ElderGrade
B

80.5/100

Above average

Valle Vista Rehabilitation And Nursing Llc

402 Summit Ave, Lewistown, MT 59457

CMS 5/5 stars #1 of 2 in Fergus County (406) 538-8775
Certified beds
101
Occupancy
53%
Ownership
For-profit
Accepts
Medicare + Medicaid

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection 30/30 Staffing 13.5/30 Stability 12/15 Outcomes 15/15 Enforcement 10/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is — two homes can share a score and look nothing alike.

Inspection safety

30/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

Staffing

13.5/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.63 total nurse hours per resident per day (national median 3.77)
  • 0.71 RN hours per resident per day
  • Weekend staffing drops 22% against weekdays

Staff stability

12/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 43% of nursing staff left in the last year

Resident outcomes

15/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 5 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.15 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.71 hrs
National average 0.69 hrs Better than average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 2.46 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 42.50%
National average 45.80% Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

All 16 citations

Last standard health inspection: May 20, 2025 (1 year ago).

D Nov 21, 2025 F0628 From a complaint

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

No actual harm, potential for more than minimal harm

F May 20, 2025 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

E May 20, 2025 F0842

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

No actual harm, potential for more than minimal harm

D May 20, 2025 F0552

Resident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

No actual harm, potential for more than minimal harm

D May 20, 2025 F0605

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

No actual harm, potential for more than minimal harm

D May 20, 2025 F0609 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

No actual harm, potential for more than minimal harm

D May 20, 2025 F0628

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

No actual harm, potential for more than minimal harm

D May 20, 2025 F0656

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of THE CHARLY BELLO FAMILY, THE MAZE FAMILY, THE SWAIN FAMILY, & WALTER MYERS, which operates 18 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
CASHMER LLC Organization DIRECT OWNERSHIP INTEREST
FEY, DANIEL Individual INDIRECT OWNERSHIP INTEREST
COTTONWOOD HEALTHCARE LLC Organization OPERATIONAL/MANAGERIAL CONTROL
PROFESSIONAL BUSINESS ADVISORS LLC Organization OPERATIONAL/MANAGERIAL CONTROL
WIPFLI LLP Organization OPERATIONAL/MANAGERIAL CONTROL
ANDERSON, WENDY Individual OPERATIONAL/MANAGERIAL CONTROL
MCFADDEN, STEVE Individual OPERATIONAL/MANAGERIAL CONTROL
MYERS, WALTER Individual OPERATIONAL/MANAGERIAL CONTROL
SURA, MICHAEL Individual OPERATIONAL/MANAGERIAL CONTROL
COTTONWOOD HEALTHCARE LLC Organization ADP OF THE SNF
PROFESSIONAL BUSINESS ADVISORS LLC Organization ADP OF THE SNF
WIPFLI LLP Organization ADP OF THE SNF

What families say

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Common questions about Valle Vista Rehabilitation And Nursing Llc

What is the ElderGrade for Valle Vista Rehabilitation And Nursing Llc? +

Valle Vista Rehabilitation And Nursing Llc holds an ElderGrade of B (80.5 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Valle Vista Rehabilitation And Nursing Llc? +

Residents receive an average of 3.15 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Valle Vista Rehabilitation And Nursing Llc been cited for harming residents? +

No. None of the 16 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Valle Vista Rehabilitation And Nursing Llc accept Medicaid? +

Yes, Valle Vista Rehabilitation And Nursing Llc is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.