Inspection Reports for
Valle Vista Rehabilitation and Nursing LLC
402 Summit Ave, Lewistown, MT, 59457
Back to Facility Profile6 CMS Surveys
Inspection Report — Nov 21, 2025
Date: Nov 21, 2025
Visit Reason
The survey was conducted to assess compliance with regulatory requirements at Valle Vista Rehabilitation and Nursing LLC.
Findings
The facility failed to provide a quadriplegic resident with a wheelchair upon discharge and did not document the transfer discharge in the medical record. This resulted in the resident arriving at the receiving facility without a wheelchair, impacting his mobility.
Deficiencies (1)
F 0628 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies: the facility failed to provide a quadriplegic resident with a wheelchair upon discharge and did not document the transfer discharge in the medical record, resulting in the resident arriving at the receiving facility without a wheelchair.
Inspection Report — May 20, 2025
Date: May 20, 2025
Visit Reason
The survey was conducted to assess compliance with regulations related to abuse, neglect, and exploitation reporting and investigation.
Findings
The facility failed to timely report and investigate suspected exploitation involving a resident's conservator. The facility lacked documentation of an investigation and did not follow its own policies for reporting allegations to appropriate authorities.
Deficiencies (1)
F 0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities: the facility failed to implement policies and procedures to ensure reporting of suspected exploitation by a resident's conservator and did not document an investigation of the allegation.
Inspection Report — May 20, 2025
Renewal
Date: May 20, 2025
Visit Reason
The survey was a renewal inspection of Valle Vista Rehabilitation and Nursing LLC conducted on May 20, 2025.
Findings
The facility was cited for multiple deficiencies including failure to obtain timely consent for psychotropic medications, improper use of as-needed psychotropic medications beyond 14 days, failure to report suspected abuse and exploitation, lack of transfer notices for hospitalizations, incomplete care plans and activity provision, incomplete medical records, and inadequate infection prevention and control practices.
Deficiencies (8)
F 0552 Ensure that residents are fully informed and understand their health status, care and treatments: the facility failed to obtain informed consent prior to starting psychotropic medications for residents #33 and #48, with consents signed after medication administration began.
F 0605 Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function: the facility failed to limit as-needed psychotropic medications to 14 days unless documented by a medical provider for residents #33 and #48.
F 0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities: the facility failed to report and investigate allegations of exploitation involving resident #46's conservator, increasing risk of misappropriation of resident funds.
F 0628 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies: the facility failed to notify resident #23 or their representative in writing of the reason for hospital transfers on 3/7/25 and 5/9/25.
F 0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured: the facility failed to develop a comprehensive care plan reflecting resident #2's activity preferences, life roles, and need for one-on-one visits.
F 0679 Provide activities to meet all resident's needs: the facility failed to provide resident #2 with group and individual activities to meet her interests and support her well-being, and failed to document activity participation.
F 0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards: the facility failed to maintain complete medical provider visit notes for residents #2, #17, #23, and #32, and failed to ensure resident #33's POLST was signed by a medical provider.
F 0880 Provide and implement an infection prevention and control program: the facility failed to maintain an adequate infection prevention program, including cleaning of equipment such as the North hallway bathtub, and failed to perform annual reviews of water management and Legionella policies.
Report Facts
Residents sampled: 18
Residents sampled: 15
Residents affected: 4
Months: 5
Inspection Report — Aug 28, 2024
Date: Aug 28, 2024
Visit Reason
The survey was conducted to assess compliance with health and safety regulations in the facility.
Findings
The facility failed to maintain the kitchen in a sanitary and clean condition, with debris found on floors and shelves. Cleaning checklists were incomplete, and staffing shortages due to vacations and turnover contributed to the issue.
Deficiencies (1)
F 0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards: the kitchen was found with debris on floors and shelves, and cleaning checklists were not consistently completed due to staffing shortages.
Inspection Report — May 21, 2024
Renewal
Date: May 21, 2024
Visit Reason
Routine renewal inspection of Valle Vista Rehabilitation and Nursing LLC to assess compliance with health and safety regulations.
Findings
The facility failed to remove expired medications and medical supplies, lacked a certified director of food and nutrition services, served food at unsafe temperatures, and did not maintain proper food storage and hygiene standards in the kitchen. Multiple issues with staff training, equipment condition, and food labeling were also noted.
Deficiencies (4)
F 0761 Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles, and all drugs and biologicals must be stored in locked compartments separately. The facility failed to remove and dispose of expired medications and medical supplies found in medication and treatment rooms, increasing the risk of expired items being used.
F 0801 Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. The facility failed to have a certified person serving as the director of food and nutrition services, and staff lacked proper training and oversight.
F 0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. The facility served food below the required 135 degrees F temperature, resulting in cold food complaints from residents and improper use of steam tables and plate warmers.
F 0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The facility failed to maintain a clean kitchen environment, ensure staff wore hairnets and beard nets, and properly label and date open food items, including dented cans and unlabeled substances.
Report Facts
Egg temperature (°F): 116.3
Hashbrowns temperature (°F): 107.8
Cream of wheat temperature (°F): 112.7
Minced dish temperature (°F): 110
Minced dish temperature (°F): 103.3
Sliced pork with gravy temperature (°F): 98.8
Potatoes au-gratin temperature (°F): 104.6
Expired Coaguchek XS PT test strips: 2
Expired 0.9% sodium chloride injection solution: 4
Expired red rubber Foley catheters: 10
Dented cans of applesauce: 5
Dented cans of pumpkin: 1
Dented cans of ripe olives: 1
Unknown substance cans: 2
Inspection Report — May 22, 2023
Renewal
Date: May 22, 2023
Visit Reason
Routine renewal inspection of Valle Vista Rehabilitation and Nursing LLC to assess compliance with health and safety regulations.
Findings
The facility failed to assist residents with personal hygiene tasks such as shaving, resulting in embarrassment for some residents. Additionally, staff did not consistently adhere to infection prevention practices, including hand hygiene and glove use during meal service, increasing the risk of infection spread.
Deficiencies (2)
F 0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights: the facility staff failed to assist three residents with shaving on bath days, causing embarrassment due to visible facial hair.
F 0880 Provide and implement an infection prevention and control program: staff failed to perform hand hygiene after touching dirty surfaces and did not wear gloves while serving meals, increasing the risk of infection spread to residents.
Report Facts
Residents affected: 3
Baths per week: 1
Staff training date: 2023.05
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