Elder Care Record

Montana › Fergus County › Lewistown

Valle Vista Rehabilitation and Nursing LLC

402 Summit Ave, Lewistown, MT 59457

CCN 275021 · For-profit, limited liability company · 101 certified beds

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

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.

Valle Vista Rehabilitation and Nursing LLC is a For-profit, limited liability company nursing home in Lewistown, Montana, certified for 101 beds and caring for about 53 residents a day.

CMS gives it 3 of 5 stars overall, equal to the Montana median; the health inspection rating is 2, staffing 4 and quality measures 5.

Inspectors recorded 25 health deficiencies across the three most recent survey cycles (18, 5, 2 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 24.8 per 100 beds, fewer than the state median of 40.0.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 3.2 hours per resident per day (0.7 RN), close to the Montana median of 3.9; nursing staff turnover is 42.5%.

25health deficiencies, 3 survey cycles1 at actual harm or worse
$0fines listed by CMS0 penalties in period
3.2nurse hours per resident per daystate median 3.9
53%occupancy (residents ÷ beds)53 residents a day

Compared with county, state and nation

MeasureThis facilityFergus Co. medianMontana medianUS average
Overall star rating3433.0
Health citations, 3 cycles25372728.7
Citations per 100 beds24.831.640.026.8
Total nurse hours per resident day3.27.03.93.9
RN hours per resident day0.71.70.90.7
Nursing staff turnover42.5%54.1%53.4%45.8%
Fines listed$0$0$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

Cycle 1 (latest)18
Cycle 25
Cycle 32

Dark bar: this facility. Grey bar: Montana average per facility for the same cycle, as published by CMS. Standard health survey dates: 20 May 2025, 21 May 2024.

Severity mix: G ×1 D ×13 E ×4 F ×7

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)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
2 Jul 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint investigation5 Aug 2026
2 Jul 2026F0880Provide and implement an infection prevention and control program.FComplaint investigation5 Aug 2026
2 Jul 2026F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation5 Aug 2026
2 Jul 2026F0658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint investigation5 Aug 2026
2 Jul 2026F0710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.DComplaint investigation5 Aug 2026
2 Jul 2026F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation5 Aug 2026
4 Jun 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint investigation10 Jul 2026
4 Jun 2026F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint investigation10 Jul 2026
4 Jun 2026F0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DComplaint investigation10 Jul 2026
21 Nov 2025F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DComplaint investigation12 Dec 2025
20 May 2025F0880Provide and implement an infection prevention and control program.FStandard survey19 Jun 2025
20 May 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard survey19 Jun 2025
20 May 2025F0552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard survey19 Jun 2025
20 May 2025F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DStandard survey19 Jun 2025
20 May 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation19 Jun 2025
20 May 2025F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DStandard survey19 Jun 2025
20 May 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey19 Jun 2025
20 May 2025F0679Provide activities to meet all resident's needs.DStandard survey19 Jun 2025
28 Aug 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint investigation18 Sep 2024
21 May 2024F0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.FStandard survey14 Jun 2024
21 May 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey14 Jun 2024
21 May 2024F0761Ensure 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 locked, compartments for controlled drugs.EStandard survey14 Jun 2024
21 May 2024F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard survey14 Jun 2024
22 May 2023F0880Provide and implement an infection prevention and control program.FStandard survey26 Jun 2023
22 May 2023F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard survey26 Jun 2023

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing3.15 h
Nurse aides2.32 h
LPN0.12 h
RN0.71 h
Weekend total2.46 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Montana average. Turnover: nursing staff 42.5%, RNs 28.6%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityMontana medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay9.9%18.5%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.4%1.1%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.5%1.9%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay2.1%3.9%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%0.6%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay11.9%16.4%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay5.2%5.7%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay21.6%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. CMS groups this facility with 19 facilities under an individual owner's name; this site does not publish people's names, so no chain page is linked.

OrganisationRole in the CMS recordInterestSince
Cashmer LLCDirect ownership interestNOT APPLICABLE07/01/2023
Cottonwood Healthcare LLCOperational/managerial controlNOT APPLICABLE07/01/2023
Professional Business Advisors LLCOperational/managerial controlNOT APPLICABLE07/01/2023
Wipfli LLPOperational/managerial controlNOT APPLICABLE07/01/2023
Cottonwood Healthcare LLCAdp of the snfNOT APPLICABLE05/12/2025
Professional Business Advisors LLCAdp of the snfNOT APPLICABLE05/12/2025
Wipfli LLPAdp of the snfNOT APPLICABLE05/12/2025

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 Fergus County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Montana Mental Health Nursing HomeLewistown1174353731.6—19 Nov 2025

All 2 facilities in Fergus County

Questions and answers

How many deficiencies has Valle Vista Rehabilitation and Nursing LLC been cited for?

25 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Montana median is 27 per facility.

Has Valle Vista Rehabilitation and Nursing LLC been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Valle Vista Rehabilitation and Nursing LLC compare?

Reported total nurse staffing is 3.2 hours per resident per day against a Montana median of 3.9 and a national average of 3.9.

Who operates Valle Vista Rehabilitation and Nursing LLC?

CMS groups it with other facilities under an individual owner, whose name this site does not publish. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Cashmer LLC, Cottonwood Healthcare LLC and Professional Business Advisors LLC. Individual owners and managers are not listed on this site.

When was Valle Vista Rehabilitation and Nursing LLC last inspected?

The most recent survey or investigation in the CMS record is dated 2 Jul 2026; the most recent standard health survey was 20 May 2025.

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.