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Valle Vista Rehabilitation and Nursing LLC
Nursing Home, Hospice Care, Respite Care & Skilled Nursing · Lewistown, MT
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Valle Vista Rehabilitation and Nursing LLC

Nursing Home, Hospice Care, Respite Care & Skilled Nursing · Lewistown, MT
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
402 Summit Ave, Lewistown, MT 59457 View map Calculator: See prices in your area
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
Facility Direct Line (406) 538-8775

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.
▲ 69.5% Above MT avg. ▲ 69.5% Above MT avg.MT average: 2.9Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▲ 40.5% Above MT avg. ▲ 40.5% Above MT avg.MT average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▲ 24.2% Above MT avg. ▲ 24.2% Above MT avg.MT average: 3.2Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▲ 68.6% Above MT avg. ▲ 68.6% Above MT avg.MT average: 3.0Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours Info 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.

Hours per resident per day vs Montana averages

Rank #17 / 30Nurse hours — State benchmarkedThis home is ranked 17th out of 30 homes we track in Montana for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Montana average, with a ranking across 30 Montana facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Montana that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This home is ranked 17th out of 30 homes we track in Montana for nurse hours. 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 38m

20% below state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info 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.
49m
−12% State avg: 56m per day · National avg: 41m per day
LPN / LVN Info 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.
8m
−72% State avg: 30m per day · National avg: 52m per day
Nurse Aide Info 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 40m
+6% State avg: 2h 32m per day · National avg: 2h 20m per day
Weekend Total Nursing Info 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 50m
−19% State avg: 3h 29m per day · National avg: 3h 26m per day
Physical Therapist Info 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
−79% State avg: 4m per day · National avg: 4m per day
Weekend RN Info 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
−29% State avg: 41m per day · National avg: 28m per day

5 of 6 metrics below state avg

Standout metric: Nurse Aide is +6% above Montana average

Capacity and availability

Residents per day (avg)
53
Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
156 days
Bed community size
101-bed community Rank #24 / 103Bed count — State benchmarkedThis home is ranked 24th out of 103 homes we track in Montana for bed count. Shows this facility's certified or reported bed count compared to other Montana facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Montana that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A larger shared setting that may offer more common spaces and organized community services.
Years in operation
2 years in operation Rank #35 / 91Years in operation — State benchmarkedThis home is ranked 35th out of 91 homes we track in Montana for years in operation. Shows how long this facility has been in operation compared to other Montana facilities. Longer operating histories may benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Montana that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A newer community that may feature more recent facilities and programs.
Walk Score
Walk Score: 79 / 100 Rank #15 / 149Walk Score — State benchmarkedThis home is ranked 15th out of 149 homes we track in Montana for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Montana facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Montana that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

About this community

Occupancy

Occupancy rate
53%
Rank #20 / 30Occupancy rate — State benchmarkedThis home is ranked 20th out of 30 homes we track in Montana for occupancy. Shows this facility's occupancy rate versus the Montana average, with its Statewide rank out of 30. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Montana that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Lower than the Montana average: 61.7%
Occupied beds
53 / 101
Average occupied beds in Montana homes 55 beds

License Details

Facility TypeLong Term Care
StatusCurrent
IssuanceJanuary 2, 2024
License Number000000070
CMS Certification Number275021

Ownership & Operating Entity

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

Therapy & Rehabilitation

3 services
Rehabilitation Services
Respite Care
Short-Term Rehab

Staffing & Medical

1 service
24-Hour Staffing

Additional Policies & Features

Pets not allowed

Contact Valle Vista Rehabilitation and Nursing LLC

CMS Health Inspection History

Inspections Since 2023 · 3 years of data
Total health inspections 4

State average 5.1

Last Health inspection on May 2025

Total health citations
15 Rank #4 / 31Health citations — State benchmarkedThis home is ranked 4th out of 31 homes we track in Montana for health citations. Shows this facility's total health deficiency citations benchmarked to the Montana State average, with a ranking across all 31 MT facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Montana that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 29.7

Citations per inspection
3.75 Rank #4 / 31Citations per inspection — State benchmarkedThis home is ranked 4th out of 31 homes we track in Montana for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Montana mean across 31 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Montana that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

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
0
100% better than State average

State average: 0.3

Serious health citations
0
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
Show Inspection Reports

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.

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 63
Employees 56
Contractors 7
Staff to resident ratio 1.24 : 1
33% fewer staff per resident than Montana average
Montana average ratio: 1.86 : 1 Montana average ratio: 1.86 : 1See full Montana ranking
Avg staff/day 26
Average shift 7.5 hours
13% worse than Montana average
Montana average: 8.6 hours Montana average shift: 8.6 hoursSee full Montana ranking
Total staff hours (quarter) 18,037

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 6 RN Staff are full-time employees. No contractors work on this role. 6
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.9 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 2 LPN Staff are full-time employees. No contractors work on this role. 2
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.5 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 30 CNA Staff are full-time employees. No contractors work on this role. 30
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.1 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

0.6%

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

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant300309,52892100%8.1
Registered Nurse6062,75392100%8.9
Nurse Aide in Training7071,5647480%7.2
Other Dietary Services Staff5051,2609199%6
Licensed Practical Nurse2025715863%8.5
Medication Aide/Technician1015285358%10
Nurse Practitioner1015226571%8
Administrator1015116571%7.9
Dental Services Staff1014706166%7.7
Occupational Therapy Aide2022223235%5.8
Respiratory Therapy Technician022464448%0.7
Physical Therapy Assistant022433235%0.9
Qualified Social Worker01181617%0.5
Medical Director011633%2
Occupational Therapy Assistant011633%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%
View All Staffing Data

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

No penalties in the past 3 years

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

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
Significantly above average Montana avg: 3.0 Info 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 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%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 0.22
83% better than Montana average

Montana average: 1.27

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 0.68
69% better than Montana average

Montana average: 2.17

Short-stay resident measures
Significantly above average Montana avg: 2.3 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
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%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 24.2%
25% worse than Montana average

Montana average: 19.4%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 4.6%
69% better than Montana average

Montana average: 15.0%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 42.6%
16% worse than Montana average

Montana average: 50.6%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

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

Facility Characteristics

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

Total residents 51
Medicare
5
9.8% of residents
Medicaid
32
62.7% of residents
Private pay or other
14
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.

Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.

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.

For-profit
Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$4.1M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$183.2K
For-profit Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$4.1M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$183.2K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
$2.0M 49.9% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$2.2M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$4.2M
How we calculate these figures

This home is administered by Wendy Anderson.

This home is owned by Charly Bello Family Limited Partnership

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 275021

Show certification details

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.

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

Admissions
49 total

Coverage residents most often arrive under.

Medicare 31%
Private pay 48%
Medicaid 21%
Discharges
52 total

Coverage residents most often leave under.

Medicare 20%
Private pay 49%
Medicaid 32%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Places of interest near Valle Vista Rehabilitation and Nursing LLC

Address 0.0 miles from city center Info 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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Address

Compare Nursing Homes around the area

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.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. RC (Respite Care): Short-term temporary care that gives family caregivers a break. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Montana average is: 47.0% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Southwest Montana Veteran’s Home ★ ★ ★ ★ ★
NH
SNF
Butte
60
Facility 60
MT AVG 70
Rank #58 / 103
95.5%
Facility 95.5%
MT AVG 65.6%
Rank #3 / 30
+46%
5.68
Facility 5.68
MT AVG 4.53
Rank #5 / 30
 ★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ ★ ★ ★ ★ ☆ +62%+25%
$0
Facility $0
MT AVG $83.8k
Rank #1 / 31
18
Facility 18
MT AVG 29.7
Rank #8 / 31
6.0
Facility 6.0
MT AVG 5.7
Rank #20 / 31
157-
14
Facility 14
MT AVG 45
Rank #125 / 149
-
$7.4MFiscal year ending 12/2023
Facility $7.4MFiscal year ending 12/2023
MT AVG $8.2M
Rank #12 / 18
$5.1MFiscal year ending 12/2023
Facility $5.1MFiscal year ending 12/2023
MT AVG $3.7M
Rank #2 / 18
68.5%Fiscal year ending 12/2023
Facility 68.5%Fiscal year ending 12/2023
MT AVG 47%
Rank #1 / 18
275156
The Living Centre ★ ★ ★ ★ ★
NH
AL
IL
SNF
Stevensville
50
Facility 50
MT AVG 70
Rank #61 / 103
73.2%
Facility 73.2%
MT AVG 65.6%
Rank #14 / 30
+12%
6.03
Facility 6.03
MT AVG 4.53
Rank #3 / 30
 ★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ -41%+33%
$37.5k
Facility $37.5k
MT AVG $83.8k
Rank #15 / 31
15
Facility 15
MT AVG 29.7
Rank #4 / 31
2.5
Facility 2.5
MT AVG 5.7
Rank #3 / 31
237A+
38
Facility 38
MT AVG 45
Rank #89 / 149
Living Centre Limited
$6.0MFiscal year ending 08/2024
Facility $6.0MFiscal year ending 08/2024
MT AVG $8.2M
Rank #14 / 18
$3.4MFiscal year ending 08/2024
Facility $3.4MFiscal year ending 08/2024
MT AVG $3.7M
Rank #13 / 18
56.7%Fiscal year ending 08/2024
Facility 56.7%Fiscal year ending 08/2024
MT AVG 47%
Rank #3 / 18
275125
Libby of Cascadia, LLC dba Libby Care Center ★ ★ ★ ★ ★
NH
SNF
Libby
101
Facility 101
MT AVG 70
Rank #24 / 103
75.5%
Facility 75.5%
MT AVG 65.6%
Rank #12 / 30
+15%
3.37
Facility 3.37
MT AVG 4.53
Rank #26 / 30
 ★ ★ ★ ★ ☆ ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ★ -7%-26%
$22.7k
Facility $22.7k
MT AVG $83.8k
Rank #13 / 31
18
Facility 18
MT AVG 29.7
Rank #8 / 31
4.5
Facility 4.5
MT AVG 5.7
Rank #8 / 31
276-
76
Facility 76
MT AVG 45
Rank #19 / 149
Cascadia Montana Operations LLC
$9.0MFiscal year ending 12/2023
Facility $9.0MFiscal year ending 12/2023
MT AVG $8.2M
Rank #6 / 18
$4.2MFiscal year ending 12/2023
Facility $4.2MFiscal year ending 12/2023
MT AVG $3.7M
Rank #7 / 18
46.9%Fiscal year ending 12/2023
Facility 46.9%Fiscal year ending 12/2023
MT AVG 47%
Rank #8 / 18
275040
Valle Vista Rehabilitation and Nursing LLC ★ ★ ★ ★ ★
NH
HOS
RC
SNF
Lewistown
101
Facility 101
MT AVG 70
Rank #24 / 103
52.8%
Facility 52.8%
MT AVG 65.6%
Rank #20 / 30
-19%
3.63
Facility 3.63
MT AVG 4.53
Rank #17 / 30
 ★ ★ ★ ★ ☆ ★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ -39%-20%
$0
Facility $0
MT AVG $83.8k
Rank #1 / 31
15
Facility 15
MT AVG 29.7
Rank #4 / 31
3.8
Facility 3.8
MT AVG 5.7
Rank #4 / 31
-53-
79
Facility 79
MT AVG 45
Rank #15 / 149
Charly Bello Family Limited Partnership$4.1M*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.$2.0M*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.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.275021
Crest Nursing Home ★ ★ ★ ★ ★
NH
SNF
Butte (Meaderville)
103
Facility 103
MT AVG 70
Rank #23 / 103
44.6%
Facility 44.6%
MT AVG 65.6%
Rank #23 / 30
-32%
3.49
Facility 3.49
MT AVG 4.53
Rank #20 / 30
 ★ ★ ★ ★ ★ ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ★ -20%-23%
$0
Facility $0
MT AVG $83.8k
Rank #1 / 31
6
Facility 6
MT AVG 29.7
Rank #1 / 31
2.0
Facility 2.0
MT AVG 5.7
Rank #1 / 31
-46--Christina Jayne Penn Management Trust
$4.9MFiscal year ending 12/2023
Facility $4.9MFiscal year ending 12/2023
MT AVG $8.2M
Rank #16 / 18
$2.6MFiscal year ending 12/2023
Facility $2.6MFiscal year ending 12/2023
MT AVG $3.7M
Rank #15 / 18
53.2%Fiscal year ending 12/2023
Facility 53.2%Fiscal year ending 12/2023
MT AVG 47%
Rank #4 / 18
275122
Nursing Home Explorer

Frequently Asked Questions about Valle Vista Rehabilitation and Nursing LLC

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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