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The Overall CMS Rating is scored from 1 to 5 stars and 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 is scored from 1 to 5 stars and 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.
Located within the picturesque landscapes of Bozeman, Montana, Livingston Health and Rehab Center stands as a compassionate assisted living community surrounded by the beauty of four magnificent mountain range. Whether seeking short-term rehabilitation or long-term support, their dedicated team focuses on aiding recovery and facilitating a seamless return to familiar surroundings.
Here, they provide a vital link between hospital care and the comforts of home. Their comprehensive services encompass a spectrum of care, including 24-hour skilled nursing, rehabilitation therapy, post-acute care, long-term support, respite stays, hospice programs, and additional supplementary services. With a commitment to enhancing lives, Livingston Health and Rehab Center also extend outpatient therapy for individuals who have transitioned from inpatient care.
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 15th out of 34 homes in Montana. 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.
| 39m per day | ▼ 30% 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.
| 27m per day | ▼ 10% 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 2m per day | ▼ 20% State avg: 2h 32m per day · National avg: 2h 21m per day |
|
Total Nursing (Weekend)
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.
| 2h 58m per day | ▼ 15% 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.
| 6m per day | ▲ 50% State avg: 4m per day · National avg: 4m per day |
|
RN (Weekend)
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.
| 29m per day | ▼ 29% State avg: 41m per day · National avg: 29m per day |
Lower than the Montana average: 61.7%Livingston Health and Rehab Center is administrated by Darren Bake.
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.
| 42 | 21 | This facility has 100% more total deficiencies than a typical Montana nursing home (42 vs. MT avg 21).↑ 100% worse |
|
Deficiencies per year
Average deficiencies per year since 2023.
| 14 | 7 | This facility has 100% more deficiencies per year than a typical Montana nursing home (14 vs. MT avg 7).↑ 100% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on November 18, 2025, identified multiple deficiencies related to neglect in pain and anxiety management, medication administration and documentation, failure to timely report and investigate abuse and neglect, and unsafe resident transfers resulting in injury. Earlier inspections showed a pattern of issues including inadequate staffing, incomplete care plan updates, medication errors, infection control lapses, and environmental safety concerns. Prior complaint investigations substantiated neglect and abuse allegations, while routine inspections noted deficiencies in wound care, dietary services, and resident privacy. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility’s inspection history reflects ongoing challenges with resident care and safety, with deficiencies persisting across multiple areas over time.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsMontana 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.
19 of 33 citations resulted from standard inspections; 12 of 33 resulted from complaint investigations; and 2 of 33 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.
46% better than Montana average
9% better than Montana average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.2 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
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.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hoursThis role is partially covered by contractors.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
6,796 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 16 | 69 | 85 | 11,197 | 92 | 100% | 9.8 |
| Registered Nurse | 6 | 9 | 15 | 2,718 | 92 | 100% | 10.2 |
| Licensed Practical Nurse | 4 | 7 | 11 | 1,724 | 84 | 91% | 9.4 |
| Other Dietary Services Staff | 3 | 0 | 3 | 838 | 82 | 89% | 7.3 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Dietitian | 1 | 0 | 1 | 465 | 64 | 70% | 7.3 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 453 | 48 | 52% | 8.4 |
| Nurse Practitioner | 2 | 0 | 2 | 432 | 53 | 58% | 8.1 |
| Mental Health Service Worker | 1 | 0 | 1 | 421 | 57 | 62% | 7.4 |
| RN Director of Nursing | 1 | 0 | 1 | 356 | 46 | 50% | 7.7 |
Includes penalties issued in 2024
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)
69% lower than Montana averageMontana average: $87K
57% 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
Dec 31, 2024 · $27K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 31, 2024Last 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.
10.5
6% better than Montana averageMontana average: 11.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
17.0
22% 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
15.6%
20% better than Montana averageMontana average: 19.4%
Percent of long-stay residents whose ability to move independently worsened
17.7%
15% better than Montana averageMontana average: 20.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
17.7%
30% better than Montana averageMontana average: 25.2%
Percent of long-stay residents experiencing one or more falls with major injury
6.1%
41% worse than Montana averageMontana average: 4.3%
Percent of long-stay high risk residents with pressure ulcers
8.1%
29% worse than Montana averageMontana average: 6.3%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Montana averageMontana average: 2.8%
Percent of long-stay residents who lose too much weight
5.1%
17% better than Montana averageMontana average: 6.1%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Montana averageMontana average: 4.7%
Percent of long-stay residents who received an antipsychotic medication
22.3%
17% worse than Montana averageMontana average: 19.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
93.2%
In line with Montana averageMontana average: 93.8%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
88.1%
6% worse than Montana averageMontana average: 93.7%
Number of hospitalizations per 1,000 long-stay resident days.
1.25
In line with Montana averageMontana average: 1.27
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.63
21% 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
6.4%
260% worse than Montana averageMontana average: 1.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
65.9%
11% worse than Montana averageMontana average: 73.8%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
39.6%
104% worse than Montana averageMontana average: 19.4%
Percentage of short-stay residents who had an outpatient emergency department visit.
18.9%
26% worse than Montana averageMontana average: 15.0%
Percentage of SNF residents who experience falls with major injury during their stay.
1.3%
65% worse than Montana averageMontana average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
41.8%
22% worse than Montana averageMontana average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
55.8%
10% 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.
64% of new residents, usually for short-term rehab.
29% of new residents, often for short stays.
7% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
47Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
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 Livingston Health and Rehab Center 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 #28 / 31Payroll — State benchmarkedThis home is ranked 28th 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.
25.4 miles from city center
Estimated distance in miles from Livingston's city center to Livingston Health and Rehab Center's address, calculated via Google Maps.
— 2.79 miles to nearest hospital (Livingston HealthCare)
Add your location
Livingston Health and Rehab Center is located in Livingston, 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 | 72.4% | +17% | 5.11 | -17% | +13% | $63.6k | 15 | 5.0 | 2 | 50 | 51 | Gallatin County | $11.1M | $7.2M | 65.2% | 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 | 41.7% | -32% | 3.83 | -20% | -15% | $26.8k | 33 | 8.3 | 2 | 47 | 64 | - | $1.9M | $1.1M | 56.5% | 275047 |
Livingston Health and Rehab Center is in the South 14th Street neighborhood of Livingston.
Livingston Health and Rehab Center has a walk score of 64. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to MT state health department records, Livingston Health and Rehab Center's license number is 95.
According to MT state health department records, Livingston Health and Rehab Center's license expires on February 28, 2027.
Livingston Health and Rehab Center's occupancy is 38%.
Darren Bake is the administrator of Livingston Health and Rehab Center.
Livingston Health and Rehab Center has 115 beds.
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