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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.
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.
The Charly Bello Family Limited owns Valle Vista Rehabilitation and Nursing LLC, 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.
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.
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.
This home is ranked 24th out of 34 homes 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.
| 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 |
Lower than the Montana average: 61.7%Valle Vista Rehabilitation and Nursing LLC is administrated by Wendy Anderson.
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.
This scorecard compares key inspection, citation, 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
| 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 |
|
Deficiencies per year
Average deficiencies per year since 2023.
| 5.7 | 7 | This facility has 19% fewer deficiencies per year than a typical Montana nursing home (5.7 vs. MT avg 7).↓ 19% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Montana average 5.1
Last Health inspection on May 2025
Montana average 29.7
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).
100% better than Montana averageMontana average: 0.3
100% better than Montana averageMontana average: 2.2
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
33% fewer staff per resident than Montana average
13% worse than Montana average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 6 RN Staff are full-time employees. No contractors work on this role.
6
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursAssists with medical care and medications.
All 2 LPN Staff are full-time employees. No contractors work on this role.
2
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursHelps with daily care and mobility.
All 30 CNA Staff are full-time employees. No contractors work on this role.
30
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
108 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| 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 |
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.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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 averageMontana average: 11.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.6
In line with Montana averageMontana average: 21.8
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
12.4%
36% better than Montana averageMontana average: 19.4%
Percent of long-stay residents whose ability to move independently worsened
16.6%
20% better than Montana averageMontana average: 20.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
35.8%
42% worse than Montana averageMontana average: 25.2%
Percent of long-stay residents experiencing one or more falls with major injury
1.7%
61% better than Montana averageMontana average: 4.3%
Percent of long-stay high risk residents with pressure ulcers
4.3%
32% better than Montana averageMontana average: 6.3%
Percent of long-stay residents with a urinary tract infection
0.6%
80% better than Montana averageMontana average: 2.8%
Percent of long-stay residents who lose too much weight
9.6%
58% worse than Montana averageMontana average: 6.1%
Percent of long-stay residents who have depressive symptoms
3.5%
27% better than Montana averageMontana average: 4.7%
Percent of long-stay residents who received an antipsychotic medication
20.0%
5% worse than Montana averageMontana average: 19.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
7% better than Montana averageMontana average: 93.8%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.9%
In line with Montana averageMontana average: 93.7%
Number of hospitalizations per 1,000 long-stay resident days.
0.22
83% better than Montana averageMontana average: 1.27
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.68
69% better than Montana averageMontana average: 2.17
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
95.1%
25% better than Montana averageMontana average: 76.4%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Montana averageMontana average: 1.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
97.6%
32% better than Montana averageMontana average: 73.8%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
24.2%
25% worse than Montana averageMontana average: 19.4%
Percentage of short-stay residents who had an outpatient emergency department visit.
4.6%
69% better than Montana averageMontana average: 15.0%
Rate of successful return to home or community from a skilled nursing facility.
42.6%
16% 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.
31% of new residents, usually for short-term rehab.
48% of new residents, often for short stays.
21% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
51Residents meet regularly to discuss policies, care quality, and activities
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.
Historical financial and operational data for Valle Vista Rehabilitation and Nursing LLC based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #27 / 31Payroll — State benchmarkedThis home is ranked 27th out of 31 homes in Montana. Shows total annual staff payroll benchmarked to the Montana average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
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.
Add your location
Valle Vista Rehabilitation and Nursing LLC is located in Lewistown, Montana.
Here are the financial assistance programs available to residents in Montana.
The information below is reported by the Montana Department of Public Health and Human Services, Quality Assurance Division.
| The Living Centre |
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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | Stevensville (Main Street) | 50
Facility
50
MT AVG
70
Rank
#63 / 106 |
61.3%
Facility
61.3%
MT AVG
61.7%
Rank
#18 / 35 | -1% | 4.87
Facility
4.87
MT AVG
4.53
Rank
#10 / 34 | -41% | +8% | $37.5k
Facility
$37.5k
MT AVG
$83.8k
Rank
#21 / 35 | 15
Facility
15
MT AVG
29.7
Rank
#4 / 35 | 2.5
Facility
2.5
MT AVG
5.7
Rank
#3 / 35 | 2 | 37 | A+ |
38
Facility
38
MT AVG
43
Rank
#90 / 159 | Living Centre Limited | $5.9M
Facility
$5.9M
MT AVG
$6.3M
Rank
#18 / 31 | $4.2M
Facility
$4.2M
MT AVG
$2.8M
Rank
#16 / 31 | 71.1%
Facility
71.1%
MT AVG
45.6%
Rank
#4 / 31 | 275125 | ||||
| Timbers And Reflections At The Grandview At Benefis |
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.
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. | Great Falls | 71
Facility
71
MT AVG
70
Rank
#45 / 106 | - | - | 4.36
Facility
4.36
MT AVG
4.53
Rank
#11 / 34 | +8% | -4% | $0
Facility
$0
MT AVG
$83.8k
Rank
#1 / 35 | 21
Facility
21
MT AVG
29.7
Rank
#10 / 35 | 5.3
Facility
5.3
MT AVG
5.7
Rank
#14 / 35 | - | 25 | A+ |
26
Facility
26
MT AVG
43
Rank
#109 / 159 | - | - | - | - | 275157 | ||||
| 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
Facility
101
MT AVG
70
Rank
#24 / 106 |
43.6%
Facility
43.6%
MT AVG
61.7%
Rank
#23 / 35 | -29% | 3.37
Facility
3.37
MT AVG
4.53
Rank
#24 / 34 | -39% | -26% | $0
Facility
$0
MT AVG
$83.8k
Rank
#1 / 35 | 15
Facility
15
MT AVG
29.7
Rank
#4 / 35 | 3.8
Facility
3.8
MT AVG
5.7
Rank
#4 / 35 | - | 54 | - |
79
Facility
79
MT AVG
43
Rank
#15 / 159 | Charly Bello Family Limited Partnership | $2.9M
Facility
$2.9M
MT AVG
$6.3M
Rank
#27 / 31 | $1.2M
Facility
$1.2M
MT AVG
$2.8M
Rank
#27 / 31 | 41.9%
Facility
41.9%
MT AVG
45.6%
Rank
#29 / 31 | 275021 | ||||
| Kindred Transitional Care & Rehab – Park Place |
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.
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. | Great Falls | 189
Facility
189
MT AVG
70
Rank
#3 / 106 | - | - | 3.79
Facility
3.79
MT AVG
4.53
Rank
#15 / 34 | +13% | -16% | $104.1k
Facility
$104.1k
MT AVG
$83.8k
Rank
#32 / 35 | 43
Facility
43
MT AVG
29.7
Rank
#26 / 35 | 5.4
Facility
5.4
MT AVG
5.7
Rank
#17 / 35 | 6 | 140 | - |
46
Facility
46
MT AVG
43
Rank
#73 / 159 | Reid Crickmore | $11.5M
Facility
$11.5M
MT AVG
$6.3M
Rank
#5 / 31 | $4.7M
Facility
$4.7M
MT AVG
$2.8M
Rank
#14 / 31 | 40.8%
Facility
40.8%
MT AVG
45.6%
Rank
#30 / 31 | 275030 | ||||
| Yellowstone River Nursing and 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. | Billings (East Central) | 160
Facility
160
MT AVG
70
Rank
#6 / 106 | - | - | 3.57
Facility
3.57
MT AVG
4.53
Rank
#18 / 34 | +50% | -21% | $141.5k
Facility
$141.5k
MT AVG
$83.8k
Rank
#23 / 35 | 49
Facility
49
MT AVG
29.7
Rank
#29 / 35 | 6.1
Facility
6.1
MT AVG
5.7
Rank
#25 / 35 | 5 | 2 | - |
67
Facility
67
MT AVG
43
Rank
#33 / 159 | Sarah Caldwell | $7.6M
Facility
$7.6M
MT AVG
$6.3M
Rank
#14 / 31 | $4.6M
Facility
$4.6M
MT AVG
$2.8M
Rank
#15 / 31 | 60.4%
Facility
60.4%
MT AVG
45.6%
Rank
#12 / 31 | 275029 |
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.
According to MT state health department records, Valle Vista Rehabilitation and Nursing LLC's license number is 000000070.
Valle Vista Rehabilitation and Nursing LLC's occupancy is 44%.
Wendy Anderson is the administrator of Valle Vista Rehabilitation and Nursing LLC.
Valle Vista Rehabilitation and Nursing LLC has 101 beds.
Valle Vista Rehabilitation and Nursing LLC is located at 402 Summit Ave.
(406) 538-8775 will put you in contact with the team at Valle Vista Rehabilitation and Nursing LLC.
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