Occupancy rate
38%
In line with Montana averageMostly 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
Livingston Health and Rehab Center
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
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
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
38.3%
Residents per day (avg)
47
Occupancy rate
38.3%
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
Privately-owned community
Home revenue
$1.9M
Operating loss
-$463.1K
Privately-owned community
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
Occupancy
In line with Montana averageOccupied beds
44 / 115
Average residents
55 per day
License details
Facility type
Long Term Care
Status
Current
Issuance
February 29, 2024
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
Inspection History
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.
5 visits/inspections
3 visits/inspections triggered by complaints
2 routine inspections
Results
5 with issues
0 without issues
Show Inspection Reports
Latest inspection
Date:November 18, 2025
Type:Complaint Investigation
42 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Health Inspection History
Inspections
Total health inspections
4
Montana average 5.1
Last Health inspection on Jun 2025
Total health citations
33
Montana average 29.7
Citations per inspection
8.25
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).
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
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jun 05, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jun 05, 2025
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jun 05, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jun 05, 2025
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Jun 05, 2025
Issues related to medication management, including how drugs are stored, administered, and monitored.
Jun 05, 2025
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jun 05, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
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.
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
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
69
72.4%
+17%
5.11
+13%
2
15
2
50
51
Gallatin County
$5,9M
$1,5M
26.2%
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
88
41.7%
-32%
3.83
-15%
1
33
2
47
64
-
$1,8M
$0,6M
31.9%
275047
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
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
82
Employees
40
Contractors
42
Staff to resident ratio
1.74:1
0% compared with Montana averageMontana average ratio: 1.77:1
Avg staff/day
19
Average shift
9 hours
5% better than Montana averageMontana average: 8.6 hours
Total staff hours (quarter)
15,486
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
13
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
11
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
48
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
19.4%
3,010 contractor hours this quarter
Certified Nursing Assistant: 29
Licensed Practical Nurse: 7
Registered Nurse: 6
Staff by category
| 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 |
48 Certified Nursing Assistant
% of Days
100%
13 Registered Nurse
% of Days
100%
11 Licensed Practical Nurse
% of Days
93%
4 Clinical Nurse Specialist
% of Days
62%
1 Dietitian
% of Days
75%
2 Nurse Practitioner
% of Days
70%
1 Other Dietary Services Staff
% of Days
65%
1 Mental Health Service Worker
% of Days
67%
1 Administrator
% of Days
15%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
47 residents
Residents by payment source
Medicare
4 residents (8.5%)
Medicaid
38 residents (80.9%)
Private pay or other
5 residents (10.6%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
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.
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
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
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
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
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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