, OTR-L, EMT-A Occupational Therapist View Jed Myers, OTR-L, EMT-A Details Jed Myers, OTR-L, EMT-A Occupational Therapist I am originally from Melbourne Australia.  I spent five years working as a Certified Nurses and Rehab Aide and enjoyed assisting others to get well.  I then pursued my undergraduate degree in Occupational Therapy from the University of Mary.  Upon graduation from the University of Mary in 2000, I worked in Cortez, CO for five years as an Occupational Therapist in skilled nursing rehab, outpatient, home health, and acute care.  In May of 2005, I moved to Lewistown with my wife and children.  I began working for CMMC as an outpatient, home health, acute care, and skilled nursing rehab Occupational Therapist.  I am passionate about seeing patients get well and return to their prior level of function.  In my free time I enjoy spending time with my wife and five children, running marathons, reading, and working on my home. Education:  B.S. Degree in Occupational Therapy, University of Mary; Bismarck, ND (2000). Focus: Outpatient, home health. Specialties:  Superficial Modalities License.  Advanced Emergency Medical Technician. Professional Affiliations:  Montana Occupational Therapy Association (MOTA) Sherry Berg, PTA Basin Therapy, Physical Therapist View Sherry Berg, PTA Details Sherry Berg, PTA Basin Therapy, Physical Therapist 215 3rd St. SouthStanford, MT 59479 (406) 566-2466 I am a Central Montana native who graduated from Stanford High School in 1995.  I then went on to attend the University of Montana, and in 1998 I was accepted into the Physical Therapist Assistant program at Montana State University College of Technology in Great Falls.  Upon graduation in 2000, I worked as a PTA in Missoula for 2 ½ years in an outpatient clinic.  I then moved back to Stanford with my husband and began working at CMMC in outpatient, acute care, home health, and long term care.  After starting a family, I decided to stay at home for a few years.  I then had the opportunity of working with CMMC again in outpatient when they started their satellite clinic at CMMC Basin Physical Therapy in Stanford, MT.  I have been an integral part in implementing our Central Montana Sports Enhancement Program at Stanford High School.  I have really enjoyed coming back to my family ranch and helping my neighbors and community members with their Physical Therapy needs.  In my free time, I enjoy spending time with my husband, riding horses, ranching, running, roping, photography, and following my 2 children around in all their activities. Education:  Associate degree as a Physical Therapist Assistant, Montana State University College of Technology; Great Falls, MT (2000) Focus: general orthopedics, sports medicine Specialties: Kinesiotaping, running analysis, pilates, LSVT Big certified Beca Holmquist, PT, DPT Physical Therapist View Beca Holmquist, PT, DPT Details Beca Holmquist, PT, DPT Physical Therapist 408 Wendell AveLewistown MT 59457 406-535-5157 I’m originally from Thompson Falls, MT. I received my undergraduate degree from Montana State University, took a year off to work, and then went to the University of Utah for my Doctor of Physical Therapy degree. After graduating in 2018, I started my first physical therapy job in Malta, MT, where I worked in outpatient and acute care at Phillips County Hospital. Later, I took a position at CMMC as an acute care and skilled nursing physical therapist. I love to help patients regain their functional mobility and independence while they recover from injury or illness.  Rural healthcare is my passion, and I am so proud to serve our community. In my free time, I spend a lot of time camping around central and eastern MT with my husband and our two labradors, doing home projects, and gardening. Education: B.S. in Exercise Science, Montana State University; Bozeman, MT (2014).  Doctor of Physical Therapy, University of Utah; Salt Lake City, UT (2018). Focus: Geriatrics, acute care, neuro Chris Russell, PTA Physical Therapist Assistant Chris Russell, PTA Physical Therapist Assistant Amanda DeAngelo, OT View Amanda DeAngelo, OT Details Amanda DeAngelo, OT Amanda is originally from Vestal, NY. I completed an accelerated 6-year occupational therapy program in Philadelphia where I received my doctorate degree in 2017. I also played Division II volleyball during my first four years of college. Afterwards, I explored all around the country for the next five years working as a traveling OT. I worked in a variety of settings: SNFs, acute care, home health, and outpatient. I completed my last travel contract here at CMMC in April 2021 and ended up taking the permanent job (it was too difficult to leave this amazing place). I really enjoy working with the neuro population and UE orthopedic conditions/deficits. In my free time, I enjoy playing sports and outdoor activities. Education: B.S. in Health Sciences at University of the Sciences in Philadelphia (2015) Doctorate of Occupational Therapy at University of the Sciences in Philadelphia (2017). Focus: Geriatrics Selina Vargas, M.S., CCC-SLP View Selina Vargas, M.S., CCC-SLP Details Selina Vargas, M.S., CCC-SLP Selina is originally from Kaufman, TX. I completed my undergraduate coursework at Texas Christian University in 2016. After working as a rehab tech in an Inpatient Rehabilitation and a pediatric outpatient facility, I realized speech therapy was my calling. I then attended and graduated from The University of Texas at Dallas with my Master’s in Communication Disorders and Speech Language Pathologist license. Currently, I am working at CMMC as an outpatient, acute care, skilled nursing facility, and home health speech language pathologist. I am passionate about educating patients and their caregivers about communication, memory strategies, language development, feeding, and behavior strategies across the entire life span in order to improve functional communication, quality of life, and relationships. In my free time I like to travel, hike, bake, garden, begin (but hardly finish) DIY home projects, and spend time with my family and two dogs. Education: B.S. in Kinesiology with a minor in Spanish for the health professions, TCU, Fort Worth, TX (2016), Master’s Degree in Speech Language Pathology, The University of Texas at Dallas, (2029). Focus: Pediatrics: autism, neurological and genetic disorders, dysphagia, AAC, Childhood Apraxia of Speech, bilingual (Spanish). Adults: AAC, cognitive impairment, dysphagia, and neurological disorders Specialties: MBSiMP Certified, Autism, Augmentative and Alternative Communication, Bilingual-Spanish

Our dedicated team of healthcare professionals is committed to providing comprehensive and compassionate primary care for patients of all ages. At CMMC, we prioritize building strong relationships with our patients based on trust, respect, and open communication. Whether you need a routine check-up or ongoing management of a chronic condition, you can count on us to deliver personalized, high-quality primary care services tailored to your needs. Here’s an overview of our primary care services: Wellness Exams Our primary care providers perform comprehensive wellness exams, including physical examinations, health assessments, and lifestyle counseling, to help you achieve and maintain overall well-being. Diagnosis and Treatment Our primary care physicians are trained to diagnose and treat a wide range of acute and chronic medical conditions, from common illnesses to complex health concerns. Same-day Care We prioritize access to same-day care for patients with acute health needs, and strive to address your health concerns in a timely, convenient & cost effective way. Management of Chronic Conditions We provide personalized care plans for patients with chronic conditions such as diabetes, hypertension, asthma, and more, to help them manage their symptoms and improve their quality of life. Referrals and Coordination of Care If specialized care is needed, we collaborate with a network of specialists to ensure you receive the appropriate treatment and support throughout your healthcare journey. Immunizations We offer vaccinations for both children and adults to protect against preventable diseases. Our Team Amie Baguer, FNP Since 2026 – Family Medicine Amie Baguer, FNP Since 2026 – Family Medicine 408 Wendell Ave.Lewistown, MT 59457 (406) 535-1482 Annette Comes, MD Since 2004 – Family Medicine Annette Comes, MD Since 2004 – Family Medicine 408 Wendell Ave.Lewistown, MT 59457 (406) 535-1482 Dale Hoekema, MD Since 2024 – Internal Medicine Dale Hoekema, MD Since 2024 – Internal Medicine 408 Wendell Ave.Lewistown, MT 59457 (406) 535-1482 Heidi Linhart, DNP Since 2017 – Family Medicine Heidi Linhart, DNP Since 2017 – Family Medicine 408 Wendell Ave.Lewistown, MT 59457 (406) 535-1417 Stephanie Parnell, DO Since 2025 – Family Medicine & Obstetrics Stephanie Parnell, DO Since 2025 – Family Medicine & Obstetrics 408 Wendell Ave.Lewistown, MT 59457 (406) 535-1417 Shelley Poss, APRN-BC Since 2006 – Family Medicine Shelley Poss, APRN-BC Since 2006 – Family Medicine 408 Wendell Ave.Lewistown, MT 59457 (406) 535-1417 Chelsea Rambo, DO Since 2025 – Family Medicine & Obstetrics Chelsea Rambo, DO Since 2025 – Family Medicine & Obstetrics 408 Wendell Ave.Lewistown, MT 59457 (406) 535-1417 Michael Sura, MD Since 2008 – Family Medicine Michael Sura, MD Since 2008 – Family Medicine 408 Wendell Ave.Lewistown, MT 59457 (406) 535-1482

What is Pulmonary Rehabilitation? A service that is designed for those who experience lung problems such as: COPD (Emphysema or chronic bronchitis) Bronchiectasis Sarcoidosis Pulmonary Hypertension Pulmonary Fibrosis Interstitial lung disease Lung cancer and lung cancer surgery Lung volume reduction surgery Pre and post lung transplantation Idiopathic pulmonary fibrosis Pulmonary Rehabilitation helps participants: Experience less difficulty with breathing Increase muscle strength and endurance Improve their ability to cope with daily activities Understand how to use medications and oxygen appropriately Improve quality of life Reduce hospitalizations Improve depression Typical Pulmonary Rehabilitation programs include: (A Team of RN’s, exercises specialist, RT’s, Dietitian, social services and a Medical Director which help the patient achieve their goals for improved lung health.) Monitored and supervised exercises Assistance with smoking cessation Education about your pulmonary condition, control of symptoms, medications, and oxygen Stress reduction and/or management techniques sessions Nutritional guidance

When it comes to your health, we don’t want you to travel 110 miles down the road to get the answers. That’s why our Diagnostic staff works efficiently to get test results to your physician as soon as possible. What’s more, you can rest assured that we work with some of the most advanced diagnostic equipment available at most larger cities in Montana. Our staff is a group of highly trained technologists, many of whom hold advanced level registries in specialty areas. Our imaging services include state-of-the-art modalities such as diagnostic X-ray, computed tomography (CT scan), nuclear medicine, Mammography (PDF), Dexa Scan (PDF) (osteoporosis screen), magnetic resonance imaging (MRI) and ultrasound.

Respiratory care is a specialized area in health care. It works hand in hand with individuals who suffer from cardiac and breathing disorders. Respiratory Therapists are trained and certified in advanced modalities and medical equipment to assist in the management of respiratory conditions. Our Respiratory care team provides support and care for patients of all ages, covering a wide range of support including diagnostic, emergent, and every day management of chronic respiratory therapies. What We Do Our focus is to help improve pulmonary function and quality of life for those affected in a broad spectrum of pulmonary illnesses to include: Asthma, Pneumonia, Chronic Obstructive Pulmonary Disease (COPD), Neonatal support, Cardiac and Respiratory Arrest, Post-Surgical Support, Rib and sternal fractures, Hemothorax, and collapsed lung. Our services include: Patient assessment and Education Bronchodilator and medicated therapies Comprehensive Pulmonary Function testing Pulmonary Hygiene therapy Chest Physiotherapies Non-invasive Mechanical ventilation Invasive Mechanical Ventilation Oxygen therapy Neonatal High risk and Cesarean deliveries Neonatal non-invasive ventilation Arterial Blood gas analysis PADnet (Peripheral Artery disease testing) Sleep testing and treatment Patients are encouraged to talk to their physicians about possible testing and treatments. We’re here to help you get the breath you need!

Aging brings many joys – more time with family and freedom in retirement – but our older years can also bring difficult life transitions, including the loss of loved ones and stress from age-related health concerns. CMMC’s Senior Life Solutions is an intensive outpatient group therapy program designed to meet the unique needs of individuals, typically 65 and older, experiencing depression or anxiety related to life changes often associated with aging. Feeling down every once in a while is a normal part of life, but if these feelings last a few weeks or months, you may be dealing with something more serious. If you or someone you know has experienced any of the following, this program might be right for you. Anxiety Changes in appetite Depression Difficulty sleeping Feelings of sadness or grief lasting more than two weeks Feelings of worthlessness or hopelessness Lost a spouse or close family member Loss of energy Loss of interest in previously enjoyed activities Recently experienced a traumatic event Services offered by CMMC’s Senior Life Solutions include a confidential, comprehensive assessment, group, and individual therapy, family therapy, medication education and management, and after-care planning, where we continue to engage and support our participants. Even though this is a group setting, each person is addressed individually based on their unique needs. Frequently Asked Questions What is Senior Life Solutions?Senior Life Solutions is an outpatient hospital program designed to support the mental health of older adults experiencing depression, anxiety, or other mental challenges often associated with aging. Our voluntary program includes individual and group therapy, psychiatry, medication management, and health screens.Participants in the program attend group, individual, and family therapy sessions led by a licensed therapist. They also meet with a psychiatrist at least once a month. Who could benefit from the program?Older adults, typically 65+, who struggle with depression, anxiety, or other mental health challenges. Senior Life Solutions can help older adults who are experiencing the following:– loss of a loved one– chronic health diagnosis– change in living conditions– suicidal thoughts– frequent feelings of sadness, guilt, worry, or worthlessness– change in energy level, sleep, and/or weight– need for frequent visits to the emergency room or clinic– feeling overwhelmed or stressed due to being a caregiver How can the program help me?Most participants experience a reduction in feelings of depression, anxiety, isolation and loneliness. They see improvements in their physical health and discover a renewed sense of purpose. Benefits of the Senior Life Solutions program include: – regular health screens (vital signs, sleep patterns, weight changes, mood, etc.)– coping and communication skills– medication management– psychiatric treatment– individual therapy– group support Who can recommend someone to the program?Anyone can make a referral to our Senior Life Solutions program including clinicians, family, and friends. Participants can also self-refer. Just give us a call. How can I get more information about the program for myself or someone I know?We are always available to answer questions and can provide educational in-services and information to community members and clinicians. Contact us for more information or to discuss mental health support for yourself or a loved one. Support and Care Team The program staff includes a board-certified psychiatrist, licensed therapists, a registered nurse, and other professionals dedicated to the mental health care of the older adults in our community. Anyone can make a referral to the program. This includes self, family members, physicians, or other healthcare professionals. For more information about CMMC’s Senior Life Solutions program, call 406-535-1965. Hours of Operation Monday–Friday, 8:00 AM – 4:30 PM

Sleep is not just a quality-of-life issue. Chronic sleep deprivation and poor sleep quality pose serious risks to your health. One of the biggest concerns is obstructive sleep apnea, which has been strongly linked with high blood pressure, coronary artery disease, congestive heart failure, stroke and heart attack. Apnea may also play a role in diabetes. In addition, people with sleep apnea are three to seven times more likely than others to be in a car crash. Our Sleep Lab is over seen by Roy Kohler, MD who is Board Certified in Sleep Medicine. Take the Sleep Apnea Quiz (PDF) Talk to your doctor about having a sleep study performed if you suffer from any of the following symptoms: Snoring Pause in breathing Gasping for air Unrestful Sleep Excessive Day-time sleep Abnormal night-time sleep Under qualified medical supervision, our Sleep Study service offers accurate information needed for the diagnosis of sleep disorders. Our service is provided with the same caring attitude you have come to expect from CMMC. Conditions Treated A physician’s order is required to participate in our sleep study program, under which a wide variety of conditions, such as these, may be treated: Neurological Disorders Movement Disorders Breathing Disorders Our trained staff, which includes technicians and respiratory therapists, is available to answer any questions you may have regarding your sleep habits. Procedure No needles, no pain. Generally easy to tolerate and comfortable to the patient. Electrodes and censors measure brain waves, heart rate, movement, and blood oxygen levels. A technician monitors the sleep study and is available if the patient needs him. Your test is scored and interpreted by a qualified physician, providing information needed for an accurate diagnosis and subsequent treatment. Home Care Needs Related to Sleep Apnea The caring continues with assistance at home! Our service can help determine your need for rental/purchase of health care equipment such as: CPAP/BIPAP machines Masks Tubing Filters Humidifiers Patients are encouraged to talk to their physicians about possible sleep disorders. We’re here to help you get the restful sleep you need!

Sports Physicals are required annually for students participating in MHSA sanctioned sports. We provide a physical therapist musculoskeletal evaluation with your Sports Physical exam.  If you are in need of a Sports Physical, please contact us at 538-4110 to set up an appointment. CMMC will give back the cost of your sports physical to your designated schools’ athletic program! Downloadable Documents Sport Physical Form 2026-27 (PDF)

The Best Surgeons in Central Montana  CMMC’s surgery services are designed to meet the highest standards of care, whether it be for an inpatient surgery or same day surgery. We combine a warm, caring environment with modern technology, and skilled physicians, anesthetists and nurses.  Plus, we’re close to home. You do not have the added stress of an extended drive. What We Do CMMC’s surgery team is experienced in providing services for a wide range of surgeries that include both general and specialty surgical practices, such as: Dermatology (skin) Endoscopy (all gastrointenstinal and sinus) General surgery Gynecology (female reproductive system) Laproscopy (gall bladder) Obstetrics (maternity) Ophthalmology (eye) Orthopedics (joint and bone) Otolaryngology (ear/nose/throat) Pediatrics (children’s surgeries) Podiatry (foot & ankle surgery) Urology (urinary) Same day surgery Many procedures and surgeries are now done as “out-patient”, in which patients can return to the comfort of their own home the same day.  Same day surgeries specialize in minimally invasive procedures, so recovery time and discomfort are minimal.  Typically, same day surgeries are scheduled in the morning to allow you to recover and return home later in the afternoon or evening. The following are some of our same-day surgeries: Colonoscopy (colon exam) Cystoscopy (bladder exam) Gastroscopy (upper gastrointestinal exam) Laparoscopy (abdominal exam or surgery) Laparoscopic cholecystectomies (gall bladder removal) Myringotomy (ear tube insertion) Tonsillectomy (removal of tonsils) Tendon repair (repair of damaged tendons) Arthroscopy (joint examination or surgery) Ovarian cystectomy (removal of cyst (s) on ovaries) D and C (dilatation and curettage or uterine scraping) Breast biopsy (removal of tissue for examination) Hernia repair Knee Shoulder Eye (cataracts) Dental Podiatry (foot) Hand Our team of physicians, nurses and anesthetists monitor you throughout your surgical procedure and follow-up with you after your discharge from the hospital. During recovery at home, support may be provided through follow-up phone calls, as well as through home care programs and rehab services.

Not every patient is ready to go home from the hospital right away. If you are recovering from an illness or medical treatment, Central Montana Medical Center’s Medicare-certified Swing Bed Program offers the continued care you will need to support a smooth transition from your time in the hospital to the next stage of your recovery. Frequently Asked Questions What is Swing Bed?A person who has been admitted under inpatient status for at least three days in row and requires additional daily nursing care and/or rehab services would benefit from a Swing Bed stay. A skilled need might include:– Daily Physical, Occupational, and/or Speech therapy with reachable goals for improvement– Intravenous (IV) medications given at least once a day– Daily specialized wound care Who pays for Swing Bed?Medicare will generally pay for Swing Bed if the patient meets the following criteria:– The Swing Bed stay must be related to an acute hospital stay– A qualifying 3-night inpatient stay within the past 30 daysThough Swing Bed is a Medicare driven program, many private health insurance providers also pay for Swing Bed- pending prior authorization. Self-pay is also an option.Should you be hospitalized outside of Lewistown, we will work with your treatment team to transfer your care to the Swing Bed program here at CMMC. Why choose CMMC for my Swing Bed stay?– Low patient-to-nurse ratio– On-site hospital resources including radiology, lab, and ER if needed– Daily Interdisciplinary Rounding– Weekly Interdisciplinary Care Planning– Individualized caregiver training and education when preparing for discharge Our Acute Care unit is dedicated to providing high-quality, patient-centered care. If you have any questions or would like to make a referral to the Swing Bed program, please reach out as we would be happy to assist you in your recovery.

CMMC is continuously innovating the way we deliver health care. We have several opportunities available for you to receive care online for minor medical issues as well as to continue your relationship with your primary and specialty care providers. We are learning with you, developing and continuously working to improve the online experience for patients as we transition to providing more care online. A technical assistant is available at 406-535-1502 from 8 am to 5 pm, Monday through Friday to help you have a successful visit. Please review or call prior to your visit, so you’re ready to go at the scheduled appointment time. Specialties included but not limited to: nephrology, podiatry, medical oncology, radiation oncology, infectious disease, genetic counseling, palliative care, Primary and Specialty Care Whenever possible, we would like you to continue your relationship with your established providers. If you have an appointment scheduled, your provider might request a Virtual Care visit to replace an in-person appointment. Some of the appointments that can be done by Virtual Care include: Medication refills and follow up Mental health Physicals New Patient Visits Prenatal Classes Hospital/ER follow ups that do not require a hands-on exam Medicare annual review of medical problems If you need to schedule an appointment with an established provider, please call our appointment line at 535-1502.

Meeting Times Women’s Cancer Support Group: meet the third Thursday of each month at Zion Lutheran Church from 12-1pm. From coping with a diagnosis of cancer to handling treatment to dealing with long-term emotional and financial concerns, cancer patients and survivors often face stressful situations. Our goal is to help create a comfortable and relaxed environment for women to share their experiences and concerns. In addition to bringing in guest speakers and experts in fields such as nutrition, pain management, treatments and more, we will encourage an open discussion and dialog in a laid-back atmosphere designed to meet your needs. This group is a supportive network providing the necessary information to help everyone who has had or currently has any cancer diagnosis. Why join a cancer support group? Studies have shown that being part of a cancer support group can have important benefits. These include: feeling better about yourself finding a new focus in life making new friendships improving your mood & learning to cope having better pain control better understanding of your family needs finding a way to support & help others newly diagnosed