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.
Livingston Health and Rehab Center
Nursing Home in Bozeman
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.
Livingston Health and Rehab Center
Nursing Home in Bozeman
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.
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.
Staffing hours breakdown
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.
Total nursing care / resident
This home is ranked 10th out of 27 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.
This home is ranked 10th out of 27 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.
3h 50m per day
vs Montana avg
-2%
Standout metric
Physical Therapist is +50% above state avg
| Staff type | Hours / day | 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 |
|
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 |
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
115
Avg. Length of Stay
161 days
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
$1.9M
Operating loss
-$463.1K
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
Facility TypeLong Term Care
StatusCurrent
IssuanceFebruary 29, 2024
ExpirationFebruary 28, 2027
License Number95
Livingston Health and Rehab Center is administrated by Bake, Darren.
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
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
Show Inspection Reports
Latest inspection
Date
November 18, 2025
Complaint Investigation42 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Montana average: 21 deficiencies
Inspection Report Summary for Livingston Health and Rehab Center
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.
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.
Filter by care type
| 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 | -7% | +13% | 2 | 15 | 5.0 | 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 (South 14Th Street) | 88 | 41.7% | -32% | 3.83 | +3% | -15% | 1 | 33 | 8.3 | 2 | 47 | - | 64 | - | $1.8M | $0.6M | 31.9% | 275047 |
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Places of interest near Livingston Health and Rehab Center
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)
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 residents
47
Medicare
4
8.5% of residents
Medicaid
38
80.9% of residents
Private pay or other
5
10.6% of residents
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
-$463.1K
↑ ~$1.0M vs 2022
Total Payroll
$1.1M
↓ ~$1.9M vs 2022
Profit Margin
-25.4%
↑ 3.5pp vs 2022
Loading trend charts...
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