Valle Vista Rehabilitation and Nursing LLC

Nursing Home, Hospice Care, Respite Care & Skilled Nursing · Lewistown, MT

CMS overall rating

402 Summit Ave, Lewistown, MT 59457 View map

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Valle Vista Rehabilitation and Nursing LLC accepts Medicare, Medicaid, and private pay.

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Valle Vista Rehabilitation and Nursing LLC accepts Medicare, Medicaid, and private pay.

Overview of Valle Vista Rehabilitation and Nursing

The Charly Bello Family Limited owns Valle Vista Rehabilitation and Nursing, a 101-bed skilled nursing home that opened two years ago in Lewistown, Montana. To accommodate different financial situations, the administration handles billing through Medicare, Medicaid, and private pay. For visitors, the surrounding neighborhood features an excellent walkability score of 79 out of 100, meaning family members can easily visit the property and reach nearby local spots completely on foot.

Data regarding local placement habits shows an average stay of 156 days, indicating that the building’s operational footprint heavily emphasizes short-term post-hospital recovery over permanent, multi-year residential stays. A 24-hour staffing schedule is maintained to manage clinical routines, delivering an average of 3 hours and 22 minutes of total nursing care per resident each day. This daily coverage combines the efforts of registered nurses, licensed practical nurses, and nurse aides to handle personal care tasks and clinical monitoring.

Records show how the property manages its initial years of regulatory compliance. While historical oversight records have focused on routine operational themes like infection control, medication documentation, and food safety, the facility manages these areas through standard building protocols, keeping its overall cumulative citations-per-inspection rate at zero.

Older adults have access to targeted short-term rehabilitation services and temporary respite care setups. The kitchen designs daily menus around basic nutritional and personal medical guidelines. The day-to-day routine coordinates these dining plans and clinical therapy sessions with regular housekeeping chores, laundry assistance, and open visiting times for family members.

Facility Direct Line (406) 538-8775

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to Montana state averages

Total nursing care / resident

3h 22m per day

This facility Montana avg (4h 32m per day)

vs Montana avg

-26%

6 of 6 metrics below state avg

Staff type	Hours / Day / Resident	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.	40m per day	▼ 29% State avg: 56m per day · National avg: 41m per day
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.	7m per day	▼ 77% State avg: 30m per day · National avg: 52m 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 22m per day	▼ 7% State avg: 2h 32m per day · National avg: 2h 20m per day
Weekend Total Nursing 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 32m per day	▼ 27% 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.	1m per day	▼ 86% State avg: 4m per day · National avg: 4m per day
Weekend RN 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.	27m per day	▼ 34% State avg: 41m per day · National avg: 28m per day

Capacity and availability

156 days

101-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: 79 / 100

Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

About this community

Occupancy

Occupancy rate

53%

Lower than the Montana average: 61.7%

Occupied beds

54 / 101

Average occupied beds in Montana homes 55 beds

Facility TypeLong Term Care

StatusCurrent

IssuanceJanuary 2, 2024

License Number000000070

CMS Certification Number275021

Valle Vista Rehabilitation and Nursing LLC is administered by Wendy Anderson.

Rehabilitation Services

Respite Care

Short-Term Rehab

24-Hour Staffing

Pets not allowed

Since 2023 · 3 years of data 17 deficiencies

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Montana state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2023 vs. Montana state average

Overall vs. MT average

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	MT Average	vs. MT Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	17	21	This facility has 19% fewer total deficiencies than a typical Montana nursing home (17 vs. MT avg 21).↓ 19% better

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

November 21, 2025 inspection found failure to provide a wheelchair and document discharge for a quadriplegic resident, resulting in loss of mobility upon transfer.
May 20, 2025 complaint investigation identified eight deficiencies including failure to obtain psychotropic medication consent, report abuse, notify hospital transfers, maintain care plans, activities, records, and infection control.
August 28, 2024 and May 21, 2024 inspections found repeated kitchen sanitation and food safety violations, including unclean conditions, expired medications, and lack of certified food service director.

Show Inspection Reports

Inspections since 2023

Total health inspections 4

State average 5.1

Last Health inspection on May 2025

Total health citations

State average 29.7

Citations per inspection

3.75

State 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

100% better than State average

State average: 0.3

Serious health citations

100% better than State average

State average: 2.2

0 critical citations State average: 0.3

0 serious citations State average: 2.2

15 moderate citations State average: 26.5

0 minor citations State average: 0.7

Citations history (last 3 years)

Abuse/Neglect moderate citation May 20, 2025

Corrected

Abuse/Neglect moderate citation May 20, 2025

Corrected

Infection Control moderate citation May 20, 2025

Corrected

Quality of Care moderate citation May 20, 2025

Corrected

Total staff 63

Employees 56

Contractors 7

Staff to resident ratio 1.24 : 1

33% fewer staff per resident than Montana average

Avg staff/day 26

Average shift 7.5 hours

13% worse than Montana average

Total staff hours (quarter) 18,037

Nursing staff breakdown

8.9 hours

8.5 hours

8.1 hours

Contractor staffing

108 contractor hours this quarter

Respiratory Therapy Technician: 2 Physical Therapy Assistant: 2 Occupational Therapy Assistant: 1 Medical Director: 1 Qualified Social Worker: 1

Staff by category


Certified Nursing Assistant	30	0	30	9,528	92	100%	8.1
Registered Nurse	6	0	6	2,753	92	100%	8.9
Nurse Aide in Training	7	0	7	1,564	74	80%	7.2
Other Dietary Services Staff	5	0	5	1,260	91	99%	6
Licensed Practical Nurse	2	0	2	571	58	63%	8.5
Medication Aide/Technician	1	0	1	528	53	58%	10
Nurse Practitioner	1	0	1	522	65	71%	8
Administrator	1	0	1	511	65	71%	7.9
Dental Services Staff	1	0	1	470	61	66%	7.7
Occupational Therapy Aide	2	0	2	222	32	35%	5.8
Respiratory Therapy Technician	0	2	2	46	44	48%	0.7
Physical Therapy Assistant	0	2	2	43	32	35%	0.9
Qualified Social Worker	0	1	1	8	16	17%	0.5
Medical Director	0	1	1	6	3	3%	2
Occupational Therapy Assistant	0	1	1	6	3	3%	2

30 Certified Nursing Assistant

% of Days 100%

6 Registered Nurse

% of Days 100%

7 Nurse Aide in Training

% of Days 80%

5 Other Dietary Services Staff

% of Days 99%

2 Licensed Practical Nurse

% of Days 63%

1 Medication Aide/Technician

% of Days 58%

1 Nurse Practitioner

% of Days 71%

1 Administrator

% of Days 71%

1 Dental Services Staff

% of Days 66%

2 Occupational Therapy Aide

% of Days 35%

2 Respiratory Therapy Technician

% of Days 48%

2 Physical Therapy Assistant

% of Days 35%

1 Qualified Social Worker

% of Days 17%

1 Medical Director

% of Days 3%

1 Occupational Therapy Assistant

% of Days 3%

View All Staffing Data

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

High-risk clinical events score 8.9

20% better than Montana average

Montana average: 11.2

Functional decline score 21.6

In line with Montana average

Montana average: 21.8

Long-stay resident measures

Significantly above average Montana avg: 3.0

Need for Help with Daily Activities Increased 12.4%

36% better than Montana average

Montana average: 19.4%

Walking Ability Worsened 16.6%

20% better than Montana average

Montana average: 20.8%

Low Risk Residents with Bowel/Bladder Incontinence 35.8%

42% worse than Montana average

Montana average: 25.2%

Falls with Major Injury 1.7%

61% better than Montana average

Montana average: 4.3%

High Risk Residents with Pressure Ulcers 4.3%

32% better than Montana average

Montana average: 6.3%

Urinary Tract Infection 0.6%

80% better than Montana average

Montana average: 2.8%

Lost Too Much Weight 9.6%

58% worse than Montana average

Montana average: 6.1%

Depressive Symptoms 3.5%

27% better than Montana average

Montana average: 4.7%

Antipsychotic Use 20.0%

5% worse than Montana average

Montana average: 19.1%

Pneumococcal Vaccine 100.0%

7% better than Montana average

Montana average: 93.8%

Influenza Vaccine 95.9%

In line with Montana average

Montana average: 93.7%

Hospitalizations per 1,000 days 0.22

83% better than Montana average

Montana average: 1.27

ED visits per 1,000 days 0.68

69% better than Montana average

Montana average: 2.17

Short-stay resident measures

Significantly above average Montana avg: 2.3

Pneumococcal Vaccine 95.1%

25% better than Montana average

Montana average: 76.4%

Antipsychotic medication increase 0.0%

100% better than Montana average

Montana average: 1.8%

Influenza Vaccine 97.6%

32% better than Montana average

Montana average: 73.8%

Re-hospitalized after SNF stay 24.2%

25% worse than Montana average

Montana average: 19.4%

Emergency department visits 4.6%

69% better than Montana average

Montana average: 15.0%

Successful return to home or community 42.6%

16% worse than Montana average

Montana average: 50.6%

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

Total residents 51

Medicare

9.8% of residents

Medicaid

62.7% of residents

Private pay or other

27.5% of residents

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.

Financial Trends

Historical financial and operational data for Valle Vista Rehabilitation and Nursing LLC from 2014–2022, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2022 — the home's most recent complete cost report, an older period than most facilities report.

Occupancy Rate 40.9% ↑ 10.8pp vs 2021

Net Patient Income -$183.2K ↑ ~$428.0K vs 2021

Payroll Costs $2.0M ↑ ~$399.6K vs 2021

Operating Margin -4.5% ↑ 16.6pp vs 2021

Metric	2014	2015	2016	2017	2019	2020	2021	2022
Occupancy %	44.8%	34.6%	37.7%	36.7%	32.7%	29.3%	30.2%	40.9%
Beds	101	101	101	101	101	101	101	101
Net Income	-$733,798	-$998,420	-$863,494	-$742,081	-$637,040	-$250,817	$504,446	-$54,467
Gross Revenue	$3,891,498	$3,456,697	$3,756,148	$3,608,528	$3,113,390	$3,151,413	$4,031,338	$5,458,659
Operating Expenses	$4,002,993	$3,758,835	$3,760,969	$3,562,696	$3,403,468	$3,534,555	$3,504,976	$4,247,320
Net Patient Income	-$735,379	-$1,007,889	-$867,748	-$763,626	-$806,287	-$1,054,975	-$611,160	-$183,194
Net Patient Revenue	$3,267,614	$2,750,946	$2,893,221	$2,799,070	$2,597,181	$2,479,580	$2,893,816	$4,064,126
Payroll Costs	$1,746,482	$1,572,924	$1,608,339	$1,377,745	$1,202,829	$1,396,447	$1,628,485	$2,028,049
Operating Margin %	-22.5%	-36.6%	-30.0%	-27.3%	-31.0%	-42.6%	-21.1%	-4.5%
Medicare %	5.6%	4.8%	3.7%	2.0%	1.0%	2.7%	6.2%	3.6%
Medicaid %	50.8%	61.2%	67.2%	71.5%	77.3%	75.9%	65.0%	62.3%
Private %	43.6%	33.9%	29.1%	26.5%	21.7%	21.5%	28.8%	34.0%
Net Patient Revenue/Day	$198	$216	$207	$207	$215	$229	$260	$269
Cost/Day	$243	$295	$270	$263	$282	$326	$315	$282
Avg Length of Stay	351.1 days	354.3 days	273.6 days	282.0 days	262.4 days	146.3 days	135.6 days	153.9 days

Finances and operations

Based on the home's most recent complete CMS SNF Cost Report — fiscal year ending in 12/2022. This is an older period than most facilities report, so compare with that in mind.

Net patient revenue

$4.1M

Net patient income

-$183.2K

For-profit Operated by a single business entity.

Net patient revenue

$4.1M

Net patient income

-$183.2K

Payroll costs

$2.0M 49.9% of net patient revenue

Other operating costs

$2.2M

Total costs

$4.2M

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.

New residents most often arrive under private pay (48% of admissions), and a typical private pay stay runs around 10 - 11 months.

Coverage residents most often arrive under.

Medicare 31%

Private pay 48%

Medicaid 21%

Coverage residents most often leave under.

Medicare 20%

Private pay 49%

Medicaid 32%

0.0 miles from city center Estimated distance in miles from Lewistown's city center to Valle Vista Rehabilitation and Nursing LLC's address, calculated via Google Maps.

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Info below is compiled from CMS reports & the MT Dept. of Public Health & Human Services (DPHHS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.


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The Living Centre	NH AL IL SNF	Stevensville (Main Street)	50 Facility 50 MT AVG 70 Rank #61 / 103	74.6% Facility 74.6% MT AVG 61.5 Rank #14 / 32	+21%	4.87 Facility 4.87 MT AVG 4.53 Rank #8 / 33	-41%	+8%	$37.5k Facility $37.5k MT AVG $83.8k Rank #18 / 34	15 Facility 15 MT AVG 29.7 Rank #4 / 34	2.5 Facility 2.5 MT AVG 5.7 Rank #3 / 34	2	37	A+	38 Facility 38 MT AVG 43 Rank #90 / 159	Living Centre Limited	$6.0MFiscal year ending 08/2024 Facility $6.0MFiscal year ending 08/2024 MT AVG $6.3M Rank #23 / 32	$3.4MFiscal year ending 08/2024 Facility $3.4MFiscal year ending 08/2024 MT AVG $2.8M Rank #19 / 32	56.7%Fiscal year ending 08/2024 Facility 56.7%Fiscal year ending 08/2024 MT AVG 45.6% Rank #4 / 32	275125
Valle Vista Rehabilitation and Nursing LLC	NH HOS RC SNF	Lewistown	101 Facility 101 MT AVG 70 Rank #24 / 103	53.0% Facility 53.0% MT AVG 61.5 Rank #20 / 32	-14%	3.37 Facility 3.37 MT AVG 4.53 Rank #21 / 33	-39%	-26%	$0 Facility $0 MT AVG $83.8k Rank #1 / 34	15 Facility 15 MT AVG 29.7 Rank #4 / 34	3.8 Facility 3.8 MT AVG 5.7 Rank #4 / 34	-	54	-	79 Facility 79 MT AVG 43 Rank #15 / 159	Charly Bello Family Limited Partnership	$4.1MFiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. Facility $4.1MFiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. MT AVG $6.3M Rank #24 / 32	$2.0MFiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. Facility $2.0MFiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. MT AVG $2.8M Rank #30 / 32	49.9%Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. Facility 49.9%Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. MT AVG 45.6% Rank #31 / 32	275021
Libby of Cascadia, LLC dba Libby Care Center	NH SNF	Libby	101 Facility 101 MT AVG 70 Rank #24 / 103	76.3% Facility 76.3% MT AVG 61.5 Rank #12 / 32	+24%	3.32 Facility 3.32 MT AVG 4.53 Rank #24 / 33	-7%	-27%	$22.7k Facility $22.7k MT AVG $83.8k Rank #16 / 34	18 Facility 18 MT AVG 29.7 Rank #8 / 34	4.5 Facility 4.5 MT AVG 5.7 Rank #9 / 34	2	77	-	76 Facility 76 MT AVG 43 Rank #19 / 159	Cascadia Montana Operations LLC	$9.0MFiscal year ending 12/2023 Facility $9.0MFiscal year ending 12/2023 MT AVG $6.3M Rank #5 / 32	$4.2MFiscal year ending 12/2023 Facility $4.2MFiscal year ending 12/2023 MT AVG $2.8M Rank #16 / 32	46.9%Fiscal year ending 12/2023 Facility 46.9%Fiscal year ending 12/2023 MT AVG 45.6% Rank #32 / 32	275040
Eureka of Cascadia, LLC dba Mountain View of Cascadia	NH SNF	Eureka	49 Facility 49 MT AVG 70 Rank #62 / 103	91.4% Facility 91.4% MT AVG 61.5 Rank #3 / 32	+49%	3.56 Facility 3.56 MT AVG 4.53 Rank #15 / 33	+2%	-21%	$0 Facility $0 MT AVG $83.8k Rank #1 / 34	13 Facility 13 MT AVG 29.7 Rank #3 / 34	4.3 Facility 4.3 MT AVG 5.7 Rank #7 / 34	-	45	-	58 Facility 58 MT AVG 43 Rank #48 / 159	Dianna Carvey	$3.3MFiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. Facility $3.3MFiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. MT AVG $6.3M Rank #29 / 32	$2.1MFiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. Facility $2.1MFiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. MT AVG $2.8M Rank #29 / 32	62%Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. Facility 62%Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. MT AVG 45.6% Rank #22 / 32	275084

Nursing Home Explorer

Is Valle Vista Rehabilitation and Nursing LLC in a walkable area?

Valle Vista Rehabilitation and Nursing LLC has a walk score of 79. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

What is the license number of Valle Vista Rehabilitation and Nursing LLC?

According to MT state health department records, Valle Vista Rehabilitation and Nursing LLC's license number is 000000070.

What is the occupancy rate at Valle Vista Rehabilitation and Nursing LLC?

Valle Vista Rehabilitation and Nursing LLC's occupancy is 53%.

How long has Valle Vista Rehabilitation and Nursing LLC been in business?

Valle Vista Rehabilitation and Nursing LLC has been operating for approximately 2 years, based on available licensing and registration records.

Are pets allowed at Valle Vista Rehabilitation and Nursing LLC?

No, Valle Vista Rehabilitation and Nursing LLC has a no-pet policy.

Does Valle Vista Rehabilitation and Nursing LLC operate as a for-profit or non-profit?

Valle Vista Rehabilitation and Nursing LLC is registered as a for-profit in MT.

Who is the administrator of Valle Vista Rehabilitation and Nursing LLC?

Wendy Anderson is the administrator of Valle Vista Rehabilitation and Nursing LLC.

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Valle Vista Rehabilitation and Nursing LLC

Overview of Valle Vista Rehabilitation and Nursing

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Therapy & Rehabilitation

Staffing & Medical

Additional Policies & Features

Contact Valle Vista Rehabilitation and Nursing LLC

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Montana state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2023

Breakdown of citation severity (last 3 years)

Citations history (last 3 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

30 Certified Nursing Assistant

6 Registered Nurse

7 Nurse Aide in Training

5 Other Dietary Services Staff

2 Licensed Practical Nurse

1 Medication Aide/Technician

1 Nurse Practitioner

1 Administrator

1 Dental Services Staff

2 Occupational Therapy Aide

2 Respiratory Therapy Technician

2 Physical Therapy Assistant

1 Qualified Social Worker

1 Medical Director

1 Occupational Therapy Assistant

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mix of rehab and long-term care

Admissions

Discharges

Places of interest near Valle Vista Rehabilitation and Nursing LLC

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