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CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Embark on a journey of compassionate care and rehabilitation at Gallatin Rest Home. This premier assisted living community offers skilled nursing and rehabilitation communities renowned for its commitment to exceptional care. Nestled in Bozeman, Montana, this assisted living community is esteemed and firmly established its reputation based on unwavering dedication to quality care.
Situated for easy access along North 7th Avenue and North 19th Avenue, its location is notably convenient. The distinctive nature of licensed nursing homes lies in the specialized services they offer and the qualifications upheld by their staff. Additionally, it’s a certified Medicare/Medicaid facility with 94 beds and proudly maintains a tobacco-free environment.
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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 9th out of 34 homes in Montana for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 32m per day | ▼ 43% State avg: 56m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 51m per day | ▲ 69% State avg: 30m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 47m per day | ▲ 10% State avg: 2h 32m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 18m per day | ▼ 5% State avg: 3h 29m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 4m per day | ■ Avg State avg: 4m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 20m per day | ▼ 52% State avg: 41m per day · National avg: 29m per day |
Higher than the Montana average: 61.7%Gallatin Rest Home is administrated by Darcel Vaughn.
In Montana, the Department of Public Health and Human Services, Quality Assurance Division is the state body responsible for inspecting and licensing all senior residential care facilities.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Montana state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | MT Average | vs. MT Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 18 | 21 | This facility has 14% fewer total deficiencies than a typical Montana nursing home (18 vs. MT avg 21).↓ 14% better |
|
Deficiencies per year
Average deficiencies per year since 2023.
| 6 | 7 | This facility has 14% fewer deficiencies per year than a typical Montana nursing home (6 vs. MT avg 7).↓ 14% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Montana average 5.1
Last Health inspection on Jun 2025
Montana average 29.7
Montana average 5.72
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
12 of 15 citations resulted from standard inspections; and 3 of 15 came from combined inspections (standard and complaint).
100% better than Montana averageMontana average: 0.3
9% better than Montana averageMontana average: 2.2
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
9% fewer staff per resident than Montana average
0% compared with Montana average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
11 total: 4 full-time employees and 7 contractors.
11
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursAssists with medical care and medications.
11 total: 4 full-time employees and 7 contractors.
11
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.9 hoursHelps with daily care and mobility.
39 total: 12 full-time employees and 27 contractors.
39
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.2 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
13,761 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 12 | 27 | 39 | 13,568 | 92 | 100% | 10.2 |
| Licensed Practical Nurse | 4 | 7 | 11 | 3,661 | 92 | 100% | 9.9 |
| Registered Nurse | 4 | 7 | 11 | 1,657 | 91 | 99% | 7.6 |
| Other Dietary Services Staff | 4 | 0 | 4 | 767 | 67 | 73% | 5.8 |
| Administrator | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 524 | 67 | 73% | 7.8 |
| Speech Language Pathologist | 0 | 1 | 1 | 504 | 63 | 68% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 475 | 58 | 63% | 8.2 |
| Dietitian | 2 | 0 | 2 | 463 | 51 | 55% | 8.7 |
| RN Director of Nursing | 1 | 0 | 1 | 458 | 53 | 58% | 8.6 |
| Nurse Practitioner | 1 | 0 | 1 | 406 | 45 | 49% | 9 |
| Physical Therapy Assistant | 0 | 4 | 4 | 380 | 57 | 62% | 4.6 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 328 | 62 | 67% | 5 |
| Occupational Therapy Aide | 0 | 1 | 1 | 89 | 36 | 39% | 2.5 |
| Physical Therapy Aide | 0 | 2 | 2 | 42 | 9 | 10% | 4.6 |
| Qualified Social Worker | 0 | 4 | 4 | 25 | 15 | 16% | 1.6 |
Includes penalties issued in 2025
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)
27% lower than Montana averageMontana average: $87K
14% fewer fines than Montana averageMontana average: 2.3
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
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Jun 5, 2025 · $55K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 5, 2025Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.0
20% better than Montana averageMontana average: 11.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
19.5
11% better than Montana averageMontana average: 21.8
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
15.3%
21% better than Montana averageMontana average: 19.4%
Percent of long-stay residents whose ability to move independently worsened
17.5%
16% better than Montana averageMontana average: 20.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.6%
In line with Montana averageMontana average: 25.2%
Percent of long-stay residents experiencing one or more falls with major injury
1.2%
73% better than Montana averageMontana average: 4.3%
Percent of long-stay high risk residents with pressure ulcers
7.9%
26% worse than Montana averageMontana average: 6.3%
Percent of long-stay residents with a urinary tract infection
5.4%
94% worse than Montana averageMontana average: 2.8%
Percent of long-stay residents who lose too much weight
3.0%
52% better than Montana averageMontana average: 6.1%
Percent of long-stay residents who have depressive symptoms
5.6%
20% worse than Montana averageMontana average: 4.7%
Percent of long-stay residents who received an antipsychotic medication
11.8%
38% better than Montana averageMontana average: 19.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
90.6%
In line with Montana averageMontana average: 93.8%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
81.8%
13% worse than Montana averageMontana average: 93.7%
Number of hospitalizations per 1,000 long-stay resident days.
2.42
91% worse than Montana averageMontana average: 1.27
Number of outpatient emergency department visits per 1,000 long-stay resident days.
3.68
70% worse than Montana averageMontana average: 2.17
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
64.7%
15% worse than Montana averageMontana average: 76.4%
Percent of short-stay residents who newly received an antipsychotic medication
6.7%
278% worse than Montana averageMontana average: 1.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
39.7%
46% worse than Montana averageMontana average: 73.8%
Percentage of SNF residents who experience falls with major injury during their stay.
1.4%
78% worse than Montana averageMontana average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
49.1%
9% worse than Montana averageMontana average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
64.3%
27% 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.
49% of new residents, usually for short-term rehab.
44% of new residents, often for short stays.
6% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
51Residents meet regularly to discuss policies, care quality, and activities
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.
Historical financial and operational data for Gallatin Rest Home based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #4 / 31Payroll — State benchmarkedThis home is ranked 4th out of 31 homes in Montana. Shows total annual staff payroll benchmarked to the Montana average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents typically stay for a few weeks or months before returning home or moving on.
1.3 miles from city center
Estimated distance in miles from Bozeman's city center to Gallatin Rest Home's address, calculated via Google Maps.
— 0.37 miles to nearest hospital (Joint Repair and Life Enhancement Clinics of Montana)
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Gallatin Rest Home is located in Bozeman, Montana.
Here are the financial assistance programs available to residents in Montana.
The information below is reported by the Montana Department of Public Health and Human Services, Quality Assurance Division.
| Gallatin Rest Home |
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. | Bozeman (Durston Road) | 69
Facility
69
MT AVG
70
Rank
#49 / 106 |
72.4%
Facility
72.4%
MT AVG
61.7%
Rank
#11 / 35 | +17% | 5.11
Facility
5.11
MT AVG
4.53
Rank
#9 / 34 | -18% | +13% | $63.6k
Facility
$63.6k
MT AVG
$83.8k
Rank
#24 / 35 | 15
Facility
15
MT AVG
29.7
Rank
#4 / 35 | 5.0
Facility
5.0
MT AVG
5.7
Rank
#11 / 35 | 2 | 53 |
51
Facility
51
MT AVG
43
Rank
#65 / 159 | Gallatin County | $11.1M
Facility
$11.1M
MT AVG
$6.3M
Rank
#6 / 31 | $7.2M
Facility
$7.2M
MT AVG
$2.8M
Rank
#4 / 31 | 65.2%
Facility
65.2%
MT AVG
45.6%
Rank
#11 / 31 | 275066 | ||||
| Livingston Health and Rehab 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. | Livingston (South 14Th Street) | 115
Facility
115
MT AVG
70
Rank
#14 / 106 |
38.3%
Facility
38.3%
MT AVG
61.7%
Rank
#27 / 35 | -38% | 3.83
Facility
3.83
MT AVG
4.53
Rank
#15 / 34 | -21% | -15% | $17.4k
Facility
$17.4k
MT AVG
$83.8k
Rank
#18 / 35 | 33
Facility
33
MT AVG
29.7
Rank
#21 / 35 | 8.3
Facility
8.3
MT AVG
5.7
Rank
#31 / 35 | 2 | 44 |
64
Facility
64
MT AVG
43
Rank
#37 / 159 | - | $1.9M
Facility
$1.9M
MT AVG
$6.3M
Rank
#29 / 31 | $1.1M
Facility
$1.1M
MT AVG
$2.8M
Rank
#28 / 31 | 56.5%
Facility
56.5%
MT AVG
45.6%
Rank
#18 / 31 | 275047 |
Gallatin Rest Home is in the Durston Road neighborhood of Bozeman.
Gallatin Rest Home has a walk score of 51. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to MT state health department records, Gallatin Rest Home's license number is 12977.
According to MT state health department records, Gallatin Rest Home's license expires on March 31, 2028.
Gallatin Rest Home's occupancy is 72%.
Darcel Vaughn is the administrator of Gallatin Rest Home.
Gallatin Rest Home has 69 beds.
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