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Nursing Home in Montana

CMS overall rating Info 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.

Valle Vista Rehabilitation and Nursing LLC

Nursing Home in Montana

CMS overall rating Info 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.

Valle Vista Rehabilitation and Nursing LLC

Overview of Valle Vista Rehabilitation and Nursing LLC
Valle Vista Rehabilitation and Nursing LLC is located in Lewistown, Montana. It specializes in short-term care and 24/7 skilled nursing care, providing private and semi-private suites with comprehensive support. The facility emphasizes high-quality care, compassionate staff, and a variety of recreational and social activities.
(406) 389-6006

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
5/5
Montana average: 2.8/5
Health Inspection Info 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.
4/5
Montana average: 2.6/5
Staffing Info 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.
3/5
Montana average: 2.9/5
Quality Measures Info 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.
5/5
Montana average: 3.0/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
3h 22m per day

This home provides 14% less nursing time per resident than the Montana average.

Montana average: 3h 54m per day

Capacity and availability

Medium-capacity home

Offers a balance of services and community atmosphere.

Total beds 101

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Montana average
Occupancy rate 43.6%
Residents per day (avg) 52
Occupancy rate
43.6%
Residents per day (avg)
52

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Breakdown by payment type

Medicare

31% of new residents, usually for short-term rehab.

Typical stay 29 days

Private pay

48% of new residents, often for short stays.

Typical stay 10 - 11 months

Medicaid

21% of new residents, often for long-term daily care.

Typical stay 1 - 2 years

Finances and operations

Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$2.9M
Profit
$333.9K
Privately-owned community Operated by a partnership between two or more business owners.
Home revenue
$2.9M
Profit
$333.9K
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1.0M
34.9% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$1.5M
Total costs $2.5M
Bed community size
101-bed community
A larger shared setting that may offer more common spaces and organized community services.
Years in operation
2 years in operation
A newer community that may feature more recent facilities and programs.

About this community

License Details

Facility TypeLong Term Care
StatusCurrent
IssuanceJanuary 2, 2024

Additional Licensing Details

License Number000000070
CMS Certification Number275021

Ownership & Operating Entity

Valle Vista Rehabilitation and Nursing LLC is administrated by Anderson, Wendy.

Therapy & Rehabilitation

3 services
Rehabilitation Services
Respite Care
Short-Term Rehab

Staffing & Medical

2 services
Skilled Nursing
24-Hour Staffing

Amenities & Lifestyle

0 amenities
Specific ProgramsAdmissions, Services, About, Contact, Photo Gallery

Dining & Nutrition

Food DescriptionDelicious and nutritious meals are prepared to satisfy residents' palates and medical needs.
Meals IncludedYes

Contact Valle Vista Rehabilitation and Nursing LLC

Health Inspection History

Inspections
Total health inspections 4

Montana average 5.1


Last Health inspection on May 2025

Total health citations 15

Montana average 29.7

Citations per inspection
3.75

Montana average 5.72


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

6 of 15 citations resulted from standard inspections; 1 of 15 resulted from complaint investigations; and 8 of 15 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical Health citations More info 0
100% better than Montana average

Montana average: 0.3


Serious Health citations More info 0
100% better than Montana average

Montana average: 2.2

0 critical citations More info Montana average: 0.3

0 serious citations More info Montana average: 2.2

15 moderate citations More info Montana average: 26.5

0 minor citations More info Montana average: 0.7
Citations history (last 3 years)
Abuse/Neglect moderate citation Info Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment. May 20, 2025
Corrected

Abuse/Neglect moderate citation Info Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment. May 20, 2025
Corrected

Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. May 20, 2025
Corrected

Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. May 20, 2025
Corrected

Compare Nursing Homes around Montana The information below is reported by the Montana Department of Public Health and Human Services, Quality Assurance Division.

5 facilities compared · CMS & MT Dept. of Health data · Updated Apr 2026

Filter by care type
Valle Vista Rehabilitation and Nursing LLC
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.

Lewistown
101
43.6%
-29%
3.37
-29%
-26%
0
15
3.8
0
52
-
-
Charly Bello Family Limited Partnership
$2.8M
$1.0M
35.7%
275021
Eureka of Cascadia, LLC dba Mountain View of Cascadia
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.

Eureka
49
69.3%
+12%
3.56
+30%
-21%
0
13
4.3
0
47
-
-
Carvey, Dianna
$3.7M
$1.5M
40.8%
275084
Avantara Billings
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.

Billings
160
65.6%
+6%
3.57
+23%
-21%
3
49
6.1
5
105
A+
72
Caldwell, Sarah
$7.6M
$3.5M
46.8%
275029
Central Montana Nursing and Rehabilitation Center
-
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.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

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).

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Lewistown
62
35.5%
-42%
-
-
-
-
-
-
0
0
0.0
0
-
-
39
Central Montana Snf Operations Holdings Llc
$1.0M
$0.3M
28.2%
275064
Libby of Cascadia, LLC dba Libby Care 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.

Libby
101
-
-
-
-
-
-
-
-
0
0
0.0
0
-
-
-
-
-
-
-
-

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Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 64
Employees 55
Contractors 9
Staff to resident ratio 1.25:1
29% worse than Montana average

Montana average ratio: 1.77:1

Avg staff/day 24
Average shift 7.7 hours
10% worse than Montana average

Montana average: 8.6 hours

Total staff hours (quarter) 16,758
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 7
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.5 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 2
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.9 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 31
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.3 hours

No contractors work on this role.

Contractor staffing

Total hours from contractors

1.5%

256 contractor hours this quarter

Respiratory Therapy Technician: 2 Physical Therapy Assistant: 2 Medical Director: 2 Occupational Therapy Aide: 1 Qualified Social Worker: 1 Occupational Therapy Assistant: 1
Staff by category
Certified Nursing Assistant310319,58591100%8.3
Registered Nurse7072,71591100%9.5
Other Dietary Services Staff4041,21391100%6.1
Medication Aide/Technician1015285459%9.8
Nurse Practitioner1014855965%8.2
Administrator1014595763%8
Dental Services Staff1014495358%8.5
Occupational Therapy Aide3144155156%6.2
Nurse Aide in Training4043634853%6.7
Licensed Practical Nurse2022933235%8.9
Medical Director0221451820%7.3
Respiratory Therapy Technician022505763%0.6
Physical Therapy Assistant022304246%0.6
Occupational Therapy Assistant0112633%8.5
Qualified Social Worker01131314%0.3
31 Certified Nursing Assistant
% of Days 100%
7 Registered Nurse
% of Days 100%
4 Other Dietary Services Staff
% of Days 100%
1 Medication Aide/Technician
% of Days 59%
1 Nurse Practitioner
% of Days 65%
1 Administrator
% of Days 63%
1 Dental Services Staff
% of Days 58%
4 Occupational Therapy Aide
% of Days 56%
4 Nurse Aide in Training
% of Days 53%
2 Licensed Practical Nurse
% of Days 35%
2 Medical Director
% of Days 20%
2 Respiratory Therapy Technician
% of Days 63%
2 Physical Therapy Assistant
% of Days 46%
1 Occupational Therapy Assistant
% of Days 3%
1 Qualified Social Worker
% of Days 14%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total census
51 residents
Residents by payment source
Medicare
5 residents (9.8%)
Medicaid
32 residents (62.7%)
Private pay or other
14 residents (27.5%)
Programs & Services
Residents' Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

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 Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 8.9
20% better than Montana average

Montana average: 11.2

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 21.6
In line with Montana average

Montana average: 21.8

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 12.4%
36% better than Montana average

Montana average: 19.4%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 16.6%
20% better than Montana average

Montana average: 20.8%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 35.8%
42% worse than Montana average

Montana average: 25.2%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 1.7%
61% better than Montana average

Montana average: 4.3%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 4.3%
32% better than Montana average

Montana average: 6.3%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.6%
80% better than Montana average

Montana average: 2.8%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 9.6%
58% worse than Montana average

Montana average: 6.1%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 3.5%
27% better than Montana average

Montana average: 4.7%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 20.0%
5% worse than Montana average

Montana average: 19.1%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
7% better than Montana average

Montana average: 93.8%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 95.9%
In line with Montana average

Montana average: 93.7%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 95.1%
25% better than Montana average

Montana average: 76.4%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than Montana average

Montana average: 1.8%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 97.6%
32% better than Montana average

Montana average: 73.8%

Guides for Better Senior Living

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Financial Aid for Montana Seniors

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Big Sky Waiver

Montana Medicaid Big Sky Waiver

Age 65+ or disabled, Montana resident, Medicaid- eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Rural state; limited providers in some areas.

Montana Community First Choice

MT CFC

Age 65+ or disabled, Montana resident, Medicaid- eligible.

~$1,732/month (individual, Medicaid threshold).

$2,000 (individual).

Less intensive than waiver; rural focus.

Big Sky Rx

Montana Big Sky Rx

Age 65+ or disabled, Montana resident, enrolled in Medicare Part D, income below limit.

~$2,510/month (individual), ~$3,380/month (couple).

Not assessed.

Covers up to $38.75/month premium; statewide via AAAs.

Medicare Savings Program (MSP)

Montana Medicare Savings Program

Age 65+ or disabled, Montana resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; no waitlist; includes Extra Help for Part D.

Montana Caregiver Support Program (via NFCSP)

Montana Caregiver Support Program

Caregivers of 60+ needing care or 55+ caregivers of others; Montana resident; functional needs (2+ ADLs).

Prioritizes ~$24,980/year (individual); no strict cap.

Not assessed; need-based.

10 AAAs; prioritizes low-income, rural caregivers.

Senior Community Service Employment Program (SCSEP)

Montana SCSEP

Age 55+, unemployed, low-income, Montana resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents; AARP partnership.

VA Aid and Attendance (A&A) and Housebound Benefits

Montana VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, Montana resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand in rural areas.