Total health inspections
5
Montana average 5.1
Last Health inspection on Mar 2025
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
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Nursing Home in Missoula
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Riverside Nursing and Rehabilitation Center
Nursing Home in Missoula
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Riverside Nursing and Rehabilitation Center
Riverside Nursing and Rehabilitation Center is the epitome of excellence when it comes to senior living care, as evidenced by its outstanding nursing home quality measures. Within this extraordinary community, exceptional standards are upheld to ensure that residents receive the utmost care and support they deserve. The ambiance exudes warmth and comfort, creating a welcoming environment that feels like home.
The dedicated team of professionals utilizes state-of-the-art equipment to deliver personalized treatment plans, all while maintaining the highest nursing home quality measures. These measures serve as a testament to the community’s commitment to providing superior care and achieving optimal outcomes for its residents. In addition to top-notch medical services, Riverside goes above and beyond to ensure resident satisfaction. The community values transparency and encourages open communication by actively seeking and addressing nursing home reviews. This commitment to ongoing improvement allows Riverside to continuously enhance its services, ensuring that residents receive the highest level of care and comfort.
Randy Sparks serves as the Executive Director at Riverside Nursing & Rehabilitation, LLC. He is dedicated to providing a pleasant, comfortable, and enjoyable stay for residents, whether short-term or long-term. Randy emphasizes compassionate, individualized care and takes pride in serving the community and veterans. He warmly invites visitors to explore the facility’s services and experience the supportive environment firsthand.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Staffing hours breakdown
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered Nurse (RN)
Registered nurse hours per resident per day.
Registered nurse hours per resident per day.
Nurse Aide
Nurse aide hours per resident per day.
Nurse aide hours per resident per day.
Total Nursing (Weekend)
Total number of nurse staff hours per resident per day on weekends.
Total number of nurse staff hours per resident per day on weekends.
Physical Therapist
Physical therapist staff hours per resident per day.
Physical therapist staff hours per resident per day.
RN (Weekend)
Registered nurse hours per resident per day on weekends.
Registered nurse hours per resident per day on weekends.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
72
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
90.6%
Residents per day (avg)
67
Occupancy rate
90.6%
Residents per day (avg)
67
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
57% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
38% of new residents, often for short stays.
Typical stay
3 - 4 months
Medicaid
5% of new residents, often for long-term daily care.
Typical stay
4 - 5 years
Finances and operations
Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$8.0M
Operating loss
-$982.0K
Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$8.0M
Operating loss
-$982.0K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.2M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$5.8M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$9.0M
Walk Score: 42 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
About this community
Rehabilitation Services
Short-Term Rehab
Short Term Rehabilitation
Long Term Care
Physical Therapy
Occupational Therapy
Speech Therapy
Short Term Rehabilitation
Memory Care
Dedicated Dining Room
In-Room Tv
Cable
Wi-Fi
Private Outdoor Patio
Family Lounge
Specific ProgramsVeteran Care, Rehab, Therapy, Sunshine Place, News and Events
Food DescriptionNutritious, flavorful meals, including special and modified diets as needed.
Types of Care at Riverside Nursing and Rehabilitation Center
Nursing Home
Hospice Care
Assisted Living
Health Inspection History
Inspections
Total health citations
30
Montana average 29.7
Citations per inspection
6
Montana average 5.72
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
22 of 30 citations resulted from standard inspections; 7 of 30 resulted from complaint investigations; and 1 of 30 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Montana averageMontana average: 0.3
Serious Health citations
1
1
55% better than Montana averageMontana average: 2.2
0 critical citations
1 serious citation
28 moderate citations
1 minor citation
Citations history (last 3 years)
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Mar 25, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Mar 25, 2025
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Mar 25, 2025
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Mar 25, 2025
Corrected
Environmental moderate citation
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
Nov 07, 2024
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
Nov 07, 2024
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Nov 07, 2024
Issues related to food quality, meal service, and resident's nutritional needs.
Nov 07, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Missoula The information below is reported by the Montana Department of Public Health and Human Services, Quality Assurance Division.
Filter by care type
Missoula Health and Rehabilitation Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Missoula (Upper Rattlesnake)
60
80.4%
+30%
4.24
-6%
0
34
11.3
0
36
-
13
Pacific Northwest Snf Operations Holdings (Mt) Llc
$1.9M
$0.7M
36.6%
275035
Riverside Nursing and Rehabilitation Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Missoula (Heart Of Missoula)
72
90.6%
+47%
4.24
-6%
1
30
6.0
1
67
-
42
David Smilovitz Trust
$8.0M
$3.2M
40.2%
275126
Big Sky Palliative and Hospice
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Missoula (Franklin To The Fort)
-
-
-
-
-
0
0
0.0
0
-
-
62
-
-
-
-
-
The Village Health & Rehabilitation
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Missoula
193
-
-
-
-
0
0
0.0
0
-
-
49
-
-
-
-
-
Places of interest near Riverside Nursing and Rehabilitation Center
1.1 miles from city center — 1.26 miles to nearest hospital (Providence Wound Care Center)
Calculate Travel Distance to Riverside Nursing and Rehabilitation Center
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
145
Employees
91
Contractors
54
Staff to resident ratio
2.27:1
28% better than Montana averageMontana average ratio: 1.77:1
Avg staff/day
37
Average shift
7.8 hours
9% worse than Montana averageMontana average: 8.6 hours
Total staff hours (quarter)
26,416
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
20
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
14
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
85
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
11.9%
3,146 contractor hours this quarter
Certified Nursing Assistant: 24
Registered Nurse: 10
Licensed Practical Nurse: 10
Physical Therapy Assistant: 4
Speech Language Pathologist: 2
Respiratory Therapy Technician: 2
Qualified Social Worker: 1
Therapeutic Recreation Specialist: 1
Staff by category
| Certified Nursing Assistant | 61 | 24 | 85 | 14,913 | 91 | 100% | 7.8 |
| Registered Nurse | 10 | 10 | 20 | 4,918 | 91 | 100% | 9.4 |
| Licensed Practical Nurse | 4 | 10 | 14 | 1,653 | 90 | 99% | 8.3 |
| Medication Aide/Technician | 3 | 0 | 3 | 944 | 71 | 78% | 8 |
| Other Dietary Services Staff | 3 | 0 | 3 | 862 | 86 | 95% | 6.1 |
| Nurse Practitioner | 2 | 0 | 2 | 512 | 63 | 69% | 8 |
| Administrator | 1 | 0 | 1 | 504 | 63 | 69% | 8 |
| Physical Therapy Assistant | 0 | 4 | 4 | 439 | 64 | 70% | 6.7 |
| Dietitian | 1 | 0 | 1 | 408 | 51 | 56% | 8 |
| Qualified Activities Professional | 1 | 0 | 1 | 255 | 40 | 44% | 6.4 |
| Occupational Therapy Aide | 1 | 0 | 1 | 230 | 34 | 37% | 6.8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 196 | 26 | 29% | 7.5 |
| Mental Health Service Worker | 1 | 0 | 1 | 178 | 25 | 27% | 7.1 |
| Therapeutic Recreation Specialist | 0 | 1 | 1 | 169 | 39 | 43% | 4.3 |
| Qualified Social Worker | 0 | 1 | 1 | 88 | 32 | 35% | 2.7 |
| RN Director of Nursing | 1 | 0 | 1 | 80 | 10 | 11% | 8 |
| Speech Language Pathologist | 0 | 2 | 2 | 31 | 8 | 9% | 3.8 |
| Nurse Aide in Training | 1 | 0 | 1 | 25 | 4 | 4% | 6.2 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 12 | 7 | 8% | 1.8 |
85 Certified Nursing Assistant
% of Days
100%
20 Registered Nurse
% of Days
100%
14 Licensed Practical Nurse
% of Days
99%
3 Medication Aide/Technician
% of Days
78%
3 Other Dietary Services Staff
% of Days
95%
2 Nurse Practitioner
% of Days
69%
1 Administrator
% of Days
69%
4 Physical Therapy Assistant
% of Days
70%
1 Dietitian
% of Days
56%
1 Qualified Activities Professional
% of Days
44%
1 Occupational Therapy Aide
% of Days
37%
1 Clinical Nurse Specialist
% of Days
29%
1 Mental Health Service Worker
% of Days
27%
1 Therapeutic Recreation Specialist
% of Days
43%
1 Qualified Social Worker
% of Days
35%
1 RN Director of Nursing
% of Days
11%
2 Speech Language Pathologist
% of Days
9%
1 Nurse Aide in Training
% of Days
4%
2 Respiratory Therapy Technician
% of Days
8%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
64 residents
Residents by payment source
Medicare
11 residents (17.2%)
Medicaid
30 residents (46.9%)
Private pay or other
23 residents (35.9%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.8
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.8
6% worse than Montana averageMontana average: 11.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.8
In line with Montana averageMontana average: 21.8
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
18.9%
Percent of long-stay residents whose need for help with daily activities has increased
18.9%
In line with Montana averageMontana average: 19.4%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
19.7%
Percent of long-stay residents whose ability to move independently worsened
19.7%
5% better than Montana averageMontana average: 20.8%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.9%
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.9%
7% worse than Montana averageMontana average: 25.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
1.0%
Percent of long-stay residents experiencing one or more falls with major injury
1.0%
78% better than Montana averageMontana average: 4.3%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
9.9%
Percent of long-stay high risk residents with pressure ulcers
9.9%
58% worse than Montana averageMontana average: 6.3%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.0%
Percent of long-stay residents with a urinary tract infection
1.0%
65% better than Montana averageMontana average: 2.8%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
9.6%
Percent of long-stay residents who lose too much weight
9.6%
58% worse than Montana averageMontana average: 6.1%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
5.8%
Percent of long-stay residents who have depressive symptoms
5.8%
23% worse than Montana averageMontana average: 4.7%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
15.0%
Percent of long-stay residents who received an antipsychotic medication
15.0%
22% better than Montana averageMontana average: 19.1%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
96.7%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
96.7%
In line with Montana averageMontana average: 93.8%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.4%
In line with Montana averageMontana average: 93.7%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
0.87
Number of hospitalizations per 1,000 long-stay resident days.
0.87
31% better than Montana averageMontana average: 1.27
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.61
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.61
72% better than Montana averageMontana average: 2.17
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
95.3%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
95.3%
25% better than Montana averageMontana average: 76.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.5%
Percent of short-stay residents who newly received an antipsychotic medication
0.5%
72% better than Montana averageMontana average: 1.8%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
76.9%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
76.9%
In line with Montana averageMontana average: 73.8%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
15.9%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
15.9%
18% better than Montana averageMontana average: 19.4%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
10.7%
Percentage of short-stay residents who had an outpatient emergency department visit.
10.7%
29% better than Montana averageMontana average: 15.0%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
1.0%
Percentage of SNF residents who experience falls with major injury during their stay.
1.0%
23% worse than Montana averageMontana average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
46.5%
Percentage of residents at or above expected ability to care for themselves at discharge.
46.5%
13% worse than Montana averageMontana average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
53.3%
Rate of successful return to home or community from a skilled nursing facility.
53.3%
5% better than Montana averageMontana average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$11K
87% lower than Montana averageMontana average: $87K
Number of fines
1
57% fewer fines than Montana averageMontana average: 2.3
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Montana averageMontana average: 0.2
Fines amount comparison
Fines amount comparison
This facility
$11K
Montana average
$87K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 6, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 6, 2023
$11K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Riverside Nursing and Rehabilitation Center based on CMS SNF Cost Reports.
Occupancy Rate
90.6%
↑ 14.7pp vs 2022
Net Income
-$982.0K
↑ ~$947.8K vs 2022
Total Payroll
$5.5M
↑ ~$413.1K vs 2022
Profit Margin
-12.3%
↑ 19.0pp vs 2022
Loading trend charts...
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Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
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