Montana › Ravalli County › Hamilton
The Valley Health and Rehab
601 N 10th St, Hamilton, MT 59840
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
The Valley Health and Rehab is a For-profit, limited liability company nursing home in Hamilton, Montana, certified for 58 beds and caring for about 51 residents a day.
CMS gives it 2 of 5 stars overall, below the Montana median of 3; the health inspection rating is 2, staffing 3 and quality measures 3.
Inspectors recorded 29 health deficiencies across the three most recent survey cycles (24, 3, 2 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 50.0 per 100 beds, more than the state median of 40.0.
CMS lists 4 penalties in the period covered: fines totalling $60K and 1 payment denial.
Reported nurse staffing is 3.7 hours per resident per day (0.7 RN), close to the Montana median of 3.9.
Compared with county, state and nation
| Measure | This facility | Ravalli Co. median | Montana median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 5 | 3 | 3.0 |
| Health citations, 3 cycles | 29 | 29 | 27 | 28.7 |
| Citations per 100 beds | 50.0 | 50.0 | 40.0 | 26.8 |
| Total nurse hours per resident day | 3.7 | 5.5 | 3.9 | 3.9 |
| RN hours per resident day | 0.7 | 1.0 | 0.9 | 0.7 |
| Nursing staff turnover | — | 48.2% | 53.4% | 45.8% |
| Fines listed | $59,962 | $59,962 | $27,013 | — |
County and state figures are medians across facilities (2 in the county, 61 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Montana average per facility for the same cycle, as published by CMS. Standard health survey dates: 28 Jan 2026, 5 Dec 2024.
Severity mix: G ×3 D ×16 E ×6 F ×2 C ×2
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 23 Apr 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 26 May 2026 |
| 23 Apr 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 26 May 2026 |
| 23 Apr 2026 | F0679 | Provide activities to meet all resident's needs. | E | Complaint investigation | 26 May 2026 |
| 23 Apr 2026 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 26 May 2026 |
| 23 Apr 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 26 May 2026 |
| 28 Jan 2026 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | Standard survey | 6 Mar 2026 |
| 28 Jan 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 6 Mar 2026 |
| 28 Jan 2026 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard survey | 6 Mar 2026 |
| 28 Jan 2026 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard survey | 6 Mar 2026 |
| 28 Jan 2026 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 6 Mar 2026 |
| 28 Jan 2026 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | D | Standard survey | 6 Mar 2026 |
| 28 Jan 2026 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard survey | 6 Mar 2026 |
| 28 Jan 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 6 Mar 2026 |
| 28 Jan 2026 | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | D | Complaint investigation | 6 Mar 2026 |
| 28 Jan 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | C | Complaint investigation | 6 Mar 2026 |
| 28 Jan 2026 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | C | Standard survey | 6 Mar 2026 |
| 18 Nov 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Complaint investigation | 22 Dec 2025 |
| 18 Nov 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Complaint investigation | 19 Sep 2025 |
| 18 Nov 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 22 Dec 2025 |
| 18 Nov 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 22 Dec 2025 |
| 18 Nov 2025 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Complaint investigation | 22 Dec 2025 |
| 18 Nov 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 22 Dec 2025 |
| 27 Aug 2025 | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | G | Complaint investigation | 29 Sep 2025 |
| 27 Aug 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 29 Sep 2025 |
| 5 Dec 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | G | Standard survey | 27 Dec 2024 |
| 5 Dec 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 27 Dec 2024 |
| 5 Dec 2024 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard survey | 27 Dec 2024 |
| 5 Dec 2023 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 11 Jan 2024 |
| 2 Aug 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 25 Aug 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 23 Apr 2026 | Fine | $31,185 | |
| 27 Aug 2025 | Payment denial | — | 2 days |
| 27 Aug 2025 | Fine | $9,243 | |
| 5 Dec 2024 | Fine | $19,534 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Montana average. Turnover: nursing staff —, RNs —; — administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Montana median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 20.0% | 18.5% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.8% | 1.1% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 1.9% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.8% | 3.9% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.6% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 6.5% | 16.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.0% | 5.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 23.7% | 19.5% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Discovery Care Centre, Llc. Chain: The Goodman Group (9 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| The Goodman Family Operating Foundation | 5% or greater direct ownership interest | 100% | 07/26/2021 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Ravalli County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| The Living Centre | Stevensville | 50 | 5 | 4 | 5 | 10 | 20.0 | $38K | 26 Feb 2026 |
All 2 facilities in Ravalli County
Questions and answers
How many deficiencies has The Valley Health and Rehab been cited for?
29 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Montana median is 27 per facility.
Has The Valley Health and Rehab been fined?
Yes. CMS lists fines totalling $60K in the period covered, plus 1 payment denial.
How does staffing at The Valley Health and Rehab compare?
Reported total nurse staffing is 3.7 hours per resident per day against a Montana median of 3.9 and a national average of 3.9.
Who operates The Valley Health and Rehab?
It is part of the The Goodman Group chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include The Goodman Family Operating Foundation. Individual owners and managers are not listed on this site.
When was The Valley Health and Rehab last inspected?
The most recent survey or investigation in the CMS record is dated 23 Apr 2026; the most recent standard health survey was 28 Jan 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.