Total health inspections
4
Montana average 5.1
Last Health inspection on Jun 2025
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Livingston Health and Rehab Center
Nursing Home
Livingston Health and Rehab Center
Nursing Home
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.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
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.
LPN / LVN
Licensed Practical Nurse / Licensed Vocational Nurse hours per resident per day.
Licensed Practical Nurse / Licensed Vocational 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
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
115
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
41.7%
Residents per day (avg)
47
Occupancy rate
41.7%
Residents per day (avg)
47
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
64% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
29% of new residents, often for short stays.
Typical stay
2 - 3 months
Medicaid
7% of new residents, often for long-term daily care.
Typical stay
10 - 11 years
Finances and operations
Proprietary home
Other
Home revenue
$1.9M
Operating loss
-$463.1K
Proprietary home
Other
Home revenue
$1,876,744.00
Operating loss
$-463,084.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$582.1K
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.
$1.8M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$2.3M
115-bed community
A larger shared setting that may offer more common spaces and organized community services.
2 years in operation
A newer community that may feature more recent facilities and programs.
Walk Score: 64 / 100
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
About this community
License Status
Current
Facility Type
Long Term Care
License Date
February 29, 2024
License Expiration
February 28, 2027
Additional licensing details
License number:
95
Ownership & operating entity
Livingston Health and Rehab Center is administrated by Bake, Darren.
Type Of Units
Secured Beds
115 units
Total beds
115 units
Types of Care at Livingston Health and Rehab Center
Skilled Nursing
Memory Care
Respite Care
Compare Nursing Homes around Bozeman
The information below is reported by the Montana Department of Public Health and Human Services, Quality Assurance Division.
Gallatin Rest Home
-7%
+13%
+17%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Bozeman
69
No
51
GALLATIN COUNTY
72.4%
$5,920,771.00
$1,548,907.00
26.2%
50.30
5.1066
2
15
2
-7%+13%+17%
Livingston Health and Rehab Center
+3%
-15%
-32%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Livingston
88
No
64
-
41.7%
$1,826,458.00
$582,104.00
31.9%
46.70
3.8300
1
33
2
+3%-15%-32%
Gallatin Rest Home
Type of care:
SNF
AL
Community:
Bozeman
Bed Count:
69
Pets Allowed:
No
Operator:
GALLATIN COUNTY
CCN:
275066
Occupancy:
72.4%
Home Revenue:
$5,920,771.00
Payroll Costs:
$1,548,907.00
Payroll %:
26.2%
Avg Residents/Day:
50.30
Overall Rating:
Adj Nurse Hours:
5.1066
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
2
Citations:
15
Severe Citations:
2
RN share vs State Avg:
-7%
-7%
Staffing vs State Avg:
+13%
+13%
Occupancy vs State Avg:
+17%
+17%
Livingston Health and Rehab Center
Type of care:
SNF
AL
Community:
Livingston
Bed Count:
88
Pets Allowed:
No
CCN:
275047
Occupancy:
41.7%
Home Revenue:
$1,826,458.00
Payroll Costs:
$582,104.00
Payroll %:
31.9%
Avg Residents/Day:
46.70
Overall Rating:
Adj Nurse Hours:
3.8300
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
33
Severe Citations:
2
RN share vs State Avg:
+3%
+3%
Staffing vs State Avg:
-15%
-15%
Occupancy vs State Avg:
-32%
-32%Places of interest near Livingston Health and Rehab Center
25.4 miles from city center — 2.79 miles to nearest hospital (Livingston HealthCare)
510 S 14th St, Livingston, MT 59047
Calculate Travel Distance to Livingston Health and Rehab Center
Add your location
Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
82
Total Staff
40
Employees
42
Contractors
15,486
Total Hours (Quarter)
19
Avg Staff/Day
9
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 13 | 10 | Yes |
| Licensed Practical Nurse | 11 | 8.5 | Yes |
| Certified Nursing Assistant | 48 | 9.7 | Yes |
Staff by Category
Administration ⓘ
1 staff
8hs shift avg
Nursing Staff ⓘ
72 staff
9.6hs shift avg
Physicians & Practitioners ⓘ
6 staff
7.5hs shift avg
Therapy Services ⓘ
0 staff
0hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
0 staff
0hs shift avg
Dietary Services ⓘ
2 staff
8.1hs shift avg
Other Services ⓘ
1 staff
7.6hs shift avg
Contractor Analysis
19.4%
of total hours from contractors
3,010 contractor hours this quarter
Licensed Practical Nurse: 7
Certified Nursing Assistant: 29
Registered Nurse: 6
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 19 | 29 | 48 | 8,306 | 91 | 100% | 9.7 |
| Registered Nurse | 7 | 6 | 13 | 2,948 | 91 | 100% | 10 |
| Licensed Practical Nurse | 4 | 7 | 11 | 1,371 | 85 | 93% | 8.5 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 740 | 56 | 62% | 7.2 |
| Dietitian | 1 | 0 | 1 | 539 | 68 | 75% | 7.9 |
| Nurse Practitioner | 2 | 0 | 2 | 516 | 64 | 70% | 7.9 |
| Other Dietary Services Staff | 1 | 0 | 1 | 489 | 59 | 65% | 8.3 |
| Mental Health Service Worker | 1 | 0 | 1 | 467 | 61 | 67% | 7.6 |
| Administrator | 1 | 0 | 1 | 112 | 14 | 15% | 8 |
Health Inspection History
Inspections
Total health citations
33
Citations per inspection
8.25
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).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Montana averageMontana average: 0.3
Serious Health citations
2
2
9% better than Montana averageMontana average: 2.2
0 critical citations
2 serious citations
31 moderate citations
0 minor citations
Citations history (last 3 years)
Infection Control moderate citation
Jun 05, 2025
Corrected
Infection Control moderate citation
Jun 05, 2025
Corrected
Pharmacy moderate citation
Jun 05, 2025
Corrected
Quality of Care moderate citation
Jun 05, 2025
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.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit Corporation
Part of: Pacific NW OPCO Management, LLC
Resident Census by Payment Source
47
Total Residents
Medicare
4
(8.5%)
ⓘ
Medicaid
38
(80.9%)
ⓘ
Private Pay/Other
5
(10.6%)
ⓘ
Programs & Services
Residents' Group
ⓘ
Nurse Aide Training
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
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.
10.5
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
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
17.0
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
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
15.6%
Percent of long-stay residents whose need for help with daily activities has increased
15.6%
20% better than Montana averageMontana average: 19.4%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
17.7%
Percent of long-stay residents whose ability to move independently worsened
17.7%
15% 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
17.7%
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%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
6.1%
Percent of long-stay residents experiencing one or more falls with major injury
6.1%
41% worse than Montana averageMontana average: 4.3%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
8.1%
Percent of long-stay high risk residents with pressure ulcers
8.1%
29% worse than Montana averageMontana average: 6.3%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Montana averageMontana average: 2.8%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
5.1%
Percent of long-stay residents who lose too much weight
5.1%
17% better than Montana averageMontana average: 6.1%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Montana averageMontana average: 4.7%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
22.3%
Percent of long-stay residents who received an antipsychotic medication
22.3%
17% worse than Montana averageMontana average: 19.1%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
93.2%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
93.2%
In line with Montana averageMontana average: 93.8%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
88.1%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
88.1%
6% worse than Montana averageMontana average: 93.7%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.25
Number of hospitalizations per 1,000 long-stay resident days.
1.25
In line with Montana averageMontana average: 1.27
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.63
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.63
21% worse than Montana averageMontana average: 2.17
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
64.7%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
64.7%
15% worse than Montana averageMontana average: 76.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
6.4%
Percent of short-stay residents who newly received an antipsychotic medication
6.4%
260% worse than Montana averageMontana average: 1.8%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
65.9%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
65.9%
11% worse than Montana averageMontana average: 73.8%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
39.6%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
39.6%
104% worse than Montana averageMontana average: 19.4%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
18.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
18.9%
26% worse than Montana averageMontana average: 15.0%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
1.3%
Percentage of SNF residents who experience falls with major injury during their stay.
1.3%
65% 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.
41.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
41.8%
22% worse than Montana averageMontana average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
55.8%
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.
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
$27K
69% 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
$27K
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.
Dec 31, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 31, 2024
$27K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Livingston Health and Rehab Center based on CMS SNF Cost Reports.
Occupancy Rate
41.7%
↑ 6.4pp vs 2022
Net Income
-$463,084
↑ ~$1.0M vs 2022
Total Payroll
$1,059,461
↓ ~$1.9M vs 2022
Profit Margin
-25.4%
↑ 3.5pp vs 2022
Loading trend charts...
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