Show Inspection Reports
Total health inspections
3
Montana average 5.1
Last Health inspection on Feb 2025
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Missoula Health and Rehabilitation Center
Nursing Home in Missoula
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.
Missoula Health and Rehabilitation Center
Nursing Home in Missoula
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.
Missoula Health and Rehabilitation Center stands out as one of the most reputable and trusted assisted living communities in the area. Alongside their exceptional services, they provide specialized care through their dedicated memory care unit, ensuring residents with cognitive challenges receive the attention they need. With a focus on promoting well-being and independence, they go above and beyond to create a nurturing environment that feels like home.
Their team of skilled professionals is equipped to provide the highest level of care, ensuring residents’ physical and emotional well-being is prioritized. With tailored programs and a secure environment, residents receive the specialized attention necessary to promote cognitive functioning and enhance their overall quality of life.
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 7th 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 7th 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.
4h 15m per day
vs Montana avg
+9%
Standout metric
Physical Therapist is +100% 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.
| 36m per day | ▼ 36% 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 4m per day | ▼ 18% 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.
| 3h 4m per day | ▼ 12% 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.
| 8m per day | ▲ 100% 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.
| 23m per day | ▼ 44% State avg: 41m per day · National avg: 29m per day |
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
49
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
80.4%
Avg. Length of Stay
179 days
Occupancy rate
80.4%
Avg. Length of Stay
179 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
40% of new residents, usually for short-term rehab.
Typical stay
1 months
Private pay
30% of new residents, often for short stays.
Typical stay
1 years
Medicaid
30% of new residents, often for long-term daily care.
Typical stay
1 - 2 years
Finances and operations
Privately-owned community
Home revenue
$2.0M
Operating loss
-$89.4K
Privately-owned community
Home revenue
$2.0M
Operating loss
-$89.4K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$704.3K
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.
$1.4M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$2.1M
49-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
17 years in operation
A community with a solid operating history and experience delivering ongoing care.
Walk Score: 13 / 100
Car-dependent. Most errands require a car, with limited nearby walkable options.
About this community
Facility TypeLong Term Care
StatusCurrent
IssuanceFebruary 29, 2024
ExpirationFebruary 28, 2027
License Number97
CMS Certification Number275035
Missoula Health and Rehabilitation Center is administrated by Davis, Rebecca.
Staffing
Key information about the people who lead and staff this community.
ContactMs. Karrie Holt, Executive Director
Types of Care at Missoula Health and Rehabilitation Center
Assisted Living
Memory Care
Nursing Home
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.
3 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.
Latest inspection
Date
January 29, 2025
37 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Montana average: 21 deficiencies
Inspection Report Summary for Missoula Health and Rehabilitation Center
The most recent inspection on February 13, 2025, identified multiple deficiencies related to resident comfort, assessments, personal care, medication administration, dental care, food handling, and infection control. Earlier inspections showed similar issues with care planning, medication errors, infection control, and resident dignity, along with a substantiated complaint investigation involving medication misappropriation and failure to provide necessary treatment. Inspectors cited recurring themes around medication management, care planning for resident behaviors, and maintaining safe and comfortable living conditions. Complaint investigations included a substantiated case of medication misappropriation by a staff member who was terminated and reported to authorities. The facility’s inspection history indicates ongoing challenges with compliance, with deficiencies persisting over time rather than showing clear improvement.
Health Inspection History
Inspections
Total health citations
34
Montana average 29.7
Citations per inspection
11.33
Montana average 5.72
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
31 of 34 citations resulted from standard inspections; and 3 of 34 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
0
0
100% better than Montana averageMontana average: 2.2
0 critical citations
0 serious citations
34 moderate citations
0 minor citations
Citations history (last 3 years)
Administration moderate citation
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Feb 13, 2025
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Feb 13, 2025
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Feb 13, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Feb 13, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Feb 13, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Feb 13, 2025
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Feb 13, 2025
Issues related to medication management, including how drugs are stored, administered, and monitored.
Feb 13, 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 Missoula The information below is reported by the Montana Department of Public Health and Human Services, Quality Assurance Division.
Filter by care type
| Missoula Health and Rehabilitation 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. | Missoula (Upper Rattlesnake) | 60 | 80.4% | +30% | 4.24 | -43% | -6% | 0 | 34 | 11.3 | 0 | 36 | - | 13 | Pacific Northwest Snf Operations Holdings (Mt) Llc | $1.9M | $0.7M | 36.6% | 275035 | ||||
| Riverside Nursing and Rehabilitation 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. | Missoula (Heart Of Missoula) | 72 | 90.6% | +47% | 4.24 | -10% | -6% | 1 | 30 | 6.0 | 1 | 67 | - | 42 | David Smilovitz Trust | $8.0M | $3.2M | 40.2% | 275126 | ||||
| Big Sky Palliative and Hospice | - |
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. | Missoula (Franklin To The Fort) | - | - | - | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | - | 62 | - | - | - | - | - |
| The Village Health & Rehabilitation | - |
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. | Missoula (South Avenue West) | 193 | - | - | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | - | 49 | - | - | - | - | - |
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2.6 miles from city center
Estimated distance in miles from Missoula's city center to Missoula Health and Rehabilitation Center's address, calculated via Google Maps.
— 1.66 miles to nearest hospital (Providence Wound Care 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
68
Employees
68
Contractors
0
Staff to resident ratio
2.00:1
13% better than Montana averageMontana average ratio: 1.77:1
Avg staff/day
25
Average shift
7.3 hours
15% worse than Montana averageMontana average: 8.6 hours
Total staff hours (quarter)
16,649
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
6
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 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
5
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
27
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
0%
0 contractor hours this quarter
No contractor roles were reported this quarter.
Staff by category
| Certified Nursing Assistant | 27 | 0 | 27 | 6,508 | 91 | 100% | 7.2 |
| Physical Therapist | 11 | 0 | 11 | 2,360 | 91 | 100% | 6.3 |
| Licensed Practical Nurse | 5 | 0 | 5 | 1,995 | 91 | 100% | 8 |
| Registered Nurse | 6 | 0 | 6 | 1,087 | 76 | 84% | 8.5 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 1,016 | 69 | 76% | 7.5 |
| Occupational Therapy Aide | 1 | 0 | 1 | 584 | 66 | 73% | 8.8 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| RN Director of Nursing | 2 | 0 | 2 | 481 | 65 | 71% | 7.2 |
| Dietitian | 3 | 0 | 3 | 465 | 60 | 66% | 7.8 |
| Mental Health Service Worker | 1 | 0 | 1 | 441 | 63 | 69% | 7 |
| Other Dietary Services Staff | 3 | 0 | 3 | 435 | 57 | 63% | 7.6 |
| Nurse Aide in Training | 4 | 0 | 4 | 252 | 30 | 33% | 6.1 |
27 Certified Nursing Assistant
% of Days
100%
11 Physical Therapist
% of Days
100%
5 Licensed Practical Nurse
% of Days
100%
6 Registered Nurse
% of Days
84%
3 Clinical Nurse Specialist
% of Days
76%
1 Occupational Therapy Aide
% of Days
73%
1 Administrator
% of Days
70%
1 Nurse Practitioner
% of Days
70%
2 RN Director of Nursing
% of Days
71%
3 Dietitian
% of Days
66%
1 Mental Health Service Worker
% of Days
69%
3 Other Dietary Services Staff
% of Days
63%
4 Nurse Aide in Training
% of Days
33%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
34
Medicare
2
5.9% of residents
Medicaid
32
94.1% 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.
4.0
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
4.0
64% 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.
13.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
13.2
39% 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
6.7%
Percent of long-stay residents whose need for help with daily activities has increased
6.7%
65% better than Montana averageMontana average: 19.4%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
7.7%
Percent of long-stay residents whose ability to move independently worsened
7.7%
63% 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
25.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.1%
In line with Montana averageMontana average: 25.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.2%
Percent of long-stay residents experiencing one or more falls with major injury
3.2%
27% better than Montana averageMontana average: 4.3%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
2.3%
Percent of long-stay high risk residents with pressure ulcers
2.3%
64% better 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
0.0%
Percent of long-stay residents who lose too much weight
0.0%
100% 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
37.9%
Percent of long-stay residents who received an antipsychotic medication
37.9%
98% worse than Montana averageMontana average: 19.1%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
7% better than Montana averageMontana average: 93.8%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
7% better than Montana averageMontana average: 93.7%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
0.56
Number of hospitalizations per 1,000 long-stay resident days.
0.56
56% better than Montana averageMontana average: 1.27
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.96
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.96
56% better 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
95.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
95.2%
25% better than Montana averageMontana average: 76.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Montana averageMontana average: 1.8%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
72.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
72.4%
In line with Montana averageMontana average: 73.8%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
27.6%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
27.6%
42% worse than Montana averageMontana average: 19.4%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
19.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
19.2%
28% worse than Montana averageMontana average: 15.0%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
5.3%
Percentage of SNF residents who experience falls with major injury during their stay.
5.3%
583% 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.
53.6%
Percentage of residents at or above expected ability to care for themselves at discharge.
53.6%
In line with Montana averageMontana average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
43.5%
Rate of successful return to home or community from a skilled nursing facility.
43.5%
14% worse 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.
Financial Trends
Historical financial and operational data for Missoula Health and Rehabilitation Center based on CMS SNF Cost Reports.
Occupancy Rate
80.4%
↑ 3.7pp vs 2022
Net Income
-$89.4K
↑ ~$352.0K vs 2022
Total Payroll
$951.0K
↓ ~$1.6M vs 2022
Profit Margin
-4.7%
↑ 2.8pp vs 2022
Loading trend charts...
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